The American Hospital Association steps in; the American Medical Association steps up.
On Sept. 27, 2017, the Centers for Medicare & Medicaid Services (CMS) announced that it would not update its overall hospital quality star ratings in October 2017, as planned. This was primarily based on the public’s feedback, but the star ratings released last December will remain on the Hospital Compare website until the next update. The American Hospital Association (AHA) has been very vocal in suggesting that the current proposed Medicare Quality Payment Program (QPP) that began Jan. 1, 2017 is misleading. That program required that physicians who are eligible participate in either the Merit-Based Incentive Program (MIPS) or the Alternative Payment Model (APM). Those eligible that did not elect to join either program will receive a 4 percent penalty in their 2019 Medicare reimbursement.
As of Oct. 4, 2017, for those using the MIPS program, there are two requirements: a) clinicians are required to document care for patients and record data; and b) the performance reporting period that opened Jan. 1 closes Dec. 31. The final deadline for submitting complete data is March 31, 2018.
The good news is that the American Medical Association (AMA) outlined a “10 Key Steps Action Plan” for 2017 for MIPS. The steps include:
What are the three major challenges facing the industry at this time?
Regardless, for now, the AMA recommendations allow providers to track their progress based on their guidelines, CMS deadlines, and successful adoption of MIPS.
That’s how Centers for Medicare & Medicaid Services (CMS) Administrator Mehmet Oz announced the publication of the CMS Final Rule on the Adoption of Standards
As we enter the first year of post-Loper Bright v. Raimando, the landmark U.S. Supreme Court decision overturning so-called Chevron deference, healthcare providers should push
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