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Elimination of Lipid Levels From Quality Measures Implications and Alternatives

Nicholas W. Stine, MD1,2; Dave A. Chokshi, MD, MSc1,2
[+] Author Affiliations
1New York City Health and Hospitals Corporation, New York, New York
2Department of Population Health, NYU School of Medicine, New York, New York
JAMA. 2014;312(19):1971-1972. doi:10.1001/jama.2014.15600.
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This Viewpoint discusses the implications of recently updated guidelines that eliminate quality measures addressing lipid levels.

On October 31, 2014, the Centers for Medicare & Medicaid Services (CMS) issued an update to the set of quality measures for accountable care organizations under the Medicare Shared Savings Program. The new rule will retire 8 of the 33 measures and add 8 new measures. Notably, the revision will remove all 3 quality measures addressing low-density lipoprotein cholesterol (LDL-C), including (1) percentage of patients aged 18 to 75 years with diabetes and an LDL-C level lower than 100 mg/dL within the past 12 months; (2) percentage of patients 18 years or older with ischemic vascular disease and an LDL-C level lower than 100 mg/dL within the past 12 months; and (3) percentage of patients 18 years or older with a diagnosis of coronary artery disease and an LDL-C level lower than 100 mg/dL within the past 12 months or an LDL-C level of 100 mg/dL or higher and a documented plan of care to achieve a level lower than 100 mg/dL, including at minimum the prescription of a statin.1

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