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September 1, 2015

Learning From the Past to Measure the Future

Author Affiliations
  • 1National Quality Forum, Washington, DC
  • 2Agency for Healthcare Research and Quality, US Department of Health and Human Services, Washington, DC
JAMA. 2015;314(9):875-876. doi:10.1001/jama.2015.9186

In recent months, there have been multiple policies and initiatives seeking to improve health care quality and value. In January, Secretary Sylvia Burwell announced that the US Department of Health and Human Services will tie 90% of Medicare payments to quality or value by 2019. In April, Congress passed legislation to repeal the Sustainable Growth Rate formula; this law also established a new payment formula that pays clinicians based on a composite performance score. The private sector has been similarly active with the Health Care Transformation Task Force—composed of large health systems and insurers—aiming to have 75% of their contracts using incentives for quality and value by 2020.