Publications

Members only publications are marked with a lock icon:
Filter By
Policy Snapshot
November 22, 2019

The American Medical Association voted at its Interim Meeting of the House of Delegates in San Diego, CA, to establish a Cannabis Task Force to evaluate and disseminate relevant scientific evidence to health care facilities and the public. The vote came after some discussion about confusion on the part of health care staffs how to deal with the issue given that many states have legalized the use of marijuana, yet it remains illegal on the federal level.

Rajeev Kumar, MD, FACP, CMD, Society delegate to the AMA, testified that the Society has discussed this issue and agrees that...

Policy Snapshot
November 22, 2019

In a full committee hearing entitled “Caring for Aging Americans,” the House Ways and Means Committee 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 advocacy groups. Topics included the significant role of caregivers, the unaffordability of LTC for the average American, the quality of care in LTC settings, and the use of antipsychotics for LTC patients.

Chairman Richard Neal (D-MA) indicated that he has been working with the...

Policy Snapshot
November 22, 2019

The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 was recently introduced in both the House of Representatives (H.R. 4932) and Senate (S.2741). The bill would grant authority for the secretary of the Department of Health and Human Services to waive current telehealth restrictions in fee-for-service Medicare, including remote services in the home. It also removes geographic restrictions and adds the home as an originating site for mental health and emergency medical services. The bill further allows for the use of telehealth in the...

Policy Snapshot
November 14, 2019

The Centers for Medicare & Medicaid Services (CMS) announced Notice of Intent to Apply (NOIA) and application submission dates for a January 1, 2021, start date for the Medicare Shared Savings Program. Beginning April 20, 2020, CMS will start accepting NOIAs via the Accountable Care Organization (ACO) Management System. You must submit a NOIA if you intend to apply...

Policy Snapshot
November 14, 2019

The Centers for Medicare & Medicaid Services (CMS) invites you to share your perspectives during a listening session on “Modernizing and Clarifying the Physician Self-Referral Regulations Proposed Rule (CMS-1720-P),” which can be found here. The call will be held on Wednesday, November 20, at 4 PM ET....

Policy Snapshot
November 14, 2019

The Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Administration for Community Living are working with the National Quality Forum (NQF) to design a foundation for measuring performance of person-centered planning across community-based and institutional settings, including:

  • Definition for person-centered planning
  • Core competencies for facilitators
  • Optimal systems characteristics

NQF is accepting comments on the ...

Policy Snapshot
November 14, 2019

The Centers for Medicare & Medicaid Services (CMS) will provide information about the final rule for the 2020 Performance Period of the Quality Payment Program during a webinar on Tuesday, November 19, from 2 to 3:30 PM ET. Topics include:

  • Overview of the Quality Payment Program, Merit-based Incentive Payment System (MIPS), and Advanced Alternative Payment Models (Advanced APMs)
  • MIPS and Advanced APM policy changes
  • Key differences between 2019 and 2020 requirements
  • MIPS Value Pathways, a new participation framework starting in 2021
  • ...
Policy Snapshot
November 7, 2019

On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) released the CY 2020 Medicare Physician Fee Schedule and Quality Payment Program (QPP) final rules. Below is a summary of some of the policies CMS finalized.

Physician Fee Schedule (PFS)

CY 2020 PFS Conversion Factor

CMS is finalizing a series of standard technical proposals involving practice expense, including implementation of the second year of the market-based supply and equipment pricing update, and standard rate setting refinements to update premium data...