Participating clinicians should begin the application process now.
The Centers for Medicare and Medicaid Services (CMS) has announced that it is accepting the impact of COVID-19 as a condition for applying for an Extreme and Uncontrollable Circumstances exemption in the Merit-based Incentive Payment System (MIPS).
For the 2020 performance year (PY), Medicare will be using its Extreme and Uncontrollable Circumstances policy to allow clinicians, groups, and virtual groups to submit an application requesting reweighting of one or more MIPS performance categories due to the current COVID-19 public health emergency. To provide additional support to clinicians, the agency is extending the extreme and uncontrollable circumstances application deadline for PY 2020 to Monday, February 1, 2021 at 8 p.m. ET.
Final rule applies new standards to organ procurement in the U.S.
The U.S. Department of Health and Human Services (HHS) today took action to increase donation rates and organ transplantation rates by applying new standards of accountability and transparency to the nation’s Organ Procurement Organizations (OPOs). HHS finalized the Organ Procurement Organizations Conditions for Coverage: Revisions to the Outcome Measure Requirements for Organ Procurement Organization rule that was proposed earlier this year by the Centers for Medicare and Medicaid Services (CMS).
Today, the Centers for Medicare and Medicaid Services (CMS) released finalized 2017 performance data for the Quality Payment Program (QPP) that will be used to determine clinician reimbursement adjustments for calendar year 2019 – the first year for adjusted payments under the new program. CMS announced the preliminary data earlier this year, and now it is claiming “significant success and participation in both the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) tracks” with the release of the finalized data.
In a joint letter to the Centers for Medicare and Medicaid Services Administrator (CMS) Seema Verma, ASN, the National Kidney Foundation (NKF), and the Renal Physicians Association (RPA) laud the Trump administration for its “ambitious agenda for kidney health” and identify five principles the organizations state will lead to “better patient outcomes that should be supported in the proposed ETC Model.”
The American Society of Nephrology (ASN) Department of Policy and Government Affairs team has received numerous questions from interested members on the proposed payment models arising from the Executive Order on Advancing American Kidney Health, the ESRD Treatment Choices (ETC) model and the and Kidney Care Choices (KCC) model. This Kidney News Online series aims to share these questions and answers with the broader ASN membership. Please also see parts 1 and 2 of this series for more background information.
After two months of ASN advocacy, led by the ASN Quality Committee, the Centers for Medicare and Medicaid Services (CMS) today, January 2, 2020, announced adjustments to the proposed Kidney Care Choices (KCC) Model’s basic design. The changes were originally called for by the ASN Quality Committee – just after the model’s unveiling – and were intended to correct a design flaw that made it impossible for many nephrology practices in multi-specialty practices to participate.
Status Tool for 2017 Qualifying APM Participant and MIPS APMs DataNow Available
If you participate in the Merit-based Incentive Payment System (MIPS), you should have reviewed your 2017 performance feedback by now. The 2017 MIPS performance feedback, reflecting activities in performance year one of the QPP (2017), indicates if you will receive a negative, neutral, or positive payment adjustment in 2019. If you believe an error has been made in your 2019 MIPS payment adjustment calculation, you can request a targeted review until October 1, 2018. The following are examples of circumstances in which you may request a targeted review:
The Centers for Medicare and Medicaid Services (CMS) released the proposed rule for the 2021 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Quality Incentive Program (QIP) on July 6. The proposed rule contains some of the nuts and bolts that run the Medicare ESRD program on the facility side. It contains numerous guardrails to protect kidney failure patients and provide them access to the best modalities.
You can learn more about the KCC Model of the AAKH initiative by joining a series of webinars being hosted by the Center for Medicare and Medicaid Innovation (CMMI). CMMI will be hosting a series of webinars to introduce the details of the CMS Kidney Care First (KCF) and Comprehensive Kidney Care Contracting (CKCC) Model Options and review the application process, which closes on January 22, 2020. The webinars are:
After a long period of consultation with ASN and others in the kidney community, Department of Health and Human Services (HHS) Secretary Alex M. Azar, II, yesterday unveiled the four voluntary kidney care payment options of the Kidney Care Choices (KCC) Model that are a part of the Advancing American Kidney Health (AAKH) initiative. ASN President Mark E. Rosenberg, MD, FASN, calls the AAKH initiative “a true game changer.”