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Policy Snapshot
January 23, 2020

Recently, the Society joined other post-acute and long-term care workforce groups in addressing a recent executive order entitled Protecting and Improving Medicare for our Nation’s Seniors. The groups commended the efforts in section 5 of the executive order to ensure that access to high-quality care in not hampered by outdated barriers to practice; that section of the order calls for the removal of burdensome requirements that prevent clinicians from practicing to the top of their profession. “We request that you act to ensure this barrier to practice is removed by promulgating...

Policy Snapshot
January 23, 2020

The Centers for Medicare & Medicaid Services (CMS)  posted new Quality Payment Program (QPP) FAQs and videos to help you submit your 2019 Merit-based Incentive Payment System (MIPS) data. The submission period closes on March 31 at 8 PM ET.

Data Submission Demonstration Videos:

Policy Snapshot
January 23, 2020

Each year the Centers for Medicare & Medicaid Services (CMS)  brings together over 3,000 leaders across the health care spectrum to explore how patients, advocates, providers, researchers, and champions in health care quality improvement can develop and spread solutions to address to America’s most pervasive health system challenges.

The conference will take place in Baltimore, February 25-27. Register here....

Policy Snapshot
January 16, 2020

The Centers for Medicare & Medicaid Services (CMS) is implementing a new participation framework for the Merit-based Incentive Payment System (MIPS) starting with the 2021 performance period, MIPS Value Pathways (MVPs). The goal of this new framework is to move away from siloed performance category measures and activities and toward an aligned set of measures and activities that are more meaningful to clinicians and patient care.

CMS will not immediately eliminate the current MIPS framework. Instead, it intends to develop MVPs for 2021 and beyond in collaboration with...

Policy Snapshot
January 16, 2020

Wednesday, January 22 from 2:30 to 4 pm ET

The Centers for Medicare & Medicaid Services (CMS) is holding a webinar on Wednesday, January 22, from 2:30 PM to 4 PM ET. The session will provide a basic overview of the Merit-based Incentive Payment System (MIPS) for the 2020 performance period. Topics will include:

  • Eligbility
  • Reporting options
  • Basic requirements for the MIPS performance categories
  • Help and support

...

Policy Snapshot
January 9, 2020

On January 6, 2020, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced that Brad Smith will serve as the director of the Center for Medicare and Medicaid Innovation (Innovation Center) and senior advisor for value-based transformation to HHS Secretary Alex Azar.

Smith previously worked at Anthem as the chief operating officer of the Diversified Business Group and co-founded Aspire Health, a health care group providing palliative care. As the new director of the Innovation Center, Smith will play a leadership...

Policy Snapshot
January 9, 2020

The Centers for Medicare and Medicaid Services (CMS) will host several webinars and office hours for interested participants to ask questions and get additional information about the Direct Contracting Model Options:

 

Direct Contracting Payment Part I: Risk Sharing/Risk Mitigation/Cash Flow Webinar

Wednesday, January 15, 2020, 1:00-3:00 PM ET

Registration is open ...

Policy Snapshot
January 9, 2020

CMS Misses December 31, 2019, Deadline for APM Incentive Payments

The Centers for Medicare & Medicaid Services (CMS) issued an advisory notice on December 26, 2019, indicating the agency would fail to meet the self-imposed deadline of December 31, 2019, to distribute all CY 2019 Advanced Alternative Payment Model (APM) incentive payments.

Qualifying APM Participants (QPs) were eligible for bonus payments in 2019 based on their 2017 participation in an advanced APM. CMS began distributing incentive payments on September 26, 2019, and aimed to complete...

Policy Snapshot
January 9, 2020

Last week, the Centers for Medicare & Medicaid Services (CMS) released the final 2018 Quality Payment Program (QPP) performance results for the Merit-based Incentive Payment System (MIPS), which impacts 2020 payments. The findings are summarized in a CMS blog post from CMS Administrator Seema Verma and in a CMS...

Policy Snapshot
January 2, 2020

MIPS Eligible Clinicians Can Start Submitting Data for 2019 through March 31

The Centers for Medicare & Medicaid Services (CMS) has opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2019 performance period of the Quality Payment Program (QPP). Data can be submitted and updated until 8:00 PM ET on March 31, 2020.

Please note, the data submission period through the CMS Web Interface for ACOs and pre-registered groups and virtual groups closes on March 31, 2020....