Physicians' Resources

Your home for news, products, stories, and more specific to physicians practicing in post-acute and long-term care settings. 

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Health Policy
January 3, 2019

The Centers for Medicare & Medicaid Services (CMS) is tracking the progress of the National Partnership to Improve Dementia Care in Nursing Homes by reviewing publicly reported measures. The official measure of the partnership is the percentage of long-stay nursing home residents who receive antipsychotic medication, excluding residents diagnosed with schizophrenia, Huntington's disease, or Tourette’s syndrome. In...

Health Policy
January 3, 2019

The Centers for Medicare & Medicaid Services (CMS) has officially opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program. With the exceptions noted in the paragraph below, data can be submitted and updated any time from January 2 to April 2, 2019.

Please note that CMS web Interface users need to report their quality performance category data between January 22 and March 22, 2019. Also, for clinicians who reported...

Health Policy
January 3, 2019

On December 21, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that sets a new direction for the Medicare Shared Savings Program. Referred to as “Pathways to Success,” this new direction for the Shared Savings Program redesigns the participation options available under the program to encourage Accountable Care Organizations (ACOs) to transition to performance-based risk more quickly and, for eligible ACOs, incrementally, to increase savings for the trust funds.

In connection with the program redesign, CMS will offer an application cycle for a one-time...

Health Policy
December 20, 2018

The final performance period for the Value Modifier and Physician Quality Reporting System (PQRS) programs was 2016 and the final payment adjustment year is 2018. Quality and Resource Use Reports (QRURs) and PQRS Feedback Reports will no longer be available after the end of 2018. If you need these reports, download them through December 31, 2018, from the CMS Enterprise Portal using an Enterprise Identity Management (EIDM) system account with the correct role. Visit the ...

Health Policy
December 20, 2018

On June 29, the Centers for Medicare & Medicaid Services (CMS) published Program Year 2017 Open Payments data, along with updated and newly submitted data from previous program years (2013-2016). Physicians and teaching hospitals: This data is available for review and dispute through December 31. Review of the data is voluntary, but strongly encouraged.

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Spotlight
December 18, 2018

Suzanne Gillespie, MD, RD, CMD, is in her third year as Society House of Delegates (HoD) chair, but she is still humbled when she stands at the podium and looks out at her family of peers. Then she takes a deep breath, relishes the excitement and energy of the meeting, and starts talking. It’s not too late to share this experience. You have until January 6 to submit a resolution or become a delegate for the 2019 meeting in Atlanta, GA.

“We’ve already received several resolutions, so we are off to an excellent start,” says Dr. Gillespie. “We’re looking forward to seeing more and to...

Weekly Roundup
December 14, 2018

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“When individuals donate to the Foundation, they are a giving to a purpose, a project they believe in—such as the Futures Program; but they also understand the role these play for our profession and its future,” says Foundation Chair Barbara Resnick, PhD...

Health Policy
December 13, 2018

The Centers for Medicare & Medicaid Services (CMS) posted an  updated list of Alternative Payment Models (APMs) in the Quality Payment Program. The list displays the APMs that CMS currently operated or announced since November 2018, including those considered Advanced APMs and Merit-based Incentive Payment System APMs. 

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Health Policy
December 13, 2018

The Centers for Medicare & Medicaid Services (CMS) will implement new opioid policies for Medicare drug plans on January 1. The new policies include:

  • Improved safety alerts when patients fill opioid prescriptions at the pharmacy
  • Drug management programs for patients at risk for misuse or abuse of opioids or other drugs 

CMS posted new training materials, including slide decks and tip sheets for:

  • ...
Health Policy
December 6, 2018

The Physician Compare preview period is open through December 31 at 8 PM ET. Preview your 2017 Quality Payment Program (QPP) performance information before it appears on the Physician Compare profile pages and in the downloadable database. Access the secured preview through the QPP website....