The Centers for Medicare & Medicaid Services (CMS) has opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2019 performance period of the Quality Payment Program. Data can be submitted and updated until 8:00 p.m. EDT on March 31. The data submission period through the CMS Web Interface for ACOs and pre-registered groups and virtual groups also closes on March 31. Quality measures reported via Medicare Part B claims have been submitted throughout the 2019 performance period. Sign in to qpp.cms.gov for your preliminary feedback on Part B claims measure data processed to date. How to Submit Your 2019 MIPS Data Go to the Quality Payment Program website Sign in using your QPP access credentials (see […]
A new study by the National Institute for Health Care Management (NIHCM) of nearly 250 hospitals that were acquired between 2009 and 2013 found no evidence that the ownership change improved their quality of care. Compared to peer hospitals that were not acquired, the acquired hospitals actually performed worse on patient experience measures after the merger and did not show significant improvement in patient outcomes or clinical process measures. The study is the first systematic assessment of a broad range of quality impacts on hospitals acquired in a comprehensive set of recent mergers. The research adds to a body of evidence that finds hospital consolidation does not improve quality but does lead to higher prices for patients. Read the full report […]
To help clinicians understand how to participate in the Quality Payment Program (QPP) for 2020, the Centers for Medicare and Medicaid Services (CMS) has posted Quick Start Guides. Click on hyperlinks for immediate downloads now available: MIPS Overview Eligibility and Participation Part B Claims Reporting Quality Performance Category Promoting Interoperability Performance Category Improvement Activities Performance Category Cost Performance Category The 2020 Quality Benchmarks provides a listing of the 2020 benchmarks and explains how they are used to assess performance in the Quality performance category. Click on this hyperlink to download the zip file 2020 Quality Benchmarks. Visit the QPP Resource Library to review new and existing QPP resources.
On Dec. 11, the House Ways and Means Committee issued an outline of that panel’s bipartisan proposal for addressing surprise medical bills. Some details are vague, and it could be after the holidays before we see legislative language. Nonetheless, the committee’s approach offers significant differences from the recently issued agreement reached between the House Energy & Commerce Committee and the Senate Health, Labor, Education, and Pension (HELP) Committee. Like other proposals, the Ways & Means plan would limit patients’ out-of-pocket costs to the amounts they would have owed if they had the opportunity to choose in-network physicians and facilities to provide their care. An independent dispute resolution (IDR) system is also included. However, unlike other proposals, Ways & Means does not restrict […]