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policy

The Centers for Medicare & Medicaid Services is exploring a new model to promote health equity, with the goal of enhancing access to patient-centered care for underserved groups and including them in value-based care systems.

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policy

The rule includes changes to the calculation of Medicare disproportionate share hospital payments and payment and quality reporting provisions.

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policy

The association urged CMS to increase the proposed annual hospital payment update and adopt a safety net hospital definition and related payment policies.

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policy

The proposed fiscal year 2024 Inpatient Prospective Payment System rule includes a request for feedback on defining safety net hospitals; CMS will accept comments until June 9.

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policy

The rule includes numerous policy and payment changes for Medicare’s Inpatient Prospective Payment System for fiscal year 2022, including a 2.5 percent increase in inpatient payment rates.

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policy

The regulatory freeze could affect rules directing health clinics to pass certain drug discounts on to patients, establishing minimum standards in Medicaid state drug utilization review, and modifying Health Insurance Portability and Accountability Act privacy arrangements.

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policy

The two rules, finalized Nov. 20, aim to eliminate barriers to care coordination and undue burden under current fraud and abuse laws. One provides exceptions to the physician anti-referral law, and one modifies existing safe harbor protections under the anti-kickback statute.

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policy

Policies finalized for the 2021 Medicare Inpatient Prospective Payment System call for increasing inpatient payment rates by 2.9 percent, reducing Medicare disproportionate share hospital payments, and collecting median Medicare Advantage charge data.

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policy

The proposed rule, issued by CMS, aims to advance Medicaid prescription drug value-based purchasing arrangements between states and manufacturers, set standards to promote safe opioid prescribing, and amend regulations related to the Medicaid drug rebate program.

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policy

America’s Essential Hospitals said the federal Anti-Kickback Statute and Physician Self-Referral Law should be modified to remove barriers to coordinating care for the complex patients essential hospitals serve.

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institute

This new brief can help hospitals identify changes that might improve patient experience scores, as well as help policymakers understand how structural factors influence scores and design incentives accordingly.

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policy

An Aug. 2 final rule for Medicare’s Inpatient Prospective Payment System for fiscal year 2020 will increase inpatient operating payments and Medicare disproportionate share hospital funding and make changes to electronic health records use and quality reporting programs.

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policy

The rule increases inpatient operating payment rates by 3.1 percent, makes other payment and quality reporting policy changes, and estimates a $140 million increase in Medicare disproportionate share hospital payments.

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policy

Louisiana is the fifth state cleared to pursue value-based purchasing agreements for supplemental rebates with manufacturers through a state plan amendment.

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policy

The report includes recommendations on several issues of importance to essential hospitals, including hospital inpatient and outpatient services, hospital quality incentive programs, and alternatives to opioids.

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Essential Insights

The nature of the Medicaid program means these skyrocketing costs have strained federal and state resources, prompting action through both policy and legislation.

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policy

America's Essential Hospitals urged the Centers for Medicare & Medicaid Services to implement its Medicare disproportionate share hospital payment methodology and quality measurement programs in a way that accounts for the unique needs and patient populations served by essential hospitals.

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policy

The new proposed IPPS rule for FY 2019 contains numerous policy and payment changes, including increasing net inpatient payment rates by 1.75 percent.

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policy

A new proposed rule for Medicare’s Inpatient Prospective Payment System for fiscal year 2019 would increase inpatient operating payment rates by 1.75 percent.

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policy

An agency bulletin instructs states on how to seek approval for state-directed payment arrangements and distinguishes directed payments from other payment models.

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policy

The Centers for Medicare & Medicaid Services is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to hospitals and health care facilities in Federal Emergency Management Agency–designated major disaster counties.

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policy

The new rule would affect inpatient operating payments, Medicare disproportionate share hospital payments, and the Hospital Readmissions Reduction Program.

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policy

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

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policy

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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policy

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

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policy

Hospitals have until May 5 to review overall Hospital Compare star rating and until May 10 to review value-based purchasing hospital-specific reports.

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policy

CMS on Dec. 19 refreshed its Hospital Compare site, including data on the Ambulatory Surgical Center Program, Hospital Readmission Reduction Program & more.

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policy

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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webinar

Hear insights and lessons learned regarding value-based care from representatives of the foundation of Hennepin Health.

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quality

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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policy

The actions build on the National Pain Strategy, a federally coordinated plan for reducing and better treating chronic pain.

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policy

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

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quality

These findings come from GAO, which also found that essential hospitals narrowed this gap over the study, overall performance during VBP's initial years didn't change, and bonuses and penalties were less than 0.5 percent of Medicare payments per year.

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policy

Rule includes a net increase in IPPS payment rates of 0.9 percent, Medicare DSH cuts of $1.2 billion in FY 2016, and updates to the HAC Reduction, Hospital VBP, IQR, and EHR Incentive programs.

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policy

Comments caution CMS about Medicare DSH payment cuts and urge CMS to ensure measures and methodologies used in quality reporting programs are adjusted for sociodemographic factors.

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policy

Nominations are due June 19. The work group will define terms related to alternative payment models and a strategy to track progress of APM implementation.

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quality

The national provider call will cover alignment and goals for a number of Medicare pay-for-performance programs, including the Inpatient Quality Reporting Program and the Value-Based Purchasing Program.

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policy

The rule includes provisions on several topics, including a payment update, Medicare disproportionate share hospital cuts, Medicare payment for short inpatient hospital stays, and the Readmissions Reduction Program.

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webinar

The first of four installments in the Patient Experience (HCAHPS) Forum

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policy

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

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policy

There is particular interest in mechanisms for greater comprehensiveness in care delivery, care for complex patients, care coordination, and value-driven reimbursement.

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Essential Insights

An examination of a recent study highlighting the challenge of providing financial incentives fairly based on outcomes and hospital characteristics.

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policy

A recent study published in Health Affairs found that California essential hospitals were more likely to be penalized than other California hospitals under the Hospital Readmissions Reduction Program, despite lower 30-day risk-adjusted mortality rates.

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policy

Comments cover topics such as Medicare disproportionate share hospital payment cuts and risk adjustment for socioeconomic status.

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policy

New HCAHPS Data Released

Jan. 23, 2014 || Staff

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

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institute

Summaries of journal abstracts that highlight physician training and value-based purchasing issues.

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vbp
policy

Rule finalizes several Outpatient Prospective Payment System provisions

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policy

The VBP program links Medicare inpatient payments to quality measure performance

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policy

Extension applies to data submitted to Medicare inpatient quality reporting program

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policy

Rule finalizes several inpatient prospective payment system provisions

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policy

Hospitals may review and request correction of performance scores

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cms, vbp
policy

Rule proposes several outpatient prospective payment system provisions

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policy

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

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policy

Plan outlines options for states to adopt delivery system reforms

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Says data release lacks proper context consumers need to make informed decisions about care

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cms, vbp
policy

Rule includes proposed formula to make Medicare DSH reductions under ACA

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policy

Rule proposes several inpatient prospective payment system provisions

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