Available here is the AAHD sharing with the NCQA (National Committee for Quality Assurance) Consumer Advisory Council October 29 meeting:
NCQA Consumer Advisory Council – Member Updates – AAHD Quality Measurement Topics; October 29, 2026
Quality Measure Priorities
Medicaid and CHIP Core Quality Measures – Maintain and Strengthen [Mathematica as CMS contractor].
CMS Medicaid HCBS (Home-and-Community-Based Services) Core Quality Measures – Maintain and Strengthen [Mathematica as CMS contractor].
Primary Care Whole Person Heath, including bi-directional behavioral health integration, care coordination, continuity of care, and patient engagement and patient reported outcomes (PROs) – Maintain and Strengthen by reinforcing and expanding Medicare payment developments. Priority to chronic health conditions, overall individual health and functioning,
Programs serving persons dually eligible for Medicare and Medicaid – consistency of measures for Medicare PACE (Programs of All-Inclusive Care for the Elderly); Medicare D-SNP (Dual Eligible Special Needs Plans), Medicaid HCBS and related public programs.
Challenges
Consumers focused on program eligibility, access, costs rather than quality measures.
Some medical societies opposing patient-reported outcomes (PROs), such as the opposition to public payers using CAHPS (Consumer Assessment of Healthcare Providers and Systems).
Legal assaults on community living integration expectations in public payer programs. Assaults on Section 504; ADA; Olmstead decision – assault on the most integrated setting appropriate to assisting a person, consistent with person’s choice.