NCQA Dec. 2020

Vision: A scalable, sustainable digital quality infrastructure “utility” that enables reduced waste and burden in quality reporting; allows measurement across levels of the healthcare system; more accurately identifies high-value care; and enables a “learning health system” that leverages existing guidelines and clinical inputs to improve care in real time.

We strongly disagree, however, with suggestions from MedPAC and others to focus on just a small handful of outcome measures that exclude well-crafted process measures closely tied to outcomes—such as evidence-based cancer screening and management of chronic conditions. There is compelling evidence that process and intermediate outcome measures improve health, health plan performance and cost. Measures related to wellness, prevention, and chronic disease management (especially for beneficiaries with multiple chronic illnesses), have a significant impact on quality of life as well as cost avoidance.

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