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Policy Snapshot
December 19, 2019

Last week the Society submitted comments to Reps. Diana DeGette (D-CO) and Fred Upton (R-MI), the co-sponsors of the CURES 2.0 plan. CURES 2.0 will aim to improve care delivery and look at how it is possible to modernize coverage and access to life-saving cures. The first installment of 21st Century CURES was signed into law nearly three years ago, and already there are better ways to prevent and screen cancer, an improved understanding of the human brain, and improvements in the field of regenerative medicine.

The Society noted that having monthly limits on telehealth services in...

Policy Snapshot
December 19, 2019

The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC to develop episode-based cost measures for their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS). As part of Wave 3 of measure development, Acumen is preparing for field testing of the newly developed episode-based cost measures.

An episode-based cost measure development project is seeking clinicians, practice managers, and quality improvement professionals to help test cost measure reports and provide feedback. To participate, you must work for a...

Policy Snapshot
December 19, 2019

The Centers for Medicare & Medicaid Services (CMS) published the 2020 performance period electronic Clinical Quality Measure (eCQM) flows for eligible clinicians and eligible professionals, which provide:

  • An additional
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Policy Snapshot
December 12, 2019

Your eligibility status may have changed for the Merit-based Incentive Payment System (MIPS). Check the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program Participation Status Tool to view your final 2019 eligibility status:

  • Your initial eligibility status was based on review of Medicare Part B claims and Provider Enrollment, Chain and Ownership System (PECOS) data from October 1, 2017, to September 30, 2018
  • CMS updated your status based on a second review of Medicare Part B
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Policy Snapshot
December 12, 2019

The Centers for Medicare & Medicaid Services (CMS) added a third low-volume threshold criterion for determining Merit-based Incentive Payment System (MIPS) eligibility for 2019. Clinicians and groups are excluded from MIPS if they:

  • Billed $90,000 or less in Medicare Part B allowed charges for covered professional services during either of the two determination periods (October 1, 2017–September 30, 2018, or October 1, 2018–September 30, 2019)
  • Provided care to 200 or fewer Part B-enrolled patients during either of the two determination periods
  • New for
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Policy Snapshot
December 5, 2019

The Society recently submitted written testimony to the House Ways and Means Committee in relation to a recent hearing entitled “Caring for Aging Americans.” The Society’s comments focused around the use of antipsychotics, telemedicine in long-term care (LTC), the nursing home medical director registry, and its support of the Patient Choice & Quality Care Planning Act.

The hearing highlighted an urgent need and opportunity to deal with a rapidly aging population. Witnesses presented a wide variety of issues and solutions and included caregivers and representatives from consumer...

Policy Snapshot
December 5, 2019

Direct contracting creates a variety of pathways for health care providers and suppliers to take on financial risk supported by enhanced flexibilities. Because the model reduces burden, supports a focus on complex, chronically and seriously ill patients, and aims to encourage organizations to participate that have not typically participated in Medicare fee-for-service, Innovation Center models, or both, the Centers for Medicare & Medicaid Services (CMS) anticipates that this model will appeal to a broad range of physician and other types of health organizations. 

It...

Policy Snapshot
December 5, 2019

If you are interested in applying for a Promoting Interoperability Hardship Exception or Extreme and Uncontrollable Circumstances Exception for the 2019 Performance Year of the Merit-based Incentive Payment System (MIPS), you must submit your application by December 31.

For more information:

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Policy Snapshot
December 5, 2019

The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program website has been recently updated to include 2019 Alternative Payment Model (APM) incentive payment details. See the CMS fact sheet for more information....

Policy Snapshot
December 5, 2019

The Centers for Medicare & Medicaid Services (CMS) will hold a webinar on the 2020 Medicare Promoting Interoperability Program on Thursday, January 16 from 1 to 2 PM ET.

During this webinar, CMS reviews major changes to the Medicare Promoting Interoperability Program for 2020, including:

  • 2020 electronic health record reporting period
  • 2015 edition CEHRT requirements
  • Objective/measure changes
  • Scoring

Attendees will also have the opportunity to ask questions during a Q&A session following the presentation.

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