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Health Policy
January 17, 2019

Time is running out to submit a Notice of Intent to Apply (NOIA) via the Accountable Care Organization (ACO) Management System (ACO-MS) for the July 1, 2019, start date for the redesigned Medicare Shared Savings Program – Pathways to Success. You must submit a NOIA if you intend to apply to the new BASIC track or ENHANCED track of the Medicare Shared Savings Program, to apply for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver, and/or to establish a Beneficiary...

Health Policy
January 17, 2019

The Centers for Medicare & Medicaid Services (CMS) has implemented new opioid policies for Medicare drug plans effective 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 is holding a call on New Part D Opioid Overutilization Policies on Thursday,...

Health Policy
January 10, 2019

The Centers for Medicare & Medicaid Services (CMS) is accepting Notices of Intent to Apply (NOIAs) via the Accountable Care Organization (ACO) Management System (ACO-MS) for the July 1, 2019, start date for the redesigned Medicare Shared Savings Program – Pathways to Success. You must submit a NOIA if you intend to apply to the new BASIC or ENHANCED track of the Medicare Shared Savings Program, to apply for a Skilled Nursing Facility (SNF) 3-Day Rule Waiver, and/or...

Health Policy
January 10, 2019

 The Centers for Medicare & Medicaid Services (CMS) implemented new opioid policies for Medicare drug plans effective 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 is holding a call on Thursday, February 14, from 1:30 to 3 PM ET so experts can...

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
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

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 HIMSS Global Conference & Exhibition, which is being held February 11-15 in Orlando, FL, brings you the world-class education, cutting-edge products and solutions, and unique networking opportunities you need to solve your biggest health information and technology challenges. Expand your knowledge and dive into a variety of compelling topics with HIMSS19 Healthy Aging & Technology Symposium, optional events,...

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.

For More Information:

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 ...