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This morning, President-elect Donald Trump’s transition team announced that Rep. Tom Price has been chosen to serve as the next Secretary of Health and Human Services (HHS). Price (R-GA), the current chairman of the House Budget Committee and member of the Ways and Means Committee, is an orthopedic surgeon who represents many of the northern suburbs of Atlanta. The Georgia congressman was an early supporter of Trump’s, endorsing him for President last May. NTOCC has worked closely with Dr. Price over the years on issues surrounding care transitions including the implementation of the chronic care management code. Dr. Price’s nomination is subject to confirmation by the Senate, which will occur in January.
On Tuesday, Donald Trump won the presidency by running the most unconventional campaign in modern history. He was able to connect with middle-class voters in states like Pennsylvania, Wisconsin, Ohio and Iowa while winning toss-up states on the east coast, including Florida and North Carolina, to seal his victory. Thus far, President-elect Trump has won 28 states and 279 electoral votes, with Arizona (11 electoral votes), Michigan (16 electoral votes), and New Hampshire (4 electoral votes) yet to be called.
Today, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that updates that payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2017. The rule has been finalized with a number of policies supported by NTOCC, including the establishment of separate payments for codes describing chronic care management for patients with greater complexity.
Today, the Senate Finance Committee’s Chronic Care Working Group (CCWG) published a discussion draft of the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 - legislation encompassing the various chronic care proposals the working group has been developing over the last two years. In addition, the CCWG released a letter it submitted to HHS expressing support for a number of policies included in CMS’s 2017 proposed Physician Fee Schedule rule that address care of the chronically ill.
Today, the Department of Health and Human Services (HHS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program.
Today, the Centers for Medicare & Medicaid Services (CMS) announced it will allow doctors participating in Medicare’s new payment system four options to comply with the first year of the law and avoid penalties, which are set to hit in 2019.
This afternoon, the Centers for Medicare & Medicaid Services (CMS) proposed a rule to implement new models to mandate bundled payments for cardiac care. This is the agency’s second-ever program requiring providers to accept set payments for an episode of care. Under the proposed program, hospitals would be accountable for the cost and quality of care for heart attack and cardiac arrest surgery patients during their stay and for the first 90 days after discharge. The program would take effect on July 1, 2017, for hospitals located in nearly 100 metro areas, and it would be steadily phased in across five years.
Today, the Senate Chronic Care Working Group released a list of priorities to improve health outcomes for Medicare patients with chronic conditions. This is the first step toward producing bipartisan legislation that will most likely introduced in 2016. Transitional Care received a lot of big advances in this policy document and we are excited to share the following highlights with you.
This article is reposted with permission from Curaspan, an NTOCC Partners Council member, following our "Navigating A Value-Based Market With A Care Transitions Focus" webinar last month.
The Centers for Medicare & Medicaid Services issued two final rules that NTOCC has commented on earlier in the year. The first updates payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule for calendar year 2016, and the second is regarding the Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs.