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CMS proposes changes related to participation in the merit-based incentive payment system or Advanced Alternative Payment Models tracks.

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New Medicare cards will include a randomly generated Medicare beneficiary identifier instead of the Social Security-based health insurance claim number.

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The Medicare Payment Advisory Commission's annual report examines various issues in the Medicare payment system and offers recommendations to Congress.

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The fact sheet gives a general overview of the Medicare Shared Savings Program and Quality Payment Program and explains how the programs work together.

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America’s Essential Hospitals encourages CMS to improve transparency, risk adjust, and reduce regulatory burden for essential hospitals.

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The rule would raise inpatient operating payment rates, revise Medicare DSH payment methodology, and apply a transitional methodology for HRRP penalties.

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The rule contains provisions on the Hospital Readmissions Reduction Program, Medicare DSH, the Inpatient Quality Reporting program, and more.

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Hospital participation in Medicare value-based programs in 2015, including ACOs and bundled payments, was associated with 2,377 fewer readmissions and $32.7 million in savings.

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It requires Medicare payments for beneficiaries dually eligible for Medicaid, and other third-party payments be included in uncompensated care calculations.

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The agency estimates that MA organization payment rates will increase by 0.45 percent on average in 2018, with an expected average revenue increase of 2.95 percent when accounting for coding changes.

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The delay, which applies to certain hospital outreach labs, comes after stakeholders expressed concerns about the March 31, 2017, deadline.

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The webinar and listening session, on April 4 and 5, will focus on MIPS' advancing care information performance category and cost measure development.

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Health care professionals who provide chronic care management services often are not aware they are eligible for separate payments under Medicare Part B.

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The FAQs outline how hospitals should complete the form's free-text field and clarify that the form must be issued to Medicare Advantage enrollees.

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A series of forums will provide information on the Next Generation ACO Model; a separate CMS webinar will outline the Medicare ACO Track 1+ Model.

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The March 22 webinar will outline the agencies' roles in the expansion of the program model, next steps for organization considering offering it & more.

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Hospitals will be required to provide the form and accompanying instructions to applicable Medicare patients starting March 8.

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CMS projects that Medicare Advantage organization payment rates will increase by 0.25 percent in 2018.

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The new guidance outlines how and when hospitals must deliver the notice, retention requirements, and how the notices intersect with state laws.

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The 60-minute webinar on new episode payment models for cardiac care and surgical treatment for hip and femur fractures will begin at noon ET on Feb. 9.

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Hospitals now have until March 13 — instead of Feb. 28 — to submit electronic clinical quality measure data from 2016 to CMS.

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Along with renewing ACOs, the 99 new organizations bring the total number of ACOs nationally to 480 in 2017.

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The report is the last in a series of five by an ad hoc committee focused on social risk factors that affect the health outcomes of Medicare beneficiaries.

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The new Center for Medicare and Medicaid Innovation model aims to boost participation from small rural hospitals and other smaller health care practices.

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OIG found that the federal portion of spending on catastrophic coverage reached $33.2 billion in 2015, compared with $10.8 billion in 2010.

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CMS also expanded the Comprehensive Care for Joint Replacement (CJR) model to include surgical hip/femur fracture treatment.

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The changes, which reflect stakeholder feedback and the large volume of changes to ICD-10 in FY 2017, will be available on the National Library of Medicine’s Value Set Authority Center this month.

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New guidance describes how off-campus hospital provider-based departments can maintain their grandfathered status when relocating due to extraordinary circumstances.

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The report finds that dual enrollment status was “the most powerful predictor of poor outcomes” on many quality measures.

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These new EPMs and the updated CJR model will give clinicians more opportunities to earn incentive payments through advanced alternative payment models.

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Of particular interest to essential hospitals, CMS revised the Worksheet S-10, which hospitals use to report uncompensated care data.

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A CMS spokesperson said the project was pulled after the agency reviewed public comments — there were more than 1,300 comments submitted, mostly negative.

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President Obama signs the 21st Century Cures Act, which includes the historic risk adjustment provision and also provides partial relief to hospitals from cuts to off-campus outpatient department payments.

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Under the rule, OIG provides safe harbor protections for hospital agreements that provide no-cost or discounted local transportation to established patients

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The two new Beneficiary Engagement and Incentives models test different shared decision-making approaches designed to increase patient engagement.

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All hospitals and critical access hospitals will be required to provide the MOON to applicable patients beginning March 8, 2017.

