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Policy Snapshot
June 28, 2018

Long-Stay Hospitalization Quality Measure

The Centers for Medicare & Medicaid Services (CMS) continues to focus on reducing hospitalizations to improve the health and safety of nursing home residents. Over the last several years, CMS has launched initiatives aimed at reducing hospitalizations, such as the...

Policy Snapshot
June 28, 2018

This week, the Centers for Medicare & Medicaid Services (CMS) announced the agency’s first Data Element Library (DEL). The DEL is a new CMS database that supports the exchange of electronic health information. Using this free, centralized resource, the public for the first time can view the specific types of data that CMS requires post-acute care facilities (such as nursing homes and rehabilitation hospitals) to collect as part of the health assessment of their patients. These assessments include questions and response options (data elements) about patients, including demographics,...

Policy Snapshot
June 28, 2018

Since 2005, members of the LTPAC HIT Collaborative—a partnership of public-private group of stakeholder organizations representing associations, providers, policy-makers, researchers, vendors, and professionals with a mission to coordinate the sector and maintain alignment with the national priorities—have gathered to discuss how to move adoption and use of health information technology (HIT) in the post-acute and long-term care (PALTC) space.

This year’s Summit looked beyond the PALTC space and invited the acute care partners to be part of that conversation. Representatives from...

Policy Snapshot
June 28, 2018

The Society joined with the LTPAC HIT Collaborative to submit comments in response to CMS’ request for information (RFI) on interoperability. The Collaborative is a public-private group of stakeholder organizations representing associations, providers, policy-makers, researchers, vendors, and professionals with a mission to coordinate the sector and maintain alignment with the national priorities. The Collaborative was formed in 2005 to advance health information technology (HIT) issues by encouraging coordination among provider organizations, policy-makers, vendors, payers, and other...

Policy Snapshot
June 21, 2018

The Centers for Medicare & Medicaid Services (CMS) updated the Quality Payment Program Look-Up Tool with 2018 Merit-based Incentive Payment System (MIPS) eligibility and Qualifying Alternative Payment Model (APM) Participant (QP) data. Clinicians, enter your National Provider Identifier (NPI) to find out:

  • Whether you need to participate in MIPS in 2018
  • Your Predictive QP status

You can also check 2018 MIPS clinician eligibility at the group level and APM Predictive QP status...

Policy Snapshot
June 21, 2018

Skilled Nursing Facility (SNF) Provider Preview Reports are now available. Visit the Spotlights and Announcements webpage for a list of quality measures based on quarterly data. Make sure to review your performance data by July 1, prior to public display on Nursing Home...

Policy Snapshot
June 21, 2018

Last week, Department of Health and Human Services (HHS) Secretary Alex Azar responded to a number of Alternative Payment Model (APM) proposals recommended by the Physician-Focused Technical Advisory Committee (PTAC). While the secretary felt very positive about PTAC’s work, he rejected the proposals that were submitted. He noted that the majority of recommendations were for “limited-scale” testing and lacked enough data to estimate costs and savings or the size of penalties that doctors would have to pay for poor performance. Despite the overall negative response, Secretary Azar expressed...

Policy Snapshot
June 21, 2018

In line with the Administration’s goals to continue to remove administrative burdens, Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) on how the physician self-referral law (better known as the Stark Law) exemptions are working and what changes are needed to reduce barriers to care coordination for alternative payment models (APM).

“Removing unnecessary government obstacles to care coordination is a key priority for this Administration,” said Deputy Secretary of Health and Human Services Eric Hargan. “We need to change the healthcare system...

Policy Snapshot
June 15, 2018

At its Annual House of Delegates (HoD) meeting, the American Medical Association (AMA) passed policy to develop post-acute/long-term care (PALTC)-specific alternative payment models (APMs). Rajeev Kumar, MD, CMD, the Society’s delegate to the AMA, brought the resolution forward and testified, asking for the AMA to advocate for a PA-only type model within the Advanced Bundled Payment for Care Initiative (BPCI). Rather than adopting that policy, the AMA Council on Medical Service recommended that AMA work with interested specialty societies to develop PALTC-specific APMs. The exact language...

Policy Snapshot
June 15, 2018

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 the...