How We're Organized

As of August 1, 2014, CMS has established a new functional structure for the QIO Program that delivers program value to patients and families, maximizes learning and collaboration for improving care, and supports the spread and sustainment of effective new practices and models of care. The most significant transformation of the Program separates review of Medicare beneficiary quality of care concerns and appeals from quality improvement work carried out in provider and community settings. Two Beneficiary and Family Centered-Quality Improvement Organizations (BFCC-QIOs), covering all 50 states and three territories, address quality of care concerns and appeals, while 14 Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) work with providers, stakeholders, and Medicare beneficiaries to improve the quality of health care for targeted health conditions.

Although the structure of the QIO Program has changed, CMS’ commitment remains the same: driving rapid, large-scale change that puts patients first and contributes to better patient care, better population health, and lower costs through improvement.

Learn more about BFCC-QIOs and QIN-QIOs.

 

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QIO Program structure graphic