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Health Policy
April 15, 2016

The Centers for Medicare & Medicaid Services (CMS) has revised guidance at F329 in Appendix PP to enhance ease of use for surveyors and to include language related to how unnecessary use of medications may cause psychosocial harm to residents. Revisions include:

  • Removing medication tables to make F329 easier to use.
  • Replacing medication tables with up-to-date medication resources.
  • Revising Deficiency Categorization examples to show that noncompliance at F329 can cause significant psychosocial harm.

CMS requested feedback from surveyors...

Health Policy
April 15, 2016

On April 11, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The Comprehensive Primary Care Plus (CPC+) model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices. The initiative is designed to provide doctors the freedom to care for their patients the way they think will deliver the best outcomes and to pay them for achieving results and improving care.

Primary care practices will participate in one of two tracks. Both tracks...

Health Policy
April 15, 2016

The Centers for Medicare & Medicaid Services (CMS) posted the 2016 Electronic Clinical Quality Measures (eCQMs) annual update for eligible hospitals and eligible professionals to electronically report 2017 quality data for CMS quality reporting programs. Visit the eCQM Library or Electronic Clinical Quality Improvement Resource Center websites for information on how to download the measures. This year’s...

Health Policy
April 15, 2016

Tuesday, April 19 from 1:30 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

During this call, Centers for Medicare & Medicaid Services (CMS) subject matter experts will cover helpful tips to complete a successful application for the Medicare Shared Savings Program (Shared Savings Program). A question and answer session will follow the presentation.

We encourage call participants to review important information, dates, and materials on the...

Health Policy
April 8, 2016

Review and dispute for Open Payments data began April 1 and will last for 45 days. The Centers for Medicare & Medicaid Services (CMS) will publish the 2015 payment data and updates to the 2013 and 2014 data on June 30, 2016.

Physicians and teaching hospitals must initiate any disputes during the review period. Review and dispute is voluntary but strongly encouraged. If you have never registered in the Open Payments system, initial registration is a two-step process and should only take 30 minutes. See the...

Health Policy
April 8, 2016

The Centers for Medicare & Medicaid Services (CMS) released the 2015 Mid-Year Quality and Resource Use Reports (MYQRURs) to groups and solo practitioners nationwide. MYQRURs are for informational purposes only and will not affect your payments under the Medicare Physician Fee Schedule. For more information, visit the 2015 QRUR and 2017 Value Modifier webpage. See the...

Health Policy
April 8, 2016

Thursday, April 14 from 2 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

During this call, Centers for Medicare & Medicaid Services (CMS) subject matter experts discuss the development of the Data Element Library.

A question and answer session will follow the presentation, including an opportunity for registrants to provide feedback on the Library. The...

Health Policy
April 8, 2016

A revised Accountable Care Organizations: What Providers Need to Know Fact Sheet is available. Learn about: 

  • Participating in the Medicare Shared Savings Program
  • Coordinating care through Accountable Care Organizations (ACOs)
  • Satisfying the quality performance standards

And a revised...

Health Policy
April 8, 2016

Shortages Particularly Acute in Specialties Most Needed by an Aging Population

Under every combination of scenarios modeled, the United States will face a shortage of physicians over the next decade, according to a physician workforce report released this week by the AAMC (Association of American Medical Colleges). The projections show a shortage ranging between 61,700 and 94,700, with a significant shortage showing among many surgical specialties...

Health Policy
April 1, 2016

The Centers for Medicare & Medicaid Services (CMS) today announced it will test whether a new payment model for nursing facilities and practitioners will further reduce avoidable hospitalizations, lower combined Medicare and Medicaid spending, and improve the quality of care received by nursing facility residents.

This next phase of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents seeks to reduce avoidable hospitalizations among beneficiaries eligible for Medicare and/or Medicaid by providing new payments to practitioners for...