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Policy & Finance · page 3

Coverage, quality, and the economics of how care gets paid for.

NCQA · Apr 27, 2026

NCQA Releases HEDIS® MY 2026 Volume 2 Technical Update

On March 31, NCQA released the HEDIS® MY 2026 Volume 2: Technical Update (Technical Update), which provides comprehensive guidance for organizations reporting HEDIS. With this release, the HEDIS Volume 2: Technical Specifications are “frozen” for MY 2026. Why is the HEDIS Technical Update Important? HEDIS is a set of standardized performance measures that enable consumers, […] The post NCQA Releases HEDIS® MY 2026 Volume 2 Technical Update appeared first on NCQA .

NCQA · Apr 24, 2026

Advancing Behavioral Health Integration in Primary Care: Turning Shared Priorities Into Action

The gap between rising demand for behavioral health services and the healthcare system’s ability to deliver timely, coordinated care continues to widen. Nearly 59 million U.S. adults experience mental illness each year, yet about half do not receive treatment—creating significant downstream consequences for patients, families and the broader healthcare system. As the demand for behavioral […] The post Advancing Behavioral Health Integration in Primary Care: Turning Shared Priorities Into Action appeared first on NCQA .

NCQA · Apr 14, 2026

NCQA Is Launching a New Data Quality Solution for Digital HEDIS® and Seeks Beta Partners

As the healthcare industry moves toward interoperability, health plans are using more clinical data in HEDIS® reporting. Clinical data come from many sources: care delivery organizations, health information exchanges, qualified health information networks and vendors. As the volume and complexity of clinical data used in HEDIS evolve, organizations need more scalable ways to evaluate whether […] The post NCQA Is Launching a New Data Quality Solution for Digital HEDIS® and Seeks Beta Partners appeared first on NCQA .

NCQA · Apr 9, 2026

NCQA Is Recruiting Federal Health Centers to Participate in HRSA-Funded Program

NCQA is recruiting Health Resources & Services Administration (HRSA) sponsored health centers and Look-Alikes (LAL) interested in achieving and maintaining Patient-Centered Medical Home (PCMH) Recognition. This project is funded through a new task order under our Indefinite-Delivery-Indefinite-Quantity (IDIQ) contract with HRSA. “NCQA has been partnering with HRSA to improve quality and efficiency in health centers […] The post NCQA Is Recruiting Federal Health Centers to Participate in HRSA-Funded Program appeared first on NCQA .

NCQA · Apr 3, 2026

Dr. Chiadi Ndumele: “CKM Syndrome Doesn’t Respect Our Subspecialty Silos”

In honor of National Kidney Month in March, we interviewed Chiadi Ndumele, MD, PhD, MHS, Associate Professor of Medicine and Director of Obesity and Cardiometabolic Research, Division of Cardiology at Johns Hopkins University School of Medicine. He is a national expert on Cardiovascular-Kidney-Metabolic (CKM) Syndrome and a participant in NCQA’s recent convenings focused on improving […] The post Dr. Chiadi Ndumele: “CKM Syndrome Doesn’t Respect Our Subspecialty Silos” appeared first on NCQA .

AHRQ Patient Safety · Feb 10, 2025

Central Line Insertion Care Team Checklist.

Toolkit Checklists are helpful in reducing omissions in standardized processes designed to support safe care. This checklist targets the persistent problem of central line-associated infections by providing critical steps for teams to take to reduce variance in central line insertion . Available at Agency for Healthcare Research and Quality . Share Facebook <a tabindex="0" class="dropdown-item" target="_blank" rel="nofollow" href="https://twitter.com/share?text=Central Line Insertion Care Team Checklist.&amp;url=https://psnet.ahrq.gov/issue/central-line-insertion-care-team-checklist"> Twitter…

AHRQ Patient Safety · Feb 10, 2025

Universal ICU Decolonization: An Enhanced Protocl.

Toolkit Methicillin-resistant Staphylococcus aureus (MRSA ) is a known threat to patient safety. This toolkit highlights actions supporting universal decolonization as an effective strategy for reducing MRSA infections. This enhanced protocol provides instructions for implementing universal decolonization in adult intensive care units. Available at Agency for Healthcare Research and Quality . Share Facebook <a tabindex="0" class="dropdown-item" target="_blank" rel="nofollow" href="https://twitter.com/share?text=Universal ICU Decolonization: An Enhanced…

AHRQ Patient Safety · Feb 10, 2025

Toolkit for Decolonization of Non-ICU Patients with Devices.

Toolkit Healthcare associated infection is a persistent contributor to preventable patient harm. This toolkit can help hospitals implement a successful decolonization protocol for adult general population inpatients. Tool elements focus on strategies such as huddles, staff training, and skill assessment. Available at Agency for Healthcare Research and Quality . Share Facebook <a tabindex="0" class="dropdown-item" target="_blank" rel="nofollow" href="https://twitter.com/share?text=Toolkit for Decolonization of Non-ICU Patients with…

ACC (Cardiology)

ACC Urges Changes as Ambulatory Specialty Model Approaches 2027 Launch

With the mandatory Ambulatory Specialty Model (ASM) for Heart Failure (HF) slated to begin Jan. 1, 2027, the ACC is prioritizing member awareness and education, while pressing the Centers for Medicare and Medicaid Services (CMS) to address key issues with the model's design and requirements.

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