Modern Healthcare writes: In 2017, quality improvement organizations (QIOs) reported progress on a number of fronts in improving care for Medicare beneficiaries. The QIOs have been around since the 1970s and involve work from multiple stakeholders including providers and community partners to tackle pressing healthcare problems across the U.S. Citing this work on quality, the American Hospital Association is pushing an idea that would shift review of Medicare claims from recovery audit contractors (RACs) to QIOs. That proposal has taken heat from RACs.
- Modern Healthcare Data Points: CMS’ quality improvement organizations reached far and wide in 2017 (PDF)