Official NTOCC Comments

Review the official comments, letters and responses from the National Transitions of Care Coalition (NTOCC).

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Senate Chronic Care Working Group Releases Discussion Draft for CHRONIC Care Act of 2016

Posted on 10/27/2016 by NTOCC ®

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.

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CMS Finalizes the New Medicare Quality Payment Program

Posted on 10/14/2016 by NTOCC ®

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.

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CMS Announces More Options to Comply with MACRA in 2017

Posted on 9/8/2016 by NTOCC ®

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.

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CMS Announces New Mandatory Bundled Payment Program

Posted on 7/25/2016 by NTOCC ®

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.

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Senate Chronic Care Working Group Releases List of Priorities

Posted on 12/18/2015 by NTOCC ® in Public Policy Updates

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.

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Care Navigators and You by Curaspan

Posted on 11/10/2015 by NTOCC ®

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.

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CMS Issues Final CY2016 Physician Fee Schedule and Hospital Outpatient Rule

Posted on 10/30/2015 by NTOCC ® in Public Policy Updates

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.

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CMS Proposes New Discharge Planning Requirements for Hospitals

Posted on 10/29/2015 by NTOCC ® in Public Policy Updates

The Centers for Medicare and Medicaid Services released a proposed rule this morning that would require all hospitals and home health agencies to develop a written discharge plan for every inpatient and specific categories of outpatients within 24 hours of admission. This is the first step in the implementation of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act which NTOCC supported in 2014.

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CMS Seeks Public Comment on Provisions in Medicare Access and CHIP Reauthorization Act of 2015

Posted on 9/28/2015 by NTOCC ®

The Centers for Medicare and Medicaid Services is seeking stakeholder input on three provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MARCA): Merit-based Incentive Payment System (MIPS), Alternative Payment Models (APMs), and physician-focused payment models.

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CMS Extends Enforcement Moratorium for Two-Midnights Rule

Posted on 8/13/2015 by NTOCC ® in Public Policy Updates

The Centers for Medicare & Medicaid Services announced that it is extending the enforcement moratorium for part of the “two-midnights” rule until the new proposed rule takes effect on January 1, 2016. As you may recall, the “two midnights” rule states that hospital stays that are shorter than two nights would be classified as outpatient. The “two midnights” has been extremely controversial in the NTOCC community, the health care community at large and on Capitol Hill. It creates confusion for the patient and relies on an arbitrary length of time for a patient’s assessment as opposed to the expertise of the health care provider.

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