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Hospitals can request an exemption from the electronic clinical quality measure reporting requirement in the Hospital Inpatient Quality Reporting Program.

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The legislation, expected to quickly receive the president's signature, includes two key advocacy goals for the association: risk adjustment of the Hospital Readmissions Reduction Program and partial relief from hospital outpatient department payment cuts.

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In this webinar we looked back at the 2016 advocacy landscape, discussed the progress we have made on key issues affecting essential hospitals, reviewed our interaction with the Trump transition team, and looked forward to 2017. Webinar Recording

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The agency released software that will help developers build applications for clinicians and their practices and make it easier for organizations to retrieve and maintain QPP measures using the Explore Measures section of the QPP website.

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The campaign of advertisements and media outreach calls on Congress to pass legislation to risk adjust the Hospital Readmissions Reduction Program.

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The proposed revisions would update requirements on patient safety and quality improvement, physician well-being, team-based care & resident work hours.

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Under the rule, CMS would increase the OPPS payment rate by 1.65 percent and provide flexibility in the meaningful use of EHRs, among other things.

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Of particular interest to members of America’s Essential Hospitals are changes to the Medicare Shared Savings Program and provisions related to telehealth.

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CMS provides more flexibility than previously proposed, ensuring non-grandfathered, off-campus hospital outpatient departments will be reimbursed in 2017.

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In the rule, CMS revised its earlier position not to direct any physician fee schedule payments to non-grandfathered, off-campus hospital clinics in 2017 and, instead, established a 50 percent interim rate.

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With the opportunities, clinicians potentially could earn a 5 percent incentive payment for a growing list of alternative payment models in 2017 and 2018.

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Association president and CEO argues that hospitals serving disadvantaged communities are penalized by federal quality initiatives that do not account for socioeconomic obstacles.

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Aids provided by the Centers for Medicare & Medicaid Services include fact sheets and overview documents, lists of alternative payment models, webinars and other educational tools, and support contacts.

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An Oct. 14 final rule establishes a new approach to physician payment required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): the Quality Payment Program.

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The rule establishes a "transition year," as well as flexibility for providers to choose their participation pace.

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This is the fourth of five reports from an ad hoc committee to identify social risk factors affecting health outcomes of Medicare beneficiaries.

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CMS says it miscalculated some hospitals' uncompensated care share and provided the incorrect wage index reclassification status of four hospitals.

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The Medicare Access and CHIP Reauthorization Act of 2015 requires CMS to remove Social Security numbers from beneficiaries’ Medicare cards by April 2019.

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In May, CMS paused initial patient status reviews to ensure reviews are performed consistently and the two-midnight policy is properly applied.

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The webinar will focus on the Advancing Care Coordination through Episode Payment Models proposed rule.

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The rule sets forth national requirements for Medicare and Medicaid providers and suppliers to ensure health care facilities are prepared for emergencies.

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The deadline for hospitals to amend their Medicare cost report Worksheet S-10 for fiscal year 2014 is Sept. 30.

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In a FAQ document, CMS states that the required JW modifier and patient documentation policy applies to separately payable Part B drugs.

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Hospitals and other providers generated more than $466 million in savings in 2015 through participation in Medicare accountable care organizations (ACOs).

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CMS is concerned that some providers might steer Medicare- and Medicaid-eligible patients into individual market plans to get higher payments.

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Review contractors will be able to use coding specificity as the reason for an audit or a denial of a claim to the extent that they did before Oct. 1, 2015.

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Medicare Part D spending increased 17 percent, outpacing overall prescription drug spending increases, according to CMS data.

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The rule addresses the controversial two-midnight policy, Medicare DSH, the Hospital-Acquired Condition Reduction Program, Value-Based Purchasing, and more.

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The rule includes the annual payment update to inpatient payment rates and changes to the Medicare disproportionate share hospital payment methodology.

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Model will test new episode payment models for acute myocardial infarction and coronary artery bypass graft, as well as expansion of the current CJR model.

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The release comes after America’s Essential Hospitals and other hospital groups urged CMS to delay the ratings due to serious concerns with the methodology.

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America’s Essential Hospitals supports H.R. 5273, the Helping Hospitals Improve Patient Care Act. Section 102 of the bill would help level the playing field for essential hospitals in Medicare's readmissions reduction program.

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The report aims to identify social risk factors that affect beneficiaries' health outcomes and methods to account for these factors in payment programs.

