The Integrated Healthcare Association, a stakeholder group in California, is calling on the Centers for Medicare and Medicaid Services to cut in half the number of performance measures during the first year of the Medicare Shared Savings Program.

In a comment letter to CMS, the association contends that complying with the full proposed set of 65 measures would be too burdensome for newly formed accountable care organizations. IHA recommends a set of 32 of the measures be adopted for the first year, which starts in 2012. It also recommends dropping six measures altogether, primarily for reasons of redundancy. "We are also concerned that a number of the proposed measures have yet to be fully specified for ACO-level measurement, which means that they have not all been sufficiently tested or validated for their intended purpose," according to the comment letter.

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