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CMS began collecting data on SDOH through the use of z-codes in 2016.
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Centers for Medicare and Medicaid Services has announced two coverage decisions that will provide access to previously uncovered services for Medicare FFS beneficiaries.
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ONC released a data brief on access and use of online medical records among cancer patients.
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Seema Verma, CMS, announced in a blog post the agency’s plan to consolidate its eight current consumer-facing Medicare quality databases to one comprehensive tool for beneficiaries.
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Many federal programs, including Medicare and Social Security are funded through trust funds and other dedicated funds.
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CMS has updated the Open Payment dataset.
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MedPAC met on January 16 and 17 to vote on payment update recommendations and to discuss other recommendations to update the Medicare program.
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HHS released the draft 2020-2025 Federal Health IT Strategic Plan for public comment.
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CMS has scheduled a webinar to engage with providers, practitioners, and suppliers about improving beneficiary quality of care and experience with MACs.
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LAN scheduled a webinar to engage with stakeholders on how to accelerate the adoption of two-sided risk APMs.
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MedPAC has posted the agenda for the next public meeting scheduled for January 16-17, 2020.
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The GAO published a request for nominations for the MedPAC.
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On January 6, 2019, CMS released Part I of the 2021 Advance Notice limited to the risk adjustment methodology per the annual cycle of Medicare Advantage (MA) regulatory guidelines for the coming year.
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On December 17, 2019, the Trump Administration released two rules designed to increase live kidney donations.
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CMS is requesting feedback on eliminating Medicare specific regulations requiring supervision that exceeds other federal or state laws.
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CMS has announced opportunities to participate in Technical Expert Panels TEP.
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CMS posted the 2018 Open Payments data for review by physicians and teaching hospitals; the deadline to dispute any payments is December 31, 2019.
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MedPAC met on December 5, 2019, to discuss 2021 payment updates for physicians, inpatient and outpatient hospital services and the annual update on the status of MA as they prepare their annual March Report to Congress.
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CMS will host a webinar on Thursday, January 16, 2020, to discuss changes to the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals participating in 2020.
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MedPAC is scheduled to meet December 5 to 6, 2019.
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CMS announced another Open Door Forum.
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The House Ways and Means Committee released a RFI on healthcare outcomes of rural communities to help inform future bipartisan legislation to improve care delivery in underserved and rural communities.
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In the latest response to the President’s Executive Order on Improving Price and Quality Transparency in American Healthcare, the Department of Health and Human Services released two rules related to requiring increased price transparency for hospitals and health plans.
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MedPAC met in Washington, DC on November 6-7, 2019. The Commission continued a discussion on redesigning the MA QBP.
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MedPAC met in Washington, DC on November 6-7, 2019. The Commission continued a discussion on redesigning the MA QBP.
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CMS posted quality ratings for all health plans offered on the federal Exchange during the 2020 Open Enrollment period.
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MedPAC is discussing several innovation and quality topics at their next public meeting scheduled for November 7-8, 2019.
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McDermott+Consulting (McDermottPlus) and McDermott Will & Emery, LLP invite you to join us for a discussion around the October 8, 2019 release of the U.S. Department of Health and Human Services’ proposed changes to the Stark Law and Anti-Kickback Statute regulations.
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The Health Care Payment Learning and Action Network (LAN) hosted its annual Summit.
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The Health Care Payment LAN is hosting its annual Summit on October 24th.
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CMS is currently seeking nominations for members of the MEDCAC.
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As a follow-up to the recently released Presidential Executive Order on Medicare, the CMS released two RFIs on the future of Medicare program integrity.
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CMS released their annual update of Medicare Part C and D Star Ratings.
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The Health Care Payment Learning and Action Network (LAN) is hosting its annual Summit on October 24th and the full agenda is now available. The agenda for the event can be found here.
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MedPAC met in Washington, DC on October 3-4, 2019 and the Commission continued the discussion on a variety of innovation topics.
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On October 9, 2019, the Department of HHS released regulations to update Stark and Anti-Kickback regulations to promote the implementation of value-based care.
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MedPAC is discussing several innovation and quality topics at their next public meeting scheduled for October 3 to 4, 2019.
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The ONC hosted an annual Interoperability Forum to discuss trends and solutions for the implementation and adoption of various health IT practices.
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CMS has announced opportunities to participate in Technical Expert Panels.
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The GAO named the new Chair and Vice-Chair for the board of the Patient-Centered Outcomes Research Institute.
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On Thursday, September 19, 2019, the GAO released a report on quality measurement activities of the Centers for Medicare and Medicaid Services titled, “CMS Could More Effectively Ensure Its Quality Measurement Activities Promote Its Objectives.”
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The GAO has released a report on identifying, predicting, and managing high-cost beneficiaries in Medicaid.
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CMS is hosting the next skilled nursing facilities /long term care Open Door Forum
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CMS is hosting a listening session for all prescribers to determine criteria that would identify an “outlier prescriber.”
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The Health Care Payment Learning and Action Network is holding its 2019 Annual Summit on Thursday, October 24 in Washington DC.