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The rule, released July 7, updates physician payment rates for Medicare services and makes changes to physician quality programs.

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The proposed rule updates the payment rate for services provided in hospital outpatient departments and provisions relating to quality reporting.

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The proposed rule would implement Section 603 of the Bipartisan Budget Act, which reduced payments for new, off-campus hospital outpatient departments.

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America’s Essential Hospitals and other hospital groups urge CMS to continue to delay the public release of overall hospital quality star ratings, arguing that the rating methodology is opaque and flawed.

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America's Essential Hospitals denounces the Centers for Medicare & Medicaid Services decision to limit flexibility and withhold hospital payments for new, off-campus hospital outpatient departments.

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The agency says the proposed changes are intended to reduce a backlog of Medicare payment and coverage determination appeals.

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This year’s release includes some changes in both the information released and its classification.

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The Senate rejected a $1.1 billion Zika funding package, and Patrick Conway, with CMS, testified about the proposed Medicare Part B demonstration project.

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The overall star rating hospital-specific reports will be available to hospitals for 30 days, starting from the June 22 reload date.

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The updates aim to reduce incidence of infections, inappropriate use of antibiotics, and discriminatory behavior by health care providers.

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America's Essential Hospitals gave feedback on Medicare DSH payments, payments associated with the two-midnight policy, and quality reporting programs.

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Senate appropriators pass HHS spending bill that includes 340B Drug Pricing Program user fee and instructions to HRSA to consider stakeholder input in final mega-guidance.

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Providers have until July 1 to apply for a hardship exception to avoid a penalty for the Medicare EHR Incentive Program.

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CMS has delayed the effective date of a new claims coding and patient documentation policy for unused Medicare Part B drugs from July 1 to Jan. 1, 2017.

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The new rule aims to help more accountable care organizations successfully participate in the Medicare Shared Savings Program.

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The agency will work with Quality Improvement Organizations to ensure the two-midnight policy is enforced consistently for all hospitals.

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The proposed rule includes key provisions for carrying out a new physician payment system to replace Medicare's sustainable growth rate updates.

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The new provisions include updated sprinkler requirements and increased flexibility to allow for facility modernization. Hospitals and other health care facilities must comply with the regulations by July 3.

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A new proposed rule for Medicare’s Inpatient Prospective Payment System would reverse the controversial two-midnight policy payment cut and make numerous other policy and payment changes, including to quality reporting programs.

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The proposal would reverse the cut starting in FY 2017 and retroactively pay for reduced payments from fiscal years 2014 to 2016.

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Responding to hospital and other stakeholder concerns, CMS says the delay will allow a greater opportunity to fully understand the impact of the final star ratings methodology.

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The database could help determine a rural hospital's classification as a teaching hospital and, in turn, its eligibility for Medicare funding of a new residency program.

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Changes will more accurately reflect cost of care for dual eligibles and adjust Medicare Advantage star ratings for enrollees' socioeconomic and disability statuses.

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Material note association concerns about, and help members prepare for, April 21 public release of Hospital Compare star ratings.

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In letter to CMS, association raises issues of payment, definition of off-campus outpatient department of a provider, and 340B eligibility.

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In comments to CMS, America's Essential Hospitals argues for a delay to re-evaluate ratings methodology changes and the potential to disproportionately disadvantage essential hospitals.

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March 8 proposed rule details two approaches agency will test to encourage prescribing of lower-cost medications: reimbursement rate adjustments and value-based purchasing.

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Conservative Freedom Caucus opposes GOP budget plan; Senate-passed bill would combat opioid abuse; health committees work on mental health, Medicare improvement.

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Essential hospitals rely on Medicare as a vital funding source for about a quarter of their patients. But funding shortfalls and regulatory changes that would further undermine the program put vulnerable patients at risk.

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New group for members who want to take an active role in defending against Medicare disproportionate share hospital (DSH) payment cuts.

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New clinical quality measure sets for physicians were created in collaboration with stakeholders to increase multipayer alignment while reducing cost and administrative burden.

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Providers now must report and return a Medicare Part A or B overpayment to CMS by the later date of 60 days since identification or the corresponding cost report due date.

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Budget plan would improve Medicaid access and coverage and tackle drug pricing, but make damaging Medicare cuts; lawmakers examine Medicaid housing coverage, FMAP, 21st Century Cures, mental health.

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State hospital association says risk adjusting CMS readmissions methodology results in significantly less variation in measured quality differences among hospitals.

