Major OCM deadline approaching

In response to the COVID-19 pandemic, CMS has implemented several policy amendments and changes to value-based care program methodologies. In June, CMS released new COVID-19-related payment methodology and data reporting flexibilities for Oncology Care Model participants impacting performance periods 7-9, along with establishing two new voluntary performance periods in 2021. The deadline for electing to […]

ICYMI: Notes from the field for June 2019

June saw several big conferences for our world — and also saw some interesting policy updates and decisions on key programs. Take a look below to learn more and let us know what caught your attention last month.   Social barriers to health America’s Health Insurance Plans held its annual meeting in June and announced […]

ICYMI: Notes from the field for May 2019

At DataGen, the month of May has been all about prepping for Model Year 3 of the Bundled Payments for Care Improvement Advanced program. But that doesn’t mean the rest of the healthcare industry is taking a breath. Here’s what caught our eyes in the news in May. Where was your attention focused on last […]

ICYMI: Notes from the field for April 2019

Looking back at recent news, we’re seeing a lot of interesting tidbits — like the fact that value-based care may have finally reached its tipping point. In addition, the multiple recent announcements from CMS may be cause for optimism. What caught your attention in April?   Are we at the value-based tipping point? The transition […]

ICYMI: Notes from the field for February 2019

As the year rolls on, February’s news cycle featured a lot of dispatches from HIMSS, along with a few policy updates from CMS. Here’s what caught our attention—what’s been on your mind?   Policy Played a Big Role at HIMSS19 CMS Administrator Seema Verma at #HIMSS19 discussed new transparency requirements for Medicare program participants. This […]

Mandatory Bundled Payment Models Are Back! 5 Things To Know

This guest blog is from Tamara Cull, Senior Vice President, Aveus. Aveus, a division of Medecision, sits at the intersection of strategy, customer experience, and innovation. Aveus specializes in helping complex organizations assess, implement and manage transformational business shifts.       My colleague, Kate Poglitsch at DataGen, posed a big question in her most […]

Making the Most of MSPB

You may not know about MSPB, but focusing efforts there can lead to real savings Now that bundled payment programs like the Oncology Care Model (OCM) and the Comprehensive Care for Joint Replacement (CJR) model have been in effect for some time, one factor is becoming clear: hospitals appear reluctant to participate. As of July […]

Wave of CMS Proposed and Final Rules is Here

In recent weeks, CMS has unveiled a number of final and proposed rules impacting inpatient, outpatient, and post-acute care delivery. These rules include annual updates of the Medicare fee-for-service payment rates based on regulatory changes.  In addition to the regular updates to wage indexes, marketbasket, and quality programs, the rules include the following: The Inpatient […]

Proposed Changes for PAC Settings

CMS looks to payment and program revisions—comments due to CMS In new proposed rules, the Centers for Medicare and Medicaid Services (CMS) is calling for payment and program changes for four post-acute care settings: skilled nursing facilities (SNFs), long-term care hospitals (LTCHs), inpatient rehabilitation facilities, and inpatient psychiatric facilities. In addition to the customary marketbasket […]

New IPPS Proposed Rule Released

Comments due to CMS by June 25 The Centers for Medicare and Medicaid Services (CMS) released its FFY 2019 Inpatient Prospective Payment System (IPPS) proposed payment rule. While we’re working on our in-depth analysis, a few key points and issues have already emerged in our review. The proposed rule reflects the annual updates to the Medicare […]