State-Only Roundtable Discussion: Developing a QRS for CHIP Managed Care Plans – a Listening Session with CMS
Thursday, August 22, 10:00 am – 11:30 am
Issued in May 2016, the Medicaid and CHIP managed care final rule was the first significant update to the programs’ managed care regulations since 2003. Provisions in the regulation aim to improve beneficiary experience, enhance quality improvement activities, and increase transparency, including the requirement that CMS establish a Quality Rating System (QRS). The regulation requires states to implement either CMS-developed QRS or a substantially comparable alternative. In this listening session, CMS will share its QRS policy objectives and solicit feedback from state CHIP officials who are encouraged to provide input on ways to maximize the usability of QRSs to beneficiaries and health plans from their unique CHIP perspectives.

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































