Other value-based programs
Aside from the value-based programs discussed above that are administered by the CMS, there are also additional programs that are administered by other agencies. Let's take a look at those here.
The Healthcare Effectiveness Data and Information Set (HEDIS)
The HEDIS is used to measure the quality of health insurance plans. It is administered by the National Committee for Quality Assurance (NCQA). The HEDIS includes approximately 90 measures that cover virtually every medical specialty. Many of the measures share features with those already discussed previously, or with the 271 measures found in the clinical care category of MIPS.
State measures
In 2018, almost every state has some form of value-based programs and incentives. Often, these programs apply to Medicaid patients, since Medicaid is often administered at the state level. Many states also adopt federally published measures and tweak them for their own use. For example, the State of Georgia funds the Georgia...
