Overall Star Rating, HCAHPS, three payment adjustment programs, and what distinguishes critical access from academic medical centers.
Five-Star rating built from health inspections, staffing levels, and MDS-based quality measures across long-stay and short-stay residents.
Quality and patient experience star ratings, OASIS outcomes, and the Value-Based Purchasing program that adjusts Medicare payments.
Five-Star built from clinical outcome ratios, ICH CAHPS patient experience, and Kt/V adequacy — and the ESRD QIP that ties all of it to payment.
CAHPS Hospice Survey, Hospice Item Set quality measures, and the Hospice Care Index that combines ten claims-based indicators.
Quality measures for complex chronic patients requiring extended acute care — ventilator weaning, discharge outcomes, and LTCH PPS payment.
Functional outcomes, discharge to community rates, and the 60% Rule compliance threshold that defines what an IRF is allowed to be.
Individual-level Medicare data — specialty, credentials, procedure volumes, and how MIPS performance scores translate into payment adjustments.