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Policy Snapshot
January 6, 2017

On December 15, the Centers for Medicare & Medicaid Services (CMS) announced more new opportunities for clinicians to join Advanced Alternative Payment Models (APMs) to improve care and earn additional incentive payments under the Quality Payment Program, which implements the Medicare Access and CHIP Reauthorization Act of 2015. Beginning in January and February 2017, CMS will open applications for new rounds of two CMS Innovation Center models for the 2018 performance year – for new practices and payers in the Comprehensive Primary Care Plus (CPC+) model and new participants in the...

Policy Snapshot
January 6, 2017

On December 20, the U.S. Department of Health and Human Services (HHS) finalized new Medicare alternative payment models that continue the Administration’s progress in reforming how the health care system pays for care. This announcement finalizes new policies that:

  • Improve cardiac care: Three new payment models will support clinicians in providing care to patients who receive treatment for heart attacks, heart surgery to bypass blocked coronary arteries, or cardiac rehabilitation.
  • Further improve orthopedic care: One new payment model will support clinicians in
  • ...
Policy Snapshot
January 6, 2017

The Centers for Medicare & Medicaid Services (CMS) is conducting a Clinical Practice Improvement Activities Study, as outlined in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) final rule. Clinicians and groups who are eligible for the Merit-based Incentive Payment System (MIPS) that participate successfully in the study will receive full credit for the Improvement Activities...

Policy Snapshot
January 6, 2017

An MLN Matters Special Edition Article on The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents – Payment Reform is available. Learn about a new payment model for nursing facilities and practitioners to incent early identification of changes in condition, treatment of specific conditions in a nursing facility without a hospital transfer, and improved care planning.

Policy Snapshot
January 6, 2017

The Centers for Medicare & Medicaid Services (CMS) has released guidance on how regulatory requirements can be met by settings providing HCBS to individuals with such behavior, and concludes with describing some options for HCBS stakeholder education and consideration. View the FAQs here.

Policy Snapshot
December 16, 2016

Enacted August 6, 2015, the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act) requires hospitals and Critical Access Hospitals (CAH) to provide notification to individuals receiving observation services as outpatients for more than 24 hours explaining the status of the individual as an outpatient, not an inpatient, and the implications of such status.

  • Hospitals and CAHs are required to furnish a new Centers for Medicare & Medicaid Services (CMS)-developed standardized notice, the Medicare Outpatient Observation Notice (MOON), to a
  • ...
Policy Snapshot
December 16, 2016

MACRA 101 Webinar Series — December 16, 20, and 21

December 16, 20, and 21 from 12 to 1 pm ET

Join CMS for a webinar series to learn about the development of patient relationship categories for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requirements (section 1848(r)(3)(B). Stakeholders will have the opportunity to provide...

Policy Snapshot
December 15, 2016

The Centers for Medicare & Medicaid Services (CMS) recently released a new MLN Matters Special Edition Article on Comprehensive Care for Joint Replacement (CJR) Model: Skilled Nursing Facility (SNF) 3-Day Rule Waiver. The article discusses the policies surrounding the use of the 3-day stay wavier available for use under the CJR model.

The CJR model waives certain existing payment system requirements to provide additional flexibilities to...

Policy Snapshot
December 9, 2016

Information on the upcoming meetings, the resolutions process, and checklists to help are available on the Society’s House of Delegates website at www.paltc.org/hod.

Need to register delegates? Visit the HoD site as well and click on “Register Delegates” to do so online.

Have questions? Contact publicpolic...

Policy Snapshot
December 9, 2016

H.R. 6, the 21st Century Cures Act, passed both the House and Senate and is expected to be signed by President Obama. The bill, sponsored by Representative Fred Upton (R-MI), will bring “health care innovation infrastructure into the 21st Century, delivering hope for patients and loved ones and providing necessary resources to researchers to continue their efforts to uncover the next generation of cures and treatments.”

“The pace of scientific advancement over the past two decades...