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Policy Snapshot
October 7, 2016
  • Last week, the House and Senate passed a continuing resolution to keep the federal government funded at current levels through December 9. President Obama signed the legislation, averting a government shutdown. Both chambers are now in recess through Election Day.
  • Thanks to the Societies’ efforts from Hill Day, Congressman Robert Hurt (D-NC) is now a co-sponsor of The Personalize Your Care Act (H.R. 5555).
  • The National Academies of Science, Engineering, and Medicine hosted a webinar on its recently released report Families Caring for an Aging America. You can
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Policy Snapshot
September 30, 2016

This week the Centers for Medicare & Medicaid Services (CMS) issued a final rule to make major changes to improve the care and safety of the nearly 1.5 million residents in the more than 15,000 long-term care facilities that participate in the Medicare and Medicaid programs. The policies in this final rule are targeted at reducing unnecessary hospital readmissions and infections, improving the quality of care, and strengthening safety measures for residents in long-term care facilities. These revisions mark first major rewrite of the conditions of participation for long-term care...

Policy Snapshot
September 30, 2016

This week the Centers for Medicare & Medicaid Services (CMS) hosted an Open Door Forum to provide details about the Skilled Nursing Facility (SNF) Value-Based Purchasing Program (VBP). The program enacted under the Protecting Access to Medicare Act (PAMA) of 2014 requires SNFs to submit data on quality measures related to cost and quality including hospital readmissions. The program will have a financial impact for facilities starting in 2018.

To view the slide presentation from the call with more detailed information, ...

Policy Snapshot
September 30, 2016

2015 Physician Quality Reporting System (PQRS) Feedback Reports and 2015 Annual Quality and Resource Use Reports (QRURs) are available.

  • The PQRS Feedback Reports show your program year 2015 PQRS reporting results, including payment adjustment assessment for calendar year 2017
  • The 2015 Annual QRURs show how physician groups and physician solo practitioners performed in 2015 on the quality and cost measures used to calculate the 2017 Value Modifier, as well as their 2017 Value Modifier payment adjustment

How to Access the Reports: 

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Policy Snapshot
September 30, 2016

The next Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNF) Open door forum will be taking place on Thursday October 6th at 2:00mpm EDT. CMS planned agenda for the call includes:

  • Flu Announcement
  • Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule (CMS-3178- F)
  • PBJ Reminder Announcement
  • SNF RM
  • https://www.cms.
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Policy Snapshot
September 23, 2016

The second Annual Report recently released, provides a summative and formative evaluation of the Center for Medicare & Medicaid Services (CMS) Bundled Payments for Care Improvement (BPCI) initiative Models 2-4 and is based on the multiple evaluation and monitoring activities completed during the second year of the evaluation. The report reflects quantitative analyses of Phase 2 participants that joined the initiative during the first year (Q4 2013 – Q3 2014) and qualitative analyses of participants that joined during the first seven quarters (Q4 2013 – Q2 2015). Most results are based...

Policy Snapshot
September 23, 2016

Thursday, September 29 from 1:30 to 3 pm ET

To register or for more information, visit MLN Connects Event Registration. Space may be limited, register early.

In mid-September 2016, CMS will make 2015 Annual Quality and Resource Use Reports (QRURs) available to all group practices and solo practitioners nationwide. This event provides an overview of the report and explains how to interpret and use the information.

2015 Annual QRURs show how groups and solo...

Policy Snapshot
September 23, 2016

This week a number of post-acute care provider groups sent a letter to Ways and Means Committee leaders advocating for major changes to the Medicare Post-Acute Care Value-Based Purchasing Act (H. R. 3298). This bipartisan bill would establish a value-based purchasing program across home health agencies, nursing homes, inpatient rehabilitation facilities and long-term care hospitals. Under the PAC VBP Program, reimbursement is withheld, then redistributed through value-based incentive payments, based on a provider’s performance on measures specified by the IMPACT Act. The PAC VPB would...

Policy Snapshot
September 16, 2016

Between 2010 and 2015, readmission rates fell by 8 percent nationally. On September 13, the Centers for Medicare & Medicaid Services (CMS) released new data showing how these improvements are helping Medicare patients across all 50 states and the District of Columbia. The data show that since 2010:

  • All states but one have seen Medicare 30-day readmission rates fall
  • In 43 states, readmission rates fell by more than 5 percent
  • In 11 states, readmission rates fell by more than 10 percent

Across states, Medicare beneficiaries avoided...

Policy Snapshot
September 16, 2016

The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Measures and Technical Information webpage is updated with Provider Training...