Archive for: covid-19

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Payment Innovation: Other

CMS Announces CY 2021 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies

The final capitation rates are based on the National Per Capita MA growth percentage and the FFS growth percentage. CMS expects the average change in revenue will be 1.66%, an increase from the initial expected change in revenue of 0.93%.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new and updated materials to the QPP Resource Library.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

OIG Survey Finds Hospitals Experiencing Shortages of Testing Supplies and PPE

On April 6, 2020, OIG, Department of Health and Human Services (HHS) released findings from a survey of hospitals from March 23-27, 2020 to assess the challenges facing hospitals.

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Payment Innovation: COVID-19

CMS Issues Recommendations to Nursing Homes, State and Local Governments

On April 2, 2020, the CMS issued recommendations to state and local governments, as well as nursing homes, to help mitigate the spread of the 2019 Novel Coronavirus (COVID-19) in nursing homes.

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Payment Innovation: COVID-19

HHS Announces Plan to Use $1 billion from CARES Act Funding to Treat Uninsured COVID-19 Patients

HHS announced on Friday, April 3, 2020, during the daily briefing of the White House Coronavirus Task Force that Administration’s current plan is to use a portion of the $100 billion CARES Act funding to reimburse providers for treating uninsured patients with COVID-19.

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Payment Innovation: Other

CMS Issues Guidance on Open Payment Data Submission

CMS has issued guidance related to Open Payment reporting. The agency has indicated they do not have the authority to extend the deadline for reporting entities past the current March 30th deadline but can provide some flexibility.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new and updated materials to the QPP Resource Library.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

CMS Expands Accelerated Payment Program

On March 28, 2020, CMS announced an expansion of its accelerated payment program to help provide financial relief to Medicare providers and suppliers affected by COVID-19.

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Payment Innovation: COVID-19

Trump Administration Calls on Hospitals to Report COVID-19 Data

On March 29, 2020, the Trump Administration and CMS sent a letter to hospitals across the country requesting immediate and daily reporting of COVID-19 testing data from in-house laboratories.

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Payment Innovation: COVID-19

CMS Approves Sweeping Changes to Expand Care During the National Emergency

On March 30, CMS announced several new temporary waivers and an interim final rule to expand beneficiary access to services during the coronavirus disease 2019 (COVID-19) outbreak.

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Diagnostics

Congress passes CARES Act

On March 27, 2020, the President signed the Coronavirus Aid, Relief, and Economic Security (CARES) Act.

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Payment Innovation: Quality Payment Program

MIPS 2019 Performance Year Submission Deadline Extended

On March 23, 2020, CMS extended the deadline for clinicians to submit data for the 2019 performance year of the MIPS.

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Payment Innovation: Innovation Center

Primary Care First Deadline Extended

In light of the recent COVID-19 outbreak and its impact on the healthcare industry, CMS extended the payer solicitation period for the PCF Model until May 20, 2020.

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Payment Innovation: COVID-19

CMS Approves 11 Additional Medicaid Section 1135 Waivers

This announcement from the Centers for Medicare and Medicaid Services (CMS) brings the total number of approved Section 1135 waivers for states to 13.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

Trump Administration Expands Medicare Telehealth Benefits

On March 17, 2020, CMS and other agencies released further guidance on the use of telehealth during the declared national emergency related to the coronavirus (COVID-19) pandemic.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions

As part of ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

AMA Adopts New CPT Code for COVID-19 Lab Testing

AMA CPT® Editorial Panel adopted a new CPT® code that describes the laboratory testing for COVID-19. The new CPT® code is effective as of March 13, 2020.

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Payment Innovation: Other

Bipartisan Bill Relaxes Federal Telehealth Requirements in the Wake of COVID-19

President Trump signed the Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 (P.L. 116-123) into law.

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Payment Innovation: Other

CMS COVID-19 Activities and Actions

As part of ongoing White House Coronavirus Task Force efforts, the CMS has issued a number of resource documents, refocused activities related to state survey agencies and accrediting organizations; and taken other related actions.

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