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President’s FY2019 Budget Proposal Released

Policy Snapshot
Accountable Care Organization (ACO), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Electronic Health Records (EHR), Practitioners
February 15, 2018
This week the White House released the President’s FY2019 Budget Proposal entitled, Efficient, Effective, Accountable: An American Budget . The President’s budget does not have the force of law but rather it helps set the Administration’s agenda and...

Quality Payment Program: Performance Scores for 2017 Claims Data

Policy Snapshot
Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners
February 15, 2018
If you are an eligible clinician who submitted 2017 Quality performance data for the Merit-based Incentive Payment System (MIPS) via claims, view your performance scores through the data submission feature . Simply login and view your calculated...

CMS Publishes Advanced APMs for 2018 MACRA Reporting

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Merit-Based Incentive Program Payment System (MIPS)
February 9, 2018
This week the Centers for Medicare & Medicaid Services (CMS) published a table displaying the Alternative Payment Models (APMs) that CMS operates. In the table CMS identifies which of those APMs CMS has determined to be MIPS APMs or Advanced...

MIPS: Call for Advancing Care Information Measures and Improvement Activities

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Electronic Health Records (EHR)
February 9, 2018
The Centers for Medicare & Medicaid Services (CMS) is once again seeking input for additional Advancing Care Information (ACI) measures and improvement activities (IAs) for consideration for future years of the Merit-based Incentive Payment...

SNF QRP Quality Measure (QM) and Review and Correct Report Data Issues

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS)
February 9, 2018
A calculation error has been identified for the three assessment-based quality measures reported on the SNF QRP Facility- and Resident-Level QM report and the SNF QRP Review and Correct reports (NQF #0678, NQF #0674, and NQF #2631). Duplicate stays...

Proposed Budget Deal Impacts MACRA, Other Physician Pay Provisions

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Accountable Care Organization (ACO), Coding, Reimbursement, & Documentation
February 9, 2018
As a result of the Society’s advocacy efforts, along with the American Medical Association (AMA) and other physician groups, language extending the misvalued code offset has changed for the better. Earlier reports were that Congress was considering...

National Partnership to Improve Dementia Care Achieves Goals to Reduce Unnecessary Antipsychotic Medications in Nursing Homes

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Dementia, Antipsychotics
October 6, 2017
On October 2, the National Partnership to Improve Dementia Care announced that it met its goal of reducing the national prevalence of antipsychotic use in long-stay nursing home residents by 30 percent by the end of 2016. It also announced a new...

The Society Joins AMA and Others in Urging Congress to Ensure Flexibility with QPP

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP)
October 6, 2017
This week, the Society along with the American Medical Association and more than 100 national and state medical societies sent a letter to the House Committee on Energy and Commerce, ranking members of the House Ways and Means and Senate Finance...

New CMS Qualifying APM Participant Look-Up Tool

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA)
October 6, 2017
This week the Centers for Medicare & Medicaid Services (CMS) announced the results of the first Qualifying APM Participant (QP) determinations based on eligible clinician participation in the 2017 Advanced Alternative Payment Models (APMs). CMS...

Senate Passes CHRONIC Care Act

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Medicare, Accountable Care Organization (ACO)
September 29, 2017
This week, the Senate unanimously passed the CHRONIC Care Act (S.870), a bill which includes bipartisan policies to improve the Medicare program by targeting traditional fee-for-service, Medicare Advantage, and Accountable Care Organizations (ACOs...