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CMS will host an in-person, live-streamed meeting, on September 20 to provide an overview of activity related to opioid use disorder prevention and solicit stakeholder input on developing an action plan for Congress to prevent opioid addiction and coverage for medication-assisted treatment.
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MedPAC held its September public meeting on Sept 5-6, 2019. At the meeting, MedPAC staff presented a proposal for a uniform post-acute care value incentive program.
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The Health Resources & Administration Services is soliciting nominations for the Advisory Committee on Training in Primary Care Medicine and Dentistry.
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The Office of the National Coordinator for Health Information Technology has announced that The Sequoia Project has been awarded a cooperative agreement to serve as the Recognized Coordinating Entity.
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CMS released episode 6 of their podcast, CMS: Beyond the Policy.
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The Medicare Payment Advisory Commission is hosting their next public meeting on September 5-6, 2019 in Washington DC.
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CMS will host an Open Door Forum conference call to discuss the status of the Hospice Outcomes and Patient Evaluation (HOPE) tool, previously known as Developing a Hospice Patient Assessment Tool, on Thursday, September 12, 2019.
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CMS will host an Open Door Forum conference call to discuss proposed changes to the Open Payments program on Thursday, August 29, 2019
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HRSA and the HHS Rural Health Task Force are seeking information about access to health care in rural communities.
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CMS will host a listening session on Hospital Quality Star Rating System on September 19.
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For the first time CMS will require the display of the five-star Quality Rating System available nationwide for health plans offered on the Health Insurance Exchanges beginning in the 2020 Open Enrollment Period.
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GAO is requesting nominations to the Health Information Technology Advisory Committee.
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CMS will host a series of webinars on recently released payment and quality regulations.
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The GAO recently released a report on Medicare physician spending on longitudinal comprehensive care planning services.
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CMs uploaded two new resources regarding the Hospice Quality Reporting Program.
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CMS will be hosting an education webinar for participants in the Hospital Inpatient Quality Reporting and Promoting Interoperability Programs.
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The National Comprehensive Cancer Network is holding its oncology policy summit on September 12, 2019.
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Recommendations for the 2020 Medicaid and CHIP Core Set are open through August 5.
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On July 18, 2019, CMS updated the data within the Medicaid and CHIP Scorecard.
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LAN launched a new educational video series covering the Roadmap for Driving High Performance in APMs.
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CMS is proposing coverage of acupuncture for Medicare patients with chronic low back pain in approved studies.
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Congress launched a Rural and Underserved Communities Health Task Force.
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On July 19, 019, MedPAC released their 2019 Health Care Spending and the Medicare Program data book.
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The Data Element Library posted new updates.
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The National Advisory Council for Healthcare Research and Quality will meet on July 24 to discuss people living with multiple chronic conditions.
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CMS proposes changes to the Home Health Quality Reporting Program for CY 2020. The program currently has 19 reporting requirements.
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OIG publishes two reports identifying significant vulnerabilities in the Medicare hospice benefit that are harming beneficiaries.
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There is a hard transition between SNF payment models. All RUG-IV payments will end on September 30, 2019, and all PDPM payments will begin on October 1, 2019.
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HHS is seeking 15 industry stakeholders to join a summit responsible for drafting the Health Quality Roadmap required by President Trump’s recent Executive Order on health care transparency.
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The Health IT Advisory Committee of the ONC is meeting on July 11 from 9:30 am to 12:30 pm ET.
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On June 28, CMS released the 2018 Open Payments data.
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CMS released a Notice of Funding Opportunity for planning grants to address the opioid crisis.
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CMS released additional materials related to the RADV audits proposed rule.
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CMS released another episode of its podcast.
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President Trump signed an executive order on June 24 containing guidance regarding price, quality and data transparency.
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MedPAC released its June 2019 Report to Congress: Medicare and the Health Care Delivery System.
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AHRQ is seeking nominations for the National Advisory Council for Healthcare Research and Quality.
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On June 6, CMS issued an RFI on Patients over Paperwork.
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The GAO appointed new MedPAC members.
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CMS holds a webinar on post-acute care quality reporting programs on June 5.
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CMS is holding a meeting on June 12 focusing on access to maternal health services.
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The GAO appointed MACPAC’s Chair and Vice Chair.
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On May 17, the GAO released a report recommending an improved transparency policy for Section 1115 waivers.
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CMS posted the LOI for the new Direct Contracting models.
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Hardship exception applications are now available for the Medicare Promoting Interoperability Programs.
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The NOIA submission period for the Medicare Shared Savings Program begins June 11.
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Congress held two innovation-related hearings on March 7.
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The CMS and Treasury Department issued an RFI on Section 1332 waivers.
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CMS calls for increased payments to rural hospitals and for new technologies in the recently released proposed rule.
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CMs released the final rule for the 2020 annual Notice of Benefit and Payment Parameters.
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The Medicare Board of Trustees projected that Medicare spending will grow to 5.9 percent of GDP by 2038.
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HHS extended the comment period for two proposed interoperability rules to June 3.
