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In This Issue
CMS Proposes Marketplace Annual Notice Of Benefit And Payment Parameters For 2018
HIDI Releases Second Quarter FFY 2016 Inpatient, Outpatient Databases
How to Navigate the New Quality Payment Programs and Beyond
9 a.m. to 4 p.m. Wednesday, Sept. 28.
the latest actions of agencies monitoring health care
Staff Contact: Andrew Wheeler
The Centers for Medicare & Medicaid Services announced the proposed annual Notice of Benefit and Payment Parameters for 2018. The proposal would strengthen a key tool — the risk-adjustment program — for protecting affordable coverage options. The rule would better reflect the risk associated with enrollees who are not enrolled for a full 12 months beginning in 2017, and would use prescription drug utilization data to improve the predictive ability of the risk-adjustment models beginning in 2018. CMS Acting Administrator Andy Slavitt stated, “Right now, we are preparing to serve millions of consumers with a new set of innovations during the upcoming Marketplace Open Enrollment. As we do this, we are proposing today a set of critical actions based upon our first three years’ experience that, if finalized, would improve how consumers and health plans interact with the Marketplace. These proposals help fulfill the promise that affordable, quality health coverage can be provided to everyone who needs it.”
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HIDI Tech Connect
Staff Contact: Shane VanOverschelde
The second quarter federal fiscal year 2016 inpatient and outpatient databases, including HIDI-reporting hospitals in Missouri, Illinois and Kansas City, Kan., are now available for download to subscribers of the Premier Data Package on HIDI Analytic Advantage®. The databases consist of a patient-level limited dataset, including all HIDI-reported discharges and visits to hospitals. Files are delivered as both text files and ready-to-query Microsoft Access database files. The files are located in the “Strategic Planning/Premier Data” section and are organized in the following categories.
Hospitals interested in subscribing to the 2016 HIDI Premier Data Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.
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A Centers for Disease Control and Prevention evaluation found that more than 90 percent of adults and 70 percent of children who developed sepsis had a health condition that may have put them at risk.
Source: Centers for Disease Control and Prevention