Public Policy

June 8, 2016

MACRA and the Quality Payment Program – Changing the Way you get Paid

Delivery and Payment System Reform: A Movement to Value-Based Care The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) was bipartisan legislation signed into law in April 2015 to permanently repeal the Sustainable Growth Rate (SGR), streamline physician quality reporting programs, and provide incentive payments for physician participation in alternative payment models. MACRA sunsets the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier, and the Medicare Electronic Health Record (EHR) Incentive Program and establishes an umbrella Quality Payment Program (QPP) with two new pathways for payment: 1. Merit-Based Incentive Payment System (MIPS) and 2. Advanced Alternative Payment Models (Advanced APMs). In April 2016, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to begin the […]
May 31, 2016

ISASS Policy & Advocacy News – May 2016

News and noteworthy information for May 2016: Changing the Way You Get Paid – CMS Issues Proposed MACRA Rule CMS Issues 2017 Proposed Hospital Inpatient and Long-Term Care Rule Senate Finance Committee Issues Report on PODs House E&C Health Subcommittee Hearing on Health Care Solutions CMS Releases Third Annual Physician and Other Supplier Utilization and Payment Data Files Noridian Draft LCD for Intraoperative Neurophysiological Testing   Changing the Way You Get Paid – CMS Issues Proposed MACRA Rule On April 27, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to begin implementing the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA was bipartisan legislation signed into law in the spring of 2015 to permanently […]
April 29, 2016

ISASS Policy & Advocacy News – April 2016

News and noteworthy information for April 2016: ISASS16 Advocacy Survey Extended Open Payments Physician Review and Dispute Period: April 1 – May 15 FDA Panel Issues Recommendations for Medical Device Evaluation System NIH Clinical Center: 3-D Imaging in Children and Adults with Scoliosis Senate HELP Committee Approves Last Bills of Medical Innovation Package CMS Releases Proposed 2017 Hospital Inpatient and Long-Term Care Hospital Payment Rule CMS Releases Proposed Rule Implementing Key Provisions of MACRA   ISASS16 Advocacy Survey Extended Several of the sessions at ISASS16 were “interactive”, where session moderators asked attendees to complete short surveys about their own practice. Your answers to these short surveys are important to help shape ISASS advocacy activities in the months ahead. Thank you […]
April 26, 2016

Results of Surgical Preauthorization Survey of ISASS Members

Thanks to all who participated in the surgical preauthorization survey we sent out in the fall.  The response was overwhelming and underscores the importance of this issue in all of our practices.  We presented the results of the survey at the recent ISASS16 meeting in Las Vegas.  As all were not in attendance, we are sharing a one-page synopsis of the results (see below). In addition to our presentation, the theme of insurance and reimbursement was prevalent throughout the Annual Meeting. Based on the data from the survey we have developed a lost revenue calculator to identify the financial impact to your specific practice. Thank you again to all those who participated.  If you would like to learn more about the solution we […]