Multiple Chronic Conditions Blog

US Department of Health and Human Services, October 14, 2016 Finalization of the Quality Payment Program

On October 14, 2016, the US Department of Health and Human Services (HHS) issued the final rule with comment period implementing the Quality Payment Program - a direct result of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA legislation ended the Sustainable Growth Rate formula, which threatened providers who participate in Medicare reimbursement with potential payment cliffs for 13 years.

Alternatives to Opioids for Somatic Pain

The Centers for Disease Control and Prevention (CDC), early this year released the national guidelines for Prescribing Opioids for Chronic Pain. The primary objective for this guideline is to direct provider and patient communication about the benefits and risks of opioid therapy, improve the safety and effectiveness of pain treatment and reduce the overall risks associated with long-term opioid use.

The Federal Register on July 15th released the Medicare Program

The Federal Register on July 15th released the Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model.

Health Care Planning and Learning Action Network Roadmaps to Population Based Payment and Clinical Episode Payment

Since January, 2015 the President’s development of the Health Care Planning and Learning Action Network has produced over 9 White Papers on directing the US health care system on Population Based Payment (PBP) and Clinical Episode Payment (CEP). These White Papers were open to the public for review and comments prior finalization.

Register for Free AHRQ Webinar on Shared Decision Making for Chronic Conditions and Long Term Care Planning

A webinar from The Agency for Healthcare Research and Quality (AHRQ) July 26 will examine how shared decision making can be used to manage chronic conditions and facilitate the long term care planning needs of aging Veterans and adults with chronic conditions.

Six Months to Prepare for MACRA Legislation

The National Quality Strategy (NQS), led by the Agency for Health, Research and Quality (AHRQ), under the direction of the US Department of Health and Human Services hosted a Webinar on May 17th, highlighting the 2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy.

Accelerating and Aligning Population Based Payment Models Patient Attributes - Final White Paper

The Health Care Payment Learning and Action Network (HCPLAN) on May 13, 2016 released the White Paper of 10 recommendations to guide the patient attribution process as the US health care system moves toward Population Based Medicine (PBM). HCPLAN identifies 3 guiding principles to support these recommendations

Centers for Medicare and Medicaid Open Comments on MACRA

I continue to read and review multiple comments made by providers who are pushing back on the upcoming MACRA changes - unfortunately, all of this is bigger and moving faster than any health care tsunami in US history. We have too!

April 27th, 2016 The US Department of Health and Human Services Issued a Proposal to Align and Modernize how Medicare Payments Are Tied to the Cost and Quality of Patient Care

On April 27, the Centers for Medicare and Medicaid Services (CMS) released the long awaited proposed rule establishing the new Quality Payment Program, a framework that includes the Merit-based Incentive Payment System (MIPS) and..

The Older Americans Act in 2016: The Future is Now

On Tuesday, April 19, 2016 the Older Americans Act (OAA) was reauthorized for three years – an important bipartisan accomplishment. Enacted in July 1965 along with Medicare and Medicaid, the law is a key piece of policy that empowers the Administration for Community Living (ACL) to fund programs across the country that are dedicated to helping seniors stay in their communities.