CMS releases 2018 outpatient PPS and physician payment proposed rules

AHA News

The AHA July 13 criticized proposed deep cuts to how much the Centers for Medicare & Medicaid Services reimburses hospitals for drugs acquired under the 340B Drug Pricing Program and proposes changes to site-neutral payment policies under Section 603 of the 2015 Bipartisan Budget Act. The provisions are... read more

Topics: Quality and Patient Safety, Advocacy and Public Policy
Tags: 340B, site neutral payment, Drug Pricing Program, Medicare, regulation

SNF quality data preview reports available

AHA News Now

Skilled nursing facilities can now preview their quality measure data for the SNF Quality Reporting Program in the Certification and Survey Provider Enhanced Reporting (CASPER) application, the Centers for Medicare & Medicaid Services announced yesterday. The Review and Correct reports contain quality... read more

Topic: Quality and Patient Safety
Tags: quality, Medicare

Top-performing CMS project touted for curbing 30-day readmissions

AHA News

Sun Health in Surprise, Ariz., knows what it takes to prevent Medicare patients from returning to the hospital within 30 days of discharge.

The health care organization had the lowest 30-day readmission rates of all participants in a recently concluded five-year federally funded demonstration... read more

Topic: Quality and Patient Safety
Tags: readmissions, population health, Medicare

Study: Safety-net hospitals catch up to other hospitals in HRRP, but not in VBP

AHA News Now

Safety-net hospitals had larger average penalties than non-safety net hospitals under the Hospital Readmissions Reduction Program in fiscal year 2013, but that difference had disappeared by 2016, according to a study published today in the Journal of the American Medical Association. In the Value-Based... read more

Topic: Quality and Patient Safety
Tags: readmissions, value-based purchasing, Medicare

CMS reports on quality disparities for MA patients by gender, including race/ethnicity

AHA News Now

The Centers for Medicare & Medicaid Services today released reports highlighting gender differences on selected patient satisfaction and clinical care measures for Medicare Advantage beneficiaries, including racial and ethnic differences. According to the reports, women were more likely than men to... read more

Topic: Quality and Patient Safety
Tags: Medicare, Coverage, equity

CMS announces new alternative payment model participants

AHA News Now

More than 359,000 clinicians have agreed to participate in four alternative payment models in 2017, the Centers for Medicare & Medicaid Services announced yesterday. Accountable care organizations in the Medicare Shared Savings Program grew by a net 47 to 480, including 26 Track 3 ACOs waived from the... read more

Topic: Quality and Patient Safety
Tags: accountable care organizations, physicians, value-based purchasing, Medicare, ACO

Rewarding patient experience improvement in VBP helps hospitals serving minority patients

AHA News Now

While hospitals in the Medicare Hospital Value-Based Purchasing program receive patient experience points based on achievement, improvement and consistency, additional emphasis on improvement points could benefit hospitals serving minority patients, according to a study reported this week in Health... read more

Topic: Quality and Patient Safety
Tags: quality, value-based purchasing, Medicare, equity, VBP

CMS proposes bundled payment models for cardiac and hip fracture care

AHA News

The Centers for Medicare & Medicaid Services (CMS) yesterday proposed a new payment model that would bundle payment to acute care hospitals for heart attack and cardiac bypass surgery services. The proposed rule also would expand the existing Comprehensive Care for Joint (CJR) Replacement model to include... read more

Topics: Quality and Patient Safety, Advocacy and Public Policy
Tags: Medicare, bundled payment

CMS postpones data collection for three IPF quality reporting measures

AHA News Now

The Centers for Medicare & Medicaid Services today postponed to Jan. 1 the deadline for inpatient psychiatric facilities to begin collecting data on three quality measures adopted in the fiscal year 2016 IPF prospective payment system rule. The original deadline was July 1. The measures, which will apply... read more

Topic: Quality and Patient Safety
Tags: quality, Medicare

Study: CAH surgical outcomes at least as good as other hospitals

AHA News Now

Medicare patients admitted to critical access hospitals for common surgical procedures are no more likely to die within 30 days than similar patients at other hospitals and have lower complication rates and expenditures, according to a study published today in the Journal of the American Medical... read more

Topic: Quality and Patient Safety
Tags: quality, Medicare, Critical Access Hospitals

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