Medicare Awards Quality with Star Ratings
Today I write to you with a good news story. The Centers for Medicare and Medicaid Services, commonly known as CMS, is demystifying the search for high quality health care. CMS has instituted this rating system using multiple information sources that all Medicare qualified providers must report.
Imagine taking the guesswork out of choosing the right care for your loved one by evaluating; the death rates, over use of medical imaging, patient falls and other accidents, wait times, readmissions, medical errors and consumer experience surveys. To that CMS adds; inspection, staffing, consumer ratings and other quality measures into an algorithm too complicated to describe in this post.
CMS continues to refine the Star Rating taking into account the special circumstances of rural/urban/suburban setting, teaching hospitals, specialty care settings and other criteria the influences many of the quality measures.
My goal is not to dive into the criteria of the ratings. My goal is to put these Star Ratings on your radar. I encourage you to check the CMS ratings as well as your State Agency on Health Care Administration quality ratings before making your selections.
Here are the CMS Star Rating links for you:
Hospital Compare - https://www.medicare.gov/hospitalcompare/search.html
Physician Compare - https://www.medicare.gov/physiciancompare/search.html
Nursing Home Compare - https://www.medicare.gov/nursinghomecompare/search.html
Dialysis Facility Compare - https://data.medicare.gov/data/dialysis-facility-compare
Medicare Plan Finder - https://www.medicare.gov/find-a-plan/questions/home.aspx
Medicare Supplier Directory - https://www.medicare.gov/supplierdirectory/results.html?loc
This report card system is a significant development toward moving our healthcare system toward rewarding quality.
If you're a Medicare member with 2 or more chronic conditions, REUNIONCare may be a covered benefit. Talk to your primary doctor to see if he's offering REUNIONCare or another chronic care management program.