CMS measures program quality by collecting performance data in which three areas?

CMS measures program quality by collecting performance data in which three areas?

• A. Efficiency and Patient Experience
• B. Quality and Cost
• C. Quality, Cost, and Efficiency
• D. Cost and Utilization

Answer: (C)

CMS evaluates program performance across three domains: quality, cost, and efficiency. Quality looks at how well care achieves good health outcomes and safety, with patient experience often included as part of overall quality. Cost tracks the financial aspect of care, helping determine value. Efficiency focuses on how effectively resources are used to reach those outcomes, including how care is utilized and where waste can be avoided. The option that includes all three—quality, cost, and efficiency—provides the complete picture CMS uses to measure program performance, whereas the other choices omit one of these essential areas.

CMS evaluates program performance across three domains: quality, cost, and efficiency. Quality looks at how well care achieves good health outcomes and safety, with patient experience often included as part of overall quality. Cost tracks the financial aspect of care, helping determine value. Efficiency focuses on how effectively resources are used to reach those outcomes, including how care is utilized and where waste can be avoided. The option that includes all three—quality, cost, and efficiency—provides the complete picture CMS uses to measure program performance, whereas the other choices omit one of these essential areas.