ORIGINAL ANALYSIS
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Payment Innovation: Other
Senators Cassidy and Warner Introduce Patient Affordability, Value and Efficiency (PAVE) Act.
Payment Innovation: Other
The House and Senate sent letters to Centers for Medicare and Medicaid Services Administrator Seema Verma in support of the Medicare Advantage program.
Payment Innovation: Other
ONC releases proposed rule to implement certain provisions of the 21st Century Cures Act.
Payment Innovation: Other
CMS publishes factsheet as companion to final IPPS rule.
Payment Innovation: Other
HHS and OIG release proposed rule targeting pharmacy benefits managers.
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CMS launches new app called “What’s Covered” that tells users whether Medicare covers a specific medical item or service.
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CMS announces the return of Wednesday Webinars, presented by the Open Payments team.
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MedPAC votes to revamp the Hospital Value Based Purchasing Program at January meeting.
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MedPAC is scheduled to discuss an analysis of the Medicare Shared Savings Program at their public meeting on January 17-18, 2019.
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GAO released a report required by the 21st Century Cures Act detailing the challenges to electronically matching patients’ records across providers.
Payment Innovation: Other
ONC releases its 2018 Report to Congress.
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CMS will host a webinar on January 15 from 2 to 3 pm ET on the End-Stage Renal Disease Quality Incentive Program.
Payment Innovation: Other
CMS published a final rule on December 31, 2018, that overhauls the Medicare Shared Savings Program and takes a new approach to transitioning providers to performance-based risk arrangements in traditional Medicare.
Payment Innovation: Other
CMS Administrator Verma announced that the agency will be creating an office for regulatory reform. Once established, the purpose of the office will be to reduce “regulatory burden” for providers and other stakeholders created by CMS programs.
Payment Innovation: Other
HHS has released a request for information about how HIPAA rules could be modified to further the Secretary’s goal of promoting coordinated care. Comments are due February 11, 2019.
Payment Innovation: Other
ONC announces winners of the Certified Health IT Product List (CHPL) Data Challenge.
Payment Innovation: Other
MedPAC considers draft recommendation to revamp the Hospital Value Based Purchasing Program.
Payment Innovation: Other
Departments of Health, Treasury and Labor release report titled “Reforming America’s Healthcare System Through Choice and Competition.”
Payment Innovation: Other
CMS launches new online tool that allows consumers to compare Medicare payments and copayments for certain procedures that are performed in both hospital outpatient departments and ambulatory surgical centers.
Payment Innovation: Other
On November 28, 2018, the Office of the National Coordinator for Health IT released a draft strategy to help reduce administrative and regulatory burden on clinicians caused by the use of health information technology.
Payment Innovation: Other
CMS released FY 2019 results from the Hospital Value Based Purchasing Program.
Payment Innovation: Other
HH) announces core participants in the Deputy Secretary’s Innovation and Investment Summit. The first meeting is December 18, 2018.
Payment Innovation: Other
On November 26, 2018, CMS released a proposed rule that would allow for changes in 2020 to coverage of protected class drugs, establish new requirements for when MA plans may apply step therapy as a utilization management tool for Part B drugs and implement electronic tools to increase drug price transparency for Medicare beneficiaries.
Payment Innovation: Other
CMS will host a webinar on November 27, 2018 from 12 to 1 pm ET introducing the Clinical Quality Language logic expression language.
Payment Innovation: Other
The Office of the National Coordinator for Health Information Technology will hold their 2018 Annual Meeting from November 29 to 30 in Washington, DC.
Payment Innovation: Other
CMS releases various payment innovation-related announcements.
Payment Innovation: Other
HELP committee holds final hearing on in health care cost series.
Payment Innovation: Other , Quality Payment Program
CMS announces Medicaid demonstration to expand mental health treatment services.
Payment Innovation: Other
MedPAC discussed a number of topics at its November meeting, including Advanced APMS.
Payment Innovation: Other
Survey results released by the Institute for Medicaid Innovation find that around half of Medicaid managed care organizations launched population-specific value-based purchasing models last year, and around 10 percent of plans had extensive value-based purchasing arrangements in place.
Payment Innovation: Other
CMS releases proposed rule implementing certain provisions of the Bipartisan Budget Act of 2018. Under this proposed rule, MA plans would be able to offer telehealth benefits beyond what is currently allowable under the traditional Medicare telehealth benefit.
Payment Innovation: Other
Health Care Payment Learning and Action Network released a new report on alternative payment model adoption.
Payment Innovation: Other
RFI released seeking provider and plan approaches to improve care for Medicare beneficiaries with social risk factors.
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MedPAC releases 2018 Payment Basics, a series of briefs on the various Medicare payment systems.
Payment Innovation: Other
CMS announces a number of changes to the oversight of Medicare Accrediting Organizations. CMS believes these changes will improve quality and safety in healthcare facilities and empower patients with information to make decisions about where to receive care.
Payment Innovation: Other
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CMS has released Part C and Part D Star Ratings; providing information about the quality of plan choices.
Payment Innovation: Other
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MedPAC will consider a staff analysis of two aspects of a stay-based unified prospective payment system (PPS) for post-acute care at its October meeting.
Payment Innovation: Other
GAO announces PCORI board member appointments.
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Senate HELP Committee to hold hearings on health care costs.
Payment Innovation: Other
GAO recommends that for all providers, the DOD use common key quality measures, expand their range, and develop consistent performance standards and requirements.
Payment Innovation: Other
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MedPAC is scheduled to discuss a mandated report on clinician payment examining the relationship between Medicare’s payments to clinicians and the supply of and quality of care provided by those clinicians report at their September 6, 2018, meeting.
Payment Innovation: Other
The OIG published a request for information seeking stakeholder input on potential new safe harbors to the Anti-Kickback Statute and exceptions to the beneficiary inducement prohibition in the Civil Monetary Penalty Law to remove impediments to care coordination and value-based care.
Payment Innovation: Other
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Solicits feedback from clinicians on proposal to overhaul E/M documentation, billing and payment
Payment Innovation: Other
July 24, 2018 11:00 AM ET/8:00 AM PT and July 26, 2018 3PM ET/12:00 PM PT
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LAN Hosts Virtual Forum on May 1, from 1-3:30 PM ET
Payment Innovation: Other
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ONC releases RFI regarding Assessing Interoperability for MACRA. Comments are due on June 3, 2016.
Payment Innovation: Other
On January 12, 2016 the Health Care Payment Learning & Action Network (LAN) released the final Alternative Payment Model (APM) Framework White Paper. The paper defines payment model categories and establishes a common framework and a set of conventions for measuring progress in the adoption of APMs.
Payment Innovation: Other
On September 28, 2015, the Centers for Medicare and Medicaid Services (CMS) released Request for Information (RFI) on the Implementation of the Merit-based Incentive Payment System (MIPS), Promotion of Alternative Payment Models (APMs) and Incentive Payments for Participation in Eligible APMs (CMS-3321-NC).