Seven Core Measure Sets

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America’s Health Insurance Plans (AHIP) and its member plans’ Chief Medical Officers convened leaders from The Centers for Medicare and Medicaid Services (CMS) and the National Quality Forum (NQF), as well as national physician organizations, to form The Core Quality Measures Collaborative in 2014. With an end goal of establishing broadly agreed upon quality measurements, the Core Quality Measures Collaborative identified seven core measure sets that contain standardized quality metrics for use across private and public programs:

• Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMH), and Primary Care
• Cardiology
• Gastroenterology
• HIV and Hepatitis C
• Medical Oncology
• Obstetrics and Gynecology
• Orthopedics

The measures included in the sets already exist across various federal and private payer programs; they do not represent development of new measures. However, included in each core set are recommendations for future measures to include, which incorporate outcomes such as disease free survival or five year cure rate, as well as patient reported outcomes/quality of life measures.

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