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Policy Snapshot
June 1, 2018

Congressmen Joe Courtney (D-CT), Glenn 'GT' Thompson (R-PA) and Senators Sherrod Brown (D-OH), Susan Collins (R-ME), Bill Nelson (D-FL) and Shelley Moore Capito (R-WV) have co-sponsored legislation to fix an arbitrary Medicare policy that excludes coverage of skilled nursing care. Under current Medicare policy, a beneficiary must have an “inpatient” hospital stay of at least three days for Medicare to cover skilled nursing care. Patients who receive hospital care on “observation status” do not qualify for this benefit, even if their hospital stay lasts longer than three days. These...

Policy Snapshot
June 1, 2018

The Physician and Other Supplier Public Use File (PUF) contains summarized information on Part B services and procedures furnished to Medicare beneficiaries by physicians and other healthcare professionals. The 2016 dataset includes:

  • Information on utilization, payment, and submitted charges organized by National Provider Identifier, Healthcare Common Procedure Coding System code, and
  • ...
Policy Snapshot
May 25, 2018

This week, Senators Susan Collins (R—Maine) and co-sponsor Senator Bob Casey (D—Pennsylvania) introduced the bipartisan Geriatrics Workforce Improve Act (S.2888) in the U.S. Senate. This bill echoes similar bipartisan legislation proposed in the U.S. House of Representatives that would ensure communities across the U.S. have access to health professionals and other critical supports improving care for us all as we age. With bipartisan support, swift passage of the bill would take a significant step toward training and supporting a healthcare workforce empowered to improve the quality of...

Policy Snapshot
May 25, 2018

The Centers for Medicare & Medicaid Services (CMS) recently released their 2018 Annual Report: Quality Measure Development Plan (MDP). The 2018 MDP Annual Report describes CMS activities during the previous year to advance the development of clinician quality measures in accordance with MACRA. In 2017, as required by MACRA, CMS transitioned from three discrete clinician quality programs to the Quality Payment Program, consisting of MIPS and incentive payments for...

Policy Snapshot
May 25, 2018

Recently, CMS announced that they changed the name of the Merit-based Incentive Payment System (MIPS) Advancing Care Information performance category to the Promoting Interoperability performance category:

  • This is not a new performance category.
  • 2018 requirements are the same as what was finalized for the Advancing Care Information performance category. Review the 
  • ...
Policy Snapshot
May 25, 2018

On Thursday, June 14, 2018 at 2:00 p.m. ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar that will provide an overview of Qualified Clinical Data Registry (QCDR) measure development, processes and expectations. This webinar is intended to assist with the development of QCDR measures for future MIPS performance periods. Please know that CMS is not accepting additional QCDR measure submissions for the 2018 performance period. 

Webinar Details

Title: 2018 QCDR Measures Workgroup

Date...

Policy Snapshot
May 18, 2018

This week, the House Ways & Means Committee approved seven bipartisan pieces of legislation focused on reducing opioid abuse in Medicare. The package would expand coverage for medication-assisted treatment, promote non-opioid therapies for pain management and require Part D plans to have drug management programs for beneficiaries at risk of opioid addiction.

The bills now move to the House floor, joining 25 opioid-related bills approved by the House Energy & Commerce (E&C) Committee last week. The E&C committee is scheduled to reconvene for another markup of an...

Policy Snapshot
May 18, 2018

You can now log in to the CMS Quality Payment Program website to check your group’s 2018 eligibility for the Merit-based Incentive Payment System (MIPS):

  • Log in to the feature using your Enterprise Identity Management (EIDM) credentials
  • Browse to the taxpayer identification number affiliated with your group
  • Click into a details screen to see the eligibility status of every clinician based on their national provider identifier
  • Find out whether they need to participate during the 2018 performance
  • ...
Policy Snapshot
May 10, 2018

This week, the House Energy & Commerce Committee passed 25 opioid related pieces of legislation to the floor of the House of Representatives. This was just the first of two mark-up hearings the committee will have on whether to send more than 50 opioid bills to the floor in total.

One of the bills that passed this week included H.R. 3528, The Every Prescription Conveyed Securely Act. The bill would require e-prescribing for coverage of prescription drugs that are controlled substance under Medicare Part D. When the bill was initially brought to the committee it did not...