The guiding principles used by the CQMC in developing the core measure sets are that they be meaningful to patients, consumers, and clinicians, while reducing variability in measure selection, collection burden, and cost. To address this problem, CMS, commercial plans, Medicare and Medicaid managed care plans, purchasers, clinicians and other care provider organizations, and consumers worked together through the CQMC to identify core sets of quality measures that payers have committed to using for reporting as soon as feasible.
Measure requirements are often not aligned among payers, which has resulted in confusion and complexity for reporting health care providers. It is difficult to have actionable and useful information because clinicians must currently report multiple quality measures to different entities. This is increasingly important as the health care system moves towards value-based reimbursement models. There is a great demand today for accurate, useful information on health care quality that can inform the decisions of consumers, employers, clinicians, and policymakers. The coalition was established in 2015 by America’s Health Insurance Providers (AHIP) and the Centers for Medicare & Medicaid Services (CMS) and is convened by Battelle’s Partnership for Quality Measurement (PQM) in its role as the Consensus-Based Entity (CBE). The Core Quality Measures Collaborative (CQMC) is a diverse coalition of health care leaders representing over 75 consumer groups, medical associations, health insurance providers, purchasers and other quality stakeholders, all working together to develop and recommend core sets of measures by clinical area to assess and improve the quality of health care in America.
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