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Health Policy
May 9, 2019

The Centers for Medicare & Medicaid Services (CMS) added secure access to the Quality Payment Program Eligibility & Reporting page for the following Alternative Payment Models (APMs): Shared Savings Program, Next Generation Accountable Care Organization, and Comprehensive Primary Care Plus. The new capabilities allow APM entities to download a list of their clinicians.

For more information:

Health Policy
May 2, 2019

The April 2019 Nursing Home Compare refresh is available, including quality measure results based on Skilled Nursing Facility (SNF) Quality Reporting Program data. Visit the Nursing Home Compare website to view the data. For more information, visit the SNF Quality Public Reporting ...

Health Policy
May 2, 2019

The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs for the fourth quarter of 2018 is May 15.

For more information:

Health Policy
May 2, 2019

CMS Primary Cares Initiative: Direct Contracting Model Webinar — May 7

The CMS Primary Cares Initiative is a new set of payment models that will transform primary care to deliver better value for patients throughout the health care system. Direct contracting is a set of three voluntary payment model options aimed at reducing expenditures and preserving or enhancing quality of care for beneficiaries in Medicare fee-for-service. These payment model options create opportunities for a broad range of organizations.

During the webinar—which is being held May 7...

Health Policy
April 25, 2019

Addressing interoperability and e-prescribing issues has been one of the Societies advocacy goals over the last several years. As part of those efforts, last week several Society leaders and staff participated in a daylong strategy meeting to address challenges around e-prescribing and medication management. The National Council on Prescription Drug Programs (NCPDP) held the meeting with representatives from electronic health record (EHRs) vendors from both acute and post-acute care, facilities, pharmacies, and clinicians to discuss challenges with the unique PALTC workflow for e-...

Health Policy
April 25, 2019

This week, Department of Health and Human Services (HHS) Secretary Alex Azar and Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma announced the CMS Primary Cares Initiative, a new set of payment models with a goal to transform primary care to deliver better value for patients throughout the health care system.

The CMS Primary Cares Initiative will provide primary care practices and other providers with five new payment model options under two paths: Primary Care First (PCF) and Direct Contracting (DC). The five payment model options are:

  • ...
Health Policy
April 25, 2019

On April 19, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1718-P) for Fiscal Year (FY) 2020 that updates the Medicare payment rates and the quality programs for skilled nursing facilities (SNFs). This proposed rule is part of CMS’ continuing efforts to strengthen the Medicare program by better aligning payment rates for SNFs with the costs of providing care and increasing transparency so that patients are able to make informed choices.  Additionally, effective October 1, 2019, CMS will begin using a new case-mix model, the Patient...

Health Policy
April 25, 2019

On October 1, the new Patient Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Centers for Medicare & Medicaid Services (CMS) and the Society have a variety of resources to help you prepare:

Health Policy
April 25, 2019

The Centers for Medicare & Medicaid Services (CMS) posted a Merit-based Incentive Payment System (MIPS) 2019 Group Participation Guide covering the following topics:

  • Eligibility and participation
  • Group registration for CMS Web Interface and CAHPS® for MIPS Survey
  • Data collection and submission for each MIPS performance category
  • ...
Health Policy
April 18, 2019

This week, Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS), posted a blog about CMS’ efforts to ensure quality and safety in nursing homes. The administrator noted that CMS will be undertaking a comprehensive review of regulations, guidelines, internal structures, and processes related to safety and quality. “We have demonstrated our commitment to this path by developing a five-part plan to ensure the care provided in America’s nursing homes is of the highest...