Tag: Cost Measures

CMS Solicits Comments on Proposed MIPS Cost Measures

The Centers for Medicare and Medicaid Services (CMS) released the CY 2020 Proposed Rule for the Medicare Physician Fee Schedule (PFS). As part of the proposed rule, CMS is proposing 10 episode-based cost measures and revisions to the current Medicare...

CMS Updates QPP Resources

The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:

  • 2019 MIPS Eligibility Decision Tree

This resource will help cl...

CMS Updates QPP Resources

The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:

  • 2019 Call for Measures and Activities

Provides details about t...

Upcoming CMS MIPS Webinars on Facility-based Measurement and the PI Performance Category

Facility-based Measurement The Centers for Medicare and Medicaid Services (CMS) is hosting a webinar on April 18 from 1 to 2 pm ET to provide information about facility-based measurement for the Merit-based Incentive Payment System (MIPS) in ...

CMS Releases MUC List

On December 30, 2018, the Centers for Medicare and Medicaid Services (CMS) released the Measures Under Consideration (MUC) list for 2018. The pre-rulemaking process requires that the US Department of Health and Human Services (HHS) make publicly avai...

CMS Announces Field Testing of 13 Cost Measures through October 31, 2018

The Centers for Medicare and Medicaid Services (CMS) and its contractor, Acumen, LLC, are conducting field testing for 13 cost measures before consideration of their potential use in the cost performance category of the Merit-based Incentive Payment ...

CMS Seeks Nominations of Clinical Experts for Subcommittees Developing Cost Measures: MSPB Service Refinement Workgroup

The Centers for Medicare & Medicaid Services (CMS) is accepting nominations until June 6, 2018, of physicians and other practitioners interested in providing clinical input for the development of episode-based cost measures to be used to implemen...

Accepting Nominations: MACRA Episode Groups and Cost Measures Clinical Subcommittees

The Centers for Medicare and Medicaid Services (CMS) has contracted with Acumen, LLC to develop care episode and patient condition groups for use in cost measures to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (M...

CMS Releases Episode-based Cost Measures

CMS released eight episode-based cost measures that were developed with stakeholder input through the Technical Expert Panel (TEP) and Clinical Subcommittee processes. The Medicare Access and Children’s Health Insurance Program Reauthorization Act ...

109 Physician Specialty Societies, Large Practice Groups and Patient Advocacy Groups Urge Congress to Remove Part B Drugs from MIPS Payment Adjustment

A collection of 109 organizations representing providers and patients submitted a letter urging Congress to block CMS from applying the Merit-based Incentive Payment System (MIPS) adjustment to Part B drug payments. In the 2018 Quality Payment Progr...

Nomination Period Open for MACRA Measure Development Plan Technical Expert Panel

The Centers for Medicare and Medicaid Services (CMS) contracted with Health Services Advisory Group, Inc. to develop and update the CMS Quality Measure Development Plan: Supporting the Transition to the Merit-based Incentive Payment Sys...

Specialty Societies Ask Congress to Act to Avert Application of MIPS Adjustment on Part B Drugs

In the 2018 Quality Payment Program Final Rule, CMS clarified that the Merit-based Incentive Payment System (MIPS) payment adjustment will be applied to payments for both items and services under Medicare Part B, including Part B drugs. This is a dep...

CMS and CAPG Host Webinar: How to Control Costs for the MIPS Resource Use Component

The Centers for Medicare and Medicaid Services (CMS) is collaborating with CAPG to host a webinar series on the Quality Payment Program (QPP). Webinar presenters will include experts from both CMS and CAPG. CAPG is a professional association for acco...

CMS Begins Field Testing MIPS Cost Measures on October 16

The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, will be conducting field testing for eight episode-based cost measures before consideration of their potential use in the Cost Performance Category of the Merit-b...

CMS Seeks Nominations for 7 Clinical Subcommittees Related to the Development of MACRA Episode-Based Cost Measures

The Centers for Medicare and Medicaid Services (CMS) has contracted with Acumen, LLC to develop episode-based cost measures to be used to implement the Cost Performance Category of the Merit-based Incentive Payment System (MIPS). This Call for Nomin...

CMS Announces April 5th Listening Session on Cost Measure Development

CMS is hosting a listening session on episode-based cost measure development for the Merit-based Incentive Payment System (MIPS) from 12:00 – 1:30 PM ET on April 5, 2017. During this listening session, CMS will provide more information on cost meas...

CMS Requests Comments on Draft Episode Groups, Trigger Codes and Proposed Framework for Cost Measures

CMS is accepting comments until April 24, 2017, on draft episode groups, trigger codes and a proposed framework for cost measures. The Merit-based Incentive Payment System (MIPS) measures clinicians’ performance in four areas: quality, clinical pra...

CMS Expands List of Patient Relationship Categories and Codes List

Comments on updated list due no later than January 6, 2017

CMS recently posted an updated list of patient relationship categories and codes. Comments can be submitted to: patientrelationshipcodes@cms.hhs.gov  no later than January 6, 201...

CMS Solicits Comments on Episode Groups

CMS released an initial set of 34 episode groups on October 15, 2015. The agency designated the methodology used to construct these episodes as Method A. Method A was developed to fulfill certain requirements of section 3003 of the Affordable Care Ac...

CMS Requests Comments on Patient Relationship Categories

CMS Seeking Comment on MACRA Episode Groups

On November 10, CMS posted a request for comment on episode groups, and clinical criteria and patient characteristics to classify patients into care episode and patient condition groups. CMS developed these episode groups pursuant to section 3003 of ...