Posts for Category: Latest Measure News
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PQA Summary of Final Rule (CMS-4208-F3/CMS-4212-F)
The Centers for Medicare & Medicaid Services (CMS) has issued “Medicare Program; Contract Year 2027 and Certain Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program” The final rule, CMS-4208-F3 and CMS-4212-F, was published in the Federal Register on April 6, 2026, […] -
PQA Summary of 2027 Medicare Advantage Part D Rate Announcement
The Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2027 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies on April 6, 2026. PQA distributed a summary of points of interest from the CMS Advance Notice of Methodological Changes for Calendar Year (CY) 2027 for […] -
PQA Summary of 2027 Medicare Advantage and Part D Proposed Rule (CMS-4212-P)
Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program The Centers for Medicare & Medicaid Services (CMS) has issued “Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare […] -
PQA Endorses One Quality Measure and Retires Three Quality Measures
Alexandria, Va. (October 17, 2025) – The Pharmacy Quality Alliance (PQA), through a majority vote of its members, has endorsed one new health plan quality measure and retired three quality measures. The newly endorsed measure, Chronic Obstructive Pulmonary Disease Treatment Ratio (CTR), evaluates the percentage of individuals 40 years of age or older whose Chronic Obstructive […] -
PQA’s Adherence Measure Risk Adjustment FAQs
Health outcomes can be influenced by many factors other than the health care services received, including patient-related characteristics that are both clinical (i.e., pre-existing conditions) and non-clinical (e.g., income, education, age, race or ethnicity). Careful evaluation of risk adjustment is an important consideration to ensure that organizations that care for disadvantaged populations are measured fairly. Through […]