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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....

Policy Snapshot
January 2, 2020

You can now use the updated Centers for Medicare & Medicaid Services (CMS) Quality Payment Program Participation Status Lookup Tool to check on your initial 2020 eligibility for the Merit-based Incentive Payment System (MIPS).

Just enter your National Provider Identifier, or...

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
  • ...