MHA Today | October 13, 2016

October 13, 2016
MHA Today: News for Healthcare Leaders

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In This Issue
CMS Announces New Initiative To Increase Clinician Engagement
CMS Releases 2017 Star Ratings For Medicare Advantage And Prescription Drug Plans
MLN Connects Provider eNews Available

Advocate
state and federal health policy developments


CMS Announces New Initiative To Increase Clinician Engagement

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced a new initiative to improve the clinician experience within the Medicare program. The first action will be to launch an 18-month pilot program to reduce medical record review for certain physicians. Physicians participating in advanced payment models will be relieved of some scrutiny under certain medical review programs. Applicable APMs include next generation accountable care organizations, Medicare Shared Savings Program Track 2 and 3 participants, pioneer ACOs, and Oncology Care Model 2-sided Track participants. The pilot program is comprised of two phases: post-payment reviews conducted and pre-payment reviews conducted. Shantanu Agrawal, M.D., has been appointed by CMS Acting Administrator Andy Slavitt to lead in implementation and development of this function. Agrawal stated, “CMS is turning a new page in assessing not only how to reward for quality, but also to reduce administrative hurdles. I look forward to hearing about what steps we can take to make the practice of medicine in Medicare more efficient and rewarding.”

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases 2017 Star Ratings For Medicare Advantage And Prescription Drug Plans

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the 2017 Star Ratings for Medicare Advantage and Prescription Drug Plans. The information is intended to help beneficiaries find a plan that best fits their needs during the 2017 open enrollment period. CMS is projecting MA enrollment to reach an all-time high of 18.5 million enrollees in 2017. In a blog by Deputy Administrator and Director of the Center for Medicare, Sean Cavanaugh stated, “CMS is continuing to strengthen Medicare Advantage and the prescription drug programs so that they continue to provide high-quality, affordable, accessible care for current and future Medicare beneficiaries.”

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • new data to increase Medicare hospice payment transparency
  • confidential feedback reports available for skilled nursing facility value-based purchasing program
  • electronic health record incentive programs: review resources on 2016 program requirements
  • Improving Medicare Post-Acute Care Transformation Act of 2014 cross-setting quality measure on major falls: comments due Friday, Oct. 14
  • how to report across 2016 Medicare quality programs call — Tuesday, Nov. 1


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Consider This ...

Only 42 percent of U.S. adults ages 18 and older received the flu vaccine in the 2015-2016 flu season.

Source: Health Affairs