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The new FAQ clarify that site neutral law won't impact PO modifier requirements for claims from off-site, provider-based departments.

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The guide focuses on reducing readmissions for racial and ethnic minority groups and is part of the CMS Equity Plan for Improving Quality in Medicare.

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First of five consensus reports from National Academy of Medicine (NAM) ad hoc committee identifies social risk factors for Medicare payment and quality programs, and the measures they can impact.

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New ACOs are eligible for risk-bearing tracks with increased savings for positive patient outcomes and penalties for negative outcomes.

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House and Senate lawmakers negotiate omnibus appropriations bill and two-year extension of tax cuts, but fail to provide relief on new Medicare site-neutral payment policy for hospital outpatient departments.

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Agency to give hospitals opportunity to comment on law's requirements for notifying Medicare beneficiaries when outpatient observation services last longer than 24 hours.

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Hospital performance data for FY 2016 available on Hospital Compare; hospitals in bottom quartile face 1 percent Medicare payment cut.

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Congress debates omnibus appropriations measure, considers another stop-gap funding bill, as deadline for government shutdown looms.

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Court-ordered justification provides additional insight for 0.2 percent inpatient payment rates cut agency linked to policy

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Agency to host Nov. 30 webinar to provide information and answer questions about the bundled payment model for hip and knee replacement.

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Hospitals paid under IPPS in 67 metropolitan statistical areas will be required to participate in new payment model starting in April 2016

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Member leaders attend more than 100 meetings with lawmakers and congressional staff as part of fall Policy Assembly. Event also included insights from policymakers and a Capitol Hill reception honoring 2015 Gage Award recipients.

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Changes include reducing OPPS payment by 0.3 percent, relaxing two-midnight policy requirements, and updating OQR measures.

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Tool gives physicians, nurses, and other health care professionals access to geographic comparisons of opioid prescribing habits and use.

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Changes for hospitals participating in Medicare and Medicaid intended to improve patient communication, outcomes; comments due Jan. 4.

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Formula for cuts seeks to direct funds to hospitals most in need, but relies on insufficient data. Congress should freeze Medicare DSH cuts and seek to better understand their impact on patients and hospitals.

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Feedback due Nov. 17 on provisions to implement MIPS and APM participation incentives; MIPS quality measures of particular interest to hospitals

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These findings come from GAO, which also found that essential hospitals narrowed this gap during the study, overall hospital performance didn't change

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Recent narrowing of provider networks in MA organizations has caused concerns over whether MA enrollees can adequately access care

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CMS requests feedback on a range of provisions relating to MIPS and incentives for participation in APMs

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In a legal victory for hospitals, a district court said CMS' FY 2014 0.2 percent inpatient cut did not meet legal rulemaking requirements

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CMS has extended the deadline for the Million Hearts: CVD Risk Reduction Model due to high interest

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The proposed rule extends nondiscrimination provisions to individuals based on sex, sexual orientation, and gender identity

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This conference call will cover major policies included in the IPPS and LTCH PPS final rule, including quality initiatives

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The CMS Equity Plan aims to reduce disparities in health care over the next four years for a range of underserved populations

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In comments on the CY 2016 OPPS proposed rule, the association calls on CMS to consider the unique challenges of caring for the most vulnerable

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Comments call on CMS to ensure ratings are meaningful and accurate, avoid consumer confusion, and reflect vulnerable patients' socioeconomic and demographic circumstances.

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RACs will not conduct postpayment reviews of patient status for Medicare claims with an inpatient admission between Oct. 1 and Dec. 31, 2015.

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NOTICE Act seeks to educate patients about impact of observation status, including on cost-sharing and skilled nursing facility eligibility.

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Rule includes a net increase in IPPS payment rates of 0.9 percent, Medicare DSH cuts of $1.2 billion in 2016, and updates to quality reporting programs

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Hospitals in the overall quality rating system dry run can provide feedback until Aug. 17, weigh in during Aug. 13 call

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Hearing requested on 340B GAO report, house calls and clinical trials for Medicare patients each pass one chamber, committee health care hearings

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Proposed CCJR model would bundle Medicare payments to acute care hospitals for hip and knee replacement surgery in 75 metropolitan statistical areas

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July 8 proposed rule would update physician payment rates for Medicare services, change physician quality programs

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Agency proposes to reduce slightly payment rates for hospital outpatient services, relax some provisions of the two-midnight policy, and update quality reporting measures.