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CMS released proposed regulations for FY 2020 Medicare payment for IRF, IPF and Hospice.
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HRSA will host a webinar on April 30 about rural maternal health grants.
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CMS is holding a webinar on the CMS Artificial Intelligence Health Outcomes Challenge on April 18.
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The quality and beneficiary safety of nursing home care is under scrutiny.
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CMS posted a podcast episode on the 2019 Quality Conference.
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MedPAC discussed innovation and quality topics at its April 2019 meeting.
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CMS released the CY 2020 MA and Part D Flexibility Final Rule.
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CMS released the final Rate Notice and Call Letter for Medicare Advantage.
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HRSA announces funding opportunity to test network approach to rural maternal care.
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MedPAC to discuss innovation and quality topics at their April 2019 public meeting.
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CMS announces the Artificial Intelligence Health Outcomes Challenge.
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The CMS Annual Call for Measures for the Medicare Promoting Interoperability Program is now open.
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HCPLAN to host webinar on APM roadmap on April 3, 2019.
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CMS will retire the PQRS program website.
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MedPAC released their March 2019 Report to Congress.
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CMS will hold a call on the Data Element Library for post-acute care.
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The CMS Annual Call for Measures for the Medicare Promoting Interoperability Program is open.
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CMS published guidance for states on 1115 waiver evaluations.
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CMS updated its drug spending dashboards with 2017 data.
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CMS will present a live Q&A session on March 27, 2019, for Open Payments system users. The session will open with a brief presentation on the review, dispute and correction periods, and the Open Payments team will be available to respond to any questions.
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At their public meeting on March 7 and 8, MedPAC considered a range of Medicare payment issues. Our five takeaways from the meeting.
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The deadline for submitting eCQM data for the CY 2018 reporting period, pertaining to the FY 2019 payment determination, has been extended to March 14, 2019, at 11:59 pm PT.
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NQF Accepting Nominations for Opioid TEP, Patient & Caregiver Engagement Advisory Group and Soliciting Comments on Future Core Measure Sets
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CMS has updated hospital performance data on the Hospital Compare website and on data.medicare.gov. The update included specific measures of hospitals’ quality of care, many of which are updated quarterly, and the Overall Hospital Star Ratings, which were last updated in December 2017.
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AHRQ is interested in receiving health services research grant applications to advance the national goal of achieving a high value healthcare system in support of the Health and Human Services Value-Based Transformation Initiative.
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CMS will host a listening session on the Interoperability and Patient Access Proposed Rule.
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Colorado has become the latest state to receive approval from CMS for negotiating drug prices for Medicaid recipients using value-based contracting arrangements.
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CMS launches “CMS: Beyond the Policy,” a new podcast highlighting updates and changes to policies and programs.
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The Call for Nominations for organizations and individual subject matter experts to serve on the Measure Applications Partnership is open.
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In a letter to CMS, Senate Finance Chairman Chuck Grassley (R-IA) pressed the agency for an update on their recovery of improper electronic health record incentive payments.
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Senators Cassidy and Warner Introduce Patient Affordability, Value and Efficiency (PAVE) Act.
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The House and Senate sent letters to Centers for Medicare and Medicaid Services Administrator Seema Verma in support of the Medicare Advantage program.
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ONC releases proposed rule to implement certain provisions of the 21st Century Cures Act.
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CMS publishes factsheet as companion to final IPPS rule.
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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.
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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.
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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.
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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.
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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.
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ONC announces winners of the Certified Health IT Product List (CHPL) Data Challenge.
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MedPAC considers draft recommendation to revamp the Hospital Value Based Purchasing Program.
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Departments of Health, Treasury and Labor release report titled “Reforming America’s Healthcare System Through Choice and Competition.”
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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.
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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.
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CMS released FY 2019 results from the Hospital Value Based Purchasing Program.
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HH) announces core participants in the Deputy Secretary’s Innovation and Investment Summit. The first meeting is December 18, 2018.
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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.
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CMS will host a webinar on November 27, 2018 from 12 to 1 pm ET introducing the Clinical Quality Language logic expression language.
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The Office of the National Coordinator for Health Information Technology will hold their 2018 Annual Meeting from November 29 to 30 in Washington, DC.
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CMS releases various payment innovation-related announcements.
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HELP committee holds final hearing on in health care cost series.
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CMS announces Medicaid demonstration to expand mental health treatment services.
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MedPAC discussed a number of topics at its November meeting, including Advanced APMS.
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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.
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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.
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Health Care Payment Learning and Action Network released a new report on alternative payment model adoption.
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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.
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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.
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CMS has released Part C and Part D Star Ratings; providing information about the quality of plan choices.
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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.
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GAO announces PCORI board member appointments.
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Senate HELP Committee to hold hearings on health care costs.
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GAO recommends that for all providers, the DOD use common key quality measures, expand their range, and develop consistent performance standards and requirements.
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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.
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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.
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Solicits feedback from clinicians on proposal to overhaul E/M documentation, billing and payment
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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
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ONC releases RFI regarding Assessing Interoperability for MACRA. Comments are due on June 3, 2016.
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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.
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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).