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Hospital-level, risk-standardized payment associated with a 30-day episode-of-care for heart failure (HF)

CBE ID
2436
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Spring 2026
1.6 Measure Description

This measure estimates hospital-level, risk-standardized payment for a HF episode of care starting with inpatient admission to a short term acute-care facility and extending 30 days post-admission for Medicare fee-for-service (FFS) patients who are 65 years of age or older with a principal discharge diagnosis of HF.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.20 Types of Data Sources
      Most Recent Endorsement Activity
      Endorsed Cost and Efficiency Spring Cycle 2021
      Initial Endorsement
      Last Updated
      Steward Organization
      Centers for Medicare & Medicaid Services
      Steward POC email
      james.poyer@cms.hhs.gov
      Steward Organization Copyright

      N/A

              Risk Adjustment
                Use
                Planned Use
                6.1.2 Current or Planned Use(s)
                6.1.3 Current Use(s)
                Use In Federal Program
                  Public Comments