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Policy Snapshot
July 2, 2020

Last week, three minority members of the Senate Special Committee on Aging—Ranking Member Sen.  Bob Casey (D-PA) and  Sens. Gary Peters (D-MI) and Ron Wyden (D-OR)—released a new report, COVID-19 in Nursing Homes: How the Trump...

Policy Snapshot
July 2, 2020

Last week, the Society joined the American Medical Association and other national medical organizations in urging the Department of Health and Human Services (HHS) to implement the office visit increases and waive the requirement for the Centers for Medicare & Medicaid Services (CMS) to adjust Medicare physician payments for budget neutrality when it implements the office visit coding and payment changes that it has finalized for 2021.

The groups noted that “Payment reductions of this magnitude would be a major problem at any time, but to impose cuts of this magnitude during or...

Policy Snapshot
July 2, 2020

Last week, the Centers for Medicare & Medicaid Services (CMS) announced that the 2021 Merit-based Incentive Payment System (MIPS) Self-Nomination Materials are now posted on the Quality Payment Program Resource Library. You may access the 2021 Self-Nomination Toolkit for Qualified Clinical Data...

Policy Snapshot
July 2, 2020

This series is brought to you by the Centers for Medicare & Medicaid Services (CMS) and the Quality Improvement Organization Program, a national network of Quality Innovation Network-Quality Improvement Organizations serving every state and territory. Upcoming topics include Managing Staff Challenges on July 9 and Reopening Considerations on July 16. Both will be held from 4:00 to 5:00 PM ET. ...

Policy Snapshot
July 2, 2020

The Centers for Medicare & Medicaid Services (CMS) has posted guidance on the allowance of telehealth encounters for the eligible professional and eligible clinician electronic clinical quality measures (eCQMs) used in CMS quality reporting programs for the 2020 and 2021 performance periods. Guidance provided applies to eCQMs used in each of the following programs:

  • Quality Payment Program: The Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs)
  • APM: Comprehensive Primary Care Plus (CPC+)
  • APM: Primary
  • ...
Policy Snapshot
June 26, 2020

The Centers for Medicare & Medicaid Services (CMS) announced plans to end the emergency blanket waiver requiring all nursing homes to resume submitting staffing data through the Payroll-Based Journal (PBJ) system by August 14, 2020. The PBJ system allows CMS to collect nursing home staffing information that impacts the quality of care residents receive. The blanket waiver was intended to temporarily allow the agency to concentrate efforts on combating COVID-19 and reduce administrative burden on nursing homes so they could focus on patient health and safety during this public health...

Policy Snapshot
June 25, 2020

Last week, the Centers for Medicare & Medicaid Services (CMS) issued a frequently asked questions (FAQ) document on nursing home visitation. It answers questions about reopening to visitors, participation in communal activities, and factors to consider when making decisions about visitation.

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Policy Snapshot
June 25, 2020

In response to the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) is announcing flexibilities for clinicians participating in the Quality Payment Program (QPP) Merit-based Incentive Payment System (MIPS) in 2020:

  • Clinicians significantly impacted by the public health emergency may submit an
  • ...
Policy Snapshot
June 25, 2020

On June 22, the Centers for Medicare & Medicaid Services (CMS) called for a renewed national commitment to value-based care based on Medicare claims data that provides an early snapshot of the impact of the COVID-19 pandemic on the Medicare population. The data includes the total number of reported COVID-19 cases and hospitalizations among Medicare beneficiaries between January 1 and May 16, 2020. The snapshot breaks down COVID-19 cases and hospitalizations for Medicare beneficiaries by state, race/ethnicity, age, gender, dual eligibility for Medicare and Medicaid, and urban/rural...

Policy Snapshot
June 25, 2020

The Centers for Medicare & Medicaid Services (CMS) recently posted the 2020 Quality Measure Development Plan (MDP) Annual Report, which describes progress in developing clinician quality measures to support the Quality Payment Program. The ...