Listen now (23 mins) | Listen Now Measuring health care quality and outcomes effectively and efficiently remains a daunting task. Quality measures are largely seen as too process versus outcome focused, substantially irrelevant to patients and insufficiently aligned between and among payers. Measuring care or care quality, ironically, can and does detract from actual care delivery, can have no relationship to spending efficiency and on its own is costly. A recent article published in Health Affairs found physician practices spent over $15 billion in 2014 in reporting quality measures. Concerning the Medicare program's quality measurement activities, MedPAC in a 2014 report to the Congress went so far as to state, "Medicare's current quality measurement approach as gone off the rails."