Public Policy

November 16, 2015

ISASS Signs on to AMA Letter to CMS on MACRA Implementation

ISASS signed on to an AMA letter signed by more than 100 state and national medical specialty societies to Centers for Medicare and Medicaid Services (CMS) Acting Administrator Slavitt laying out principles CMS should follow in designing regulations to implement the Medicare Access and Chip Reauthorization Act (MACRA). The letter is in response to a CMS Request for Information (RFI) regarding the implementation of Alternative Payment Models (APMS) and Merit-Based Incentive Programs (MIPS) under MACRA. On September 28, CMS released an RFI seeking public comments on Section 101 of MACRA, which:  Repeals the Medicare Sustainable Growth Rate methodology for updates to the physician fee schedule (PFS) and implements scheduled PFS updates; Adds the new Merit-based Incentive Payment System (MIPS) for eligible professionals, sunsets payment […]
November 6, 2015

CMS Releases Final 2016 Hospital Outpatient and ASC Rule

On October 30, 2015, The Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2016 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) final rule. The final rule updates Medicare payment policies and rates for: hospital outpatient departments (HOPDs); ASCs; and partial hospitalization services provided by community mental health centers (CMHCs). Additionally, the final rule makes refinements to quality reporting programs in these outpatient settings and makes changes to the Two Midnight Rule. The final rule goes into effect on January 1, 2016. CMS is accepting public comments on the final rule until 5 p.m. EST on December 29, 2015. Summary of Final 2016 Rule for ISASS Members
November 6, 2015

CMS Releases Final 2016 Physician Fee Schedule Rule

On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) released the final 2016 Physician Fee Schedule (PFS). In the final rule, CMS finalizes RVUs for Calendar Year (CY) 2016 for the PFS and other Medicare Part B payment policies to ensure that CMS payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This is the first PFS final rule since the repeal of the Sustainable Growth Rate formula by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The final rule goes into effect on January 1, 2016. CMS is accepting public comments on the final rule until 5 p.m. EST on December […]
November 2, 2015

ISASS Signs on to AMA Meaningful Use Letter to Congress

ISASS signed on to an AMA letter to Congress urging intervention to reform and refocus the electronic health record (EHR) meaningful use program. The American Recovery and Reinvestment Act of 2009 (ARRA) established incentive payments to eligible professionals, eligible hospitals, critical access hospitals and Medicare Advantage Organizations to promote the adoption and meaningful use of interoperable health information technology and qualified electronic health records. The State 1 final rule (2011-2012) set the foundation for the Medicare and Medicaid EHR incentive programs by establishing requirements for the electronic capture of clinical data, including providing patients with electronic copies of their health information. The Stage 2 final rule (2014) expanded upon the Stage 1 criteria and encouraged use of health information technology […]