Quality Measure Thresholds Increasing Soon

Per a Centers for Medicare & Medicaid Services (CMS) Post-Acute Care Quality Reporting Programs email update (9/21/2022):

Quality Measure Rating Threshold Changes with the October 2022 Refresh

In March 2019, CMS released memorandum QSO-19-08-NH, which outlined a plan to update the quality measure (QM) rating thresholds every six months. The plan was to increase the thresholds by 50% of the average rate of improvement in QM rating scores. For example, if there is an average rate of improvement of 2%, the QM rating thresholds would be raised 1%. Similar to setting new thresholds, this action also aims to incentivize continuous quality improvement. Additionally, it reduces the need to have larger adjustments to the thresholds in the future. Due to COVID 19, these updates were put on hold; however, we began implementing them in April 2022, and we plan to update them again with the October 2022 refresh. CMS will also release a new Five-Star Quality Rating System Technical Users’ Guide with the updated QM rating thresholds in October.

View this post on the CMSCG Blog for more details:

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