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Upfront and ongoing savings aim to encourage providers to form ACOs in rural and underserved areas and promote participation in models with greater financial risk.

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Interactive map tracks real-time weather, locations of Medicare patients who rely on electrically powered medical equipment

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Comments caution CMS about Medicare DSH payment cuts and urge CMS to ensure quality reporting program measures are adjusted for sociodemographic factors

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The group will define alternative payment model (APM) terms and a strategy to track APM implementation, nominations due June 19

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The agency also finalized a new risk/reward model that offers a greater share of savings for providers who take on more financial risk

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Annual release includes 2013 data related to the 100 most common diagnoses for Medicare inpatients and 30 selected outpatient procedures

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New law replaces sustainable growth rate with new update schedule and creates quality reporting and merit-based payment systems

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Roughly 48 percent of participating ACOs produced $121 million in total shared savings in 2013

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GAO announced five reappointments, one new commissioner, and new Chair Francis “Jay” Crosson

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May 29 webinar will focus on quality reporting programs proposals, changes to HAC and Readmissions Reduction programs

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The call will provide an overview of the materials required for applying to the Medicare Shared Savings Program and lessons learned from previous program year application periods

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The model saved $384 million over a two-year time period and has met criteria for expansion to additional sites

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The meeting is open to the public and will cover GME structure, reform, and financing

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The law also delays Medicaid DSH payment cuts for an additional year - until fiscal year 2018 - and extends CHIP funding for two years

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Preliminary testing to include random, representative sample of 50 hospital outpatient departments, 50 ambulatory surgery centers

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The final policy takes into account changes to Medicare DSH payments, improving the accuracy of payments to hospitals

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Due to Senate consideration of a bill that would extend the delay until October, CMS extends its delay through April 30

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Socioeconomic factors affect health and health care outcomes. Medicare's Hospital Readmissions Reduction Program must account for this to avoid unfairly penalizing hospitals that care for large volumes of vulnerable patients.

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This new model will allow ACOs to take greater performance risks for greater financial reward, calls start March 31

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CMS will host a national provider call for ACOs interested in the 2016 program year.

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Through CMS' new model, ACOs can take greater performance risk and receive a greater portion of savings through coordinated, high-quality care

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America's Essential Hospitals supports legislation, which seeks to ensure hospitals are not unfairly penalized for patients' sociodemographic challenges

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Hospitals that did not meet reporting requirements in 2014 and do not receive exception could face smaller IPPS payment increases in 2016

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The Network will support the transition toward alternative payment models, using efforts in the Medicare Program as a guide

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The Oncology Care Model is a multipayer payment and care delivery model designed to encourage high quality cancer care

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Recommendations include establishing greater balance between risk and reward for participating ACOs

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New association policy brief describes how proposed cuts to Medicare, Medicaid funding threaten essential hospitals

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Proposals seek to encourage participants to assume more risk to be be rewarded with greater shared savings

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Topics of member interest include payment updates, the OQR Program, and the MSSP

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The rules, released Oct. 31, finalize proposals to payments, data collection, quality reporting, and the MSSP

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The funding will be allocated to up to 75 ACOs to bring better care coordination to rural and underserved areas

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The national provider call will be held Wednesday, Oct. 8, 1:30 – 3 pm ET

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During its September public meeting, MedPAC discussed alternatives to the two-midnight policy, audit reform, and the 3-day SNF rule

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Ratings will start with the April 2015 release of Hospital Compare data, with a dry run between Sept. 15 and Oct. 14

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Hospitals willing to resolve pending appeals will receive a timely, partial payment equal to 68 percent of the net payable amount

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America's Essential Hospitals urged CMS to ensure any changes to the MSSP encourage and emphasize quality of care for beneficiaries

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The association urged CMS to revise its C-APC proposal and opposed its claims-based modifier proposal

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Panelists will provide technical input to CMS contractors on the development, selection, and maintenance of quality measures

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Interactive resource will help hospitals report clinical quality measures for 2014.

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GAO recommends CMS increase oversight of the Medicare claims review process and issue contractor guidance.

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Data must be entered into the National Healthcare Safety Network

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California essential hospitals saw higher readmission penalties, despite lower mortality rates than other California hospitals

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Webinars cover the requirements for health care personnel influenza vaccine summary data collection and submission. Registration is required and limited.

