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Policy Snapshot
May 6, 2016

Thursday, May 19 from 1:30 to 3 pm ET

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

This event gives an overview of the 2015 Mid-Year Quality and Resource Use Reports (MYQRURs) and explains how to interpret and use the information. A question and answer session will follow the presentation.

The 2015 MYQRURs were recently released to groups and solo practitioners nationwide. These reports are for informational purposes only and contain interim information...

Policy Snapshot
April 29, 2016

This week the Centers for Medicare & Medicaid Services (CMS) issued their proposed rule for implementing certain provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA ended more than a decade of last-minute fixes to the sustainable growth rate (SGR) formula and made improvements to various health care programs by streamlining quality based payments programs such as the Physician Quality Reporting System, the Value Modifier Program, and the Medicare...

Policy Snapshot
April 29, 2016

This week the Centers for Medicare & Medicaid Services (CMS) added six new quality measures to the Nursing Home Compare website. Three of these six new quality measures are based on Medicare-claims data submitted by hospitals, which is significant because this is the first time CMS is including quality measures that are not based solely on data that are self-reported by nursing homes. These three quality measures measure the rate of rehospitalization, emergency room use, and community discharge among...

Policy Snapshot
April 29, 2016

On April 21, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1645-P) outlining proposed FY 2017 Medicare payment rates and quality programs for Skilled Nursing Facilities (SNFs). CMS will accept comments on the proposed rule until June 20, 2016.

Based on proposed changes, CMS projects that aggregate payments to SNFs will increase in FY 2017 by $800 million,...

Policy Snapshot
April 29, 2016

Wednesday, May 11 from 3 to 4:30 pm ET

Join the Centers for Medicare & Medicaid Services (CMS) for an informative discussion of the comparative billing report on Subsequent Nursing Facility Evaluation and Management (E/M) Services (CBR201605), an educational tool focusing on providers who bill CPT codes 99307 through 99310 to report subsequent nursing facility E/M services. During the webinar, providers will interact directly with content specialists and submit questions about the report. See the...

Policy Snapshot
April 29, 2016

Tuesday, May 10 from 2 to 3 pm ET

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

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) changes the way Medicare rewards clinicians for providing quality care by streamlining multiple quality programs into a new Quality Payment Program tied to Part B Fee-For-Service payments. With the implementation of MACRA and the replacement of the Sustainable Growth Rate, we will pay clinicians participating in the Merit...

Policy Snapshot
April 22, 2016

This week the House Energy and Commerce Subcommittee on Health held a hearing entitled Medicare Access and CHIP Reauthorization Act of 2015: Examining Physician Efforts to Prepare for Medicare Payment Reforms. The hearing examined the implementation of Medicare payment reforms included in the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. The hearing focused on how physician organizations and their members, such as the American Medical Association (AMA), American College of Physicians and the American Academy of Family Physicians, are preparing for the successful...

Policy Snapshot
April 22, 2016

Thursday, April 28 from 1:30 to 3 pm ET To

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

This call focuses on infection control, highlighting Antibiotic Stewardship and community-wide efforts, including a presentation from a nursing home administrator. Common concerns related to the clash between individualized, person-centered care and the medical model of controlling infections will also be addressed. This is critical for residents with dementia, who often...

Policy Snapshot
April 22, 2016

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to update Medicare inpatient payments for fiscal year 2017. CMS’s proposal would completely remove the two-midnight rule for the current and past two fiscal years by adjusting fiscal 2017 payment rates. NTOCC applauds CMS’s proposal to reverse the policy and has advocated for its removal since its introduction in 2013. The rule would also require hospitals to provide a notice to Medicare beneficiaries who have been receiving outpatient services for more than 24 hours informing them about the implications of...

Policy Snapshot
April 22, 2016

The Notice of Intent to Apply (NOIA) for the January 1, 2017, program start date of the Medicare Shared Savings Program is available for:

  • Accountable Care Organizations (ACOs) not currently participating in the program (initial applicants)
  • Currently participating ACOs with a 2014 start date intending to renew their agreement (renewing applicants)
  • Currently participating ACOs in or applying to the program under Track 3 (two-sided risk model) that intend to apply for the Skilled Nursing Facility (SNF) 3-Day Waiver

NOIAs must be submitted by 5...