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No Refresh of Quality Data for Hospitals, Nursing Homes on Medicare Care Compare Until July 2021, January 2022

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The next scheduled date for the updating of hospital quality data on CMS Medicare Care Compare will be July 2021.

As announced in November (AHT 11/8/2020), the Centers for Medicare & Medicaid Services will not update the overall hospital quality star ratings at Hospital Compare in January to allow time to review public comment and finalize proposed changes to the star ratings methodology. The proposed changes to the star ratings methodology were included in the hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year 2021.

Under an interim final rule released in August, CMS will not use quality data from Jan. 1 through June 30, 2020 for performance or use in quality reporting or value-based payment programs.

The next quarterly update to Hospital Compare will be July 2021 for the healthcare-associated infections measure; Hospital Consumer Assessment of Healthcare Providers and Systems measures for inpatient and cancer hospitals; inpatient timely and effective care measures; outpatient timely and effective care measures; and outpatient and ambulatory surgery CAHPS measure; and October 2021 for the American College of Surgeons measure. Annually refreshed measures will continue to update on Hospital Compare as scheduled.

For Nursing home quality data updates, McKnight’s Long-Term Care reported in October 2020 the next refresh will take place in January 2022.

In a March memo, CMS made it optional for SNFs to submit QRP data for the fourth quarter (Oct. 1, 2019 – Dec. 31, 2019), while providers were expected to submit data for the first and second quarters of 2020. Since data submission for Q4 2019 was strong, these data will be included in measure calculations for the Nursing Home Compare site refresh scheduled for October 2020. The missing data for Q1 2020 and Q2 2020 will impact what is displayed on Nursing Home Compare; therefore, CMS developed a strategy to accommodate these expected quarters of data. It will now hold the data constant following the October 2020 refresh, which will include data from the fourth quarter of 2019. The site won’t refresh and will remain frozen through Oct. 2021. Public reporting will resume in Jan. 2022 and a normal refresh will happen in April 2022.

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