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The Protecting Access to Medicare Act of 2014 required at least a one-year delay of this transition date, previously set for Oct. 1, 2014.

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Institute recommends abolishing current Medicare graduate medical education, indirect medical education funding streams in favor of new system

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CMS awarded contracts to 14 organizations as part of the QIO Program

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Topics will include an overview of program changes, update on the transition process, and discussion on provider impact

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CMS will introduce star ratings to quality comparison tools to make quality information more accessible to patients

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HHS intends to release interim final rule announcing the Oct. 1, 2015 transition to ICD-10 code sets

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CMS proposes to update how participants in the MSSP capture and submit quality metric data to gauge improvements to quality of care

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CMS released the rule July 3, comments are due to CMS Sept. 2

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OMB received June 26 a CMS proposed rule regarding the second round of the Medicare Shared Savings Program

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MBNs to be submitted to NHSN starting July 1

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The bill calls for consideration of socioeconomic status in patient populations under the Readmissions Reduction Program

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MedPAC announced review of two-midnight rule

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The letter addresses the unintended consequences for essential hospitals of the current readmissions penalty methodology

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Comments covered the two-midnight rule, short inpatient stays, and RAC auditing, all of which were addressed in a committee hearing in May

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CMS is urging hospitals to register soon for the QualityNet Secure Portal to ensure access on July 1 to meet quality reporting requirements

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CMS’ Office of Hearings issued an alert May 23 pertaining to providers with pending appeals before the Provider Reimbursement Review Board

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The Tuesday, May 20, hearing focused on issues including the two-midnight rule and RAC reviews and provider appeals of hospital payment determinations

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CMS updated its guidance on the two-midnight policy, extending its enforcement delay through March 31, 2015.

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The final rule covers requirements related to hospital governing bodies and staff models for multihospital systems.

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Applications are due June 23 for applicants with a large dialysis organization and Sept. 15 for those without one.

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The payment system could increase Medicare payments to FQHCs by as much as 32 percent

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Updates to Medicare payment policies, rates, and quality improvement programs

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CMS adjusts FFS claims from 2008-2012 to account for changes to Medicare DSH payments

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CMS released new data on payments to more than 800,000 physicians and other health care professionals

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Starting July 1, IQR and OQR data must be submitted through the secure portal.

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Data collection, which was scheduled to begin April 1, will now begin Jan 1, 2015.

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The notice of intent deadline is May 30, and the final application deadline is July 31.

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The bill replaces the SGR formula, preserves key programs, and mandates an annual report on Medicaid DSH.

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House and Senate differ on offsets for SGR repeal and replace; ACA alternative details under wraps

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New bill would help ensure hospitals caring for vulnerable patients are not unfairly penalized by Medicare readmissions program

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Bill would extend the partial two-midnight policy enforcement delay

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CMS National Provider Call March 18 to provide overview of quality reporting in various Medicare programs.

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HHS to testify on president’s budget; House, but not Senate, expected to take action on SGR repeal

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CMS stated that MACs must re-review all claims denials under the probe and educate process.

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CMS proposes to adjust FFS claims from 2008-2012 for DSH hospitals.

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As of Feb. 21, hospitals will not receive new RAC ADRs until the next round of contracts are awarded.

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Starting July 1, IQR and OQR data must be submitted through the secure portal.

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CMS seeks input on models for specific procedures and complex care.

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CMS will discuss inpatient hospital admission and medical review criteria and answer questions.

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CMS is allowing hospitals to retroactively attest to meaningful use of electronic health record (EHR) technology as part of the Medicare EHR Incentive Program

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Guidance extends the partial delay of the two-midnight policy for inpatient admission and medical review through Sept. 30.

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Delay is due to weather that has affected the Southeast and applies to all hospitals

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Discussed physician order and physician certification, inpatient hospital admission, medical review criteria

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The CARE Act would repeal the Affordable Care Act and replace it with market-based reforms.

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Voted unanimously to recommend Congress increase Medicare payments rates for FY 2015 OPPS

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America’s Essential Hospitals urged Congress to oppose this proposal

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Data has been released for the reporting period of April 2012 through March 2013

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Penalties will disproportionately fall on hospitals serving a high number of dual eligibles

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ACOs allow hospitals, health care providers to improve quality, slow cost growth through coordinated care while sharing in savings

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Jan. 13 letter urges Congress to oppose Senate proposal to cut Medicare funding to pay for an extension of unemployment benefits

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Subcommittee considered necessity, effectiveness of temporary extenders

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Codes provide data that help improve care, can be exchanged with health care systems across the world

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The new office will take over several functions of the abolished Office of Public Engagement

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Letter underscores necessity for more time for CMS to assess policy's impact on patients, hospitals

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Call will cover inpatient hospital admission, medical review criteria and offer case scenarios

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Rule proposes national emergency preparedness requirements for health care facilities

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Will provide high-quality, coordinated care to about 1.5 million Medicare beneficiaries

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Senate Finance Committee marks up legislation to repeal the sustainable growth rate

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The rule replaces outpatient visit codes with a single code describing all clinic visits

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The rule reduces Medicare rates by 20.1 percent

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Rule finalizes several Outpatient Prospective Payment System provisions

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The budget committee continued work on an agreement

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Key staff indicated total cost of all extenders could be more than $200 billion

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Revised policy presumes inpatient admissions fewer than two midnights are inappropriate for inpatient reimbursement

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Cuts to evaluation and management payments would disproportionately hurt safety net hospitals

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The CoP set standards for health and safety, aim to improve health care quality and the safety of beneficiaries

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Medicare DSH payments compensate hospitals for costs associated with low-income patient care

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Under EMTALA, hospitals are required to provide stabilizing medical services for patients

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OPPS is used by CMS for hospital outpatient services under Medicare

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Hospitals that treat a large share of low-income patients receive add-on payments to the amount designated by IPPS

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ACOs are responsible for quality, cost, and overall care of Medicare beneficiaries

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The VBP program links Medicare inpatient payments to quality measure performance

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Expressed concern that several provisions could challenge the ability of FQHCs to integrate care and address patient needs

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Association urged committees to ensure payment system solution does not come at the expense of hospitals

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Guidance extends the existing enforcement delay by three months

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America's Essential Hospitals cautions against paying for SGR provision with cuts to hospitals

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CMS updates earlier guidance, CCIIO addresses third-party payments of premiums for individuals covered by QHPs

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Offered direction on how to select hospital claims during inpatient probe and educate program

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Senate Democrats pressured Obama administration to fix healthcare.gov, SGR agreement gained support

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The final rule was delayed due to the partial government shutdown

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Rule establishes presumption of medical need for Medicare hospital inpatient admissions that span two midnights

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Held nearly 100 meetings, educated Congress about work to ensure patient access to high quality care

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Cited concerns that hospitals may be undercompensated for providing necessary services that do not meet new criteria

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Report identifies health care postsecondary training and education programs that received federal support

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Office urges action to ensure contractors identify, report improper payments and potential fraud

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Event Oct. 1 and 2 to conclude with full-day of Capitol Hill visits

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Registration open for America’s Essential Hospitals’ Fall Legislative Event, Oct. 1 to 2

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Report evaluates differences among four types of postpayment review contractors CMS uses

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Extension applies to data submitted to Medicare inpatient quality reporting program

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Will take comment on physician order and certification, medical review criteria, and other issues

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Tool uses 2011 Medicare cost data aggregated by demographic, spending, utilization, quality indicators

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Rule finalizes several inpatient prospective payment system provisions

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Rule also finalizes use of Medicaid and low-income Medicare inpatient days as uncompensated care proxy

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Responds to CMS concern that Medicare and beneficiaries might pay more for outpatient care

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Document explores care delivery and payment models that help states care for challenging patients

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Rule proposes several outpatient prospective payment system provisions

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Agency seeks to understand type and frequency of, and payment for, services furnished in off-campus outpatient departments

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House Republican leaders to meet July 10 to discuss whether to take steps toward immigration bill

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Will support demonstration ombudsman programs to provide Medicare-Medicaid enrollees with more person-centered, coordinated care

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Rule includes proposed formula to make Medicare DSH reductions under ACA

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Rule proposes several inpatient prospective payment system provisions

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Includes important changes to Medicaid and Medicare of interest to association members

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Rule continues agency's 2012 efforts to reform hospital conditions of participation

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Legislation did not cut Medicaid provider taxes, Medicare E&M, but targeted hospitals in other ways

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Senate passed legislation by a vote of 89-9, sent for vote in the House of Representatives

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About America’s Essential Hospitals

America’s Essential Hospitals is the leading association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. Since 1981, America’s Essential Hospitals has initiated, advanced, and preserved programs and policies that help these hospitals ensure access to care. We support members with advocacy, policy development, research, and education.