Repeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts;

Size: px
Start display at page:

Download "Repeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts;"

Transcription

1 Background Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015 SGR Reform Law Enacts Payment Reforms to Improve Quality, Outcomes, and Cost On April 16, 2015, the President signed into law H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015, a bipartisan agreement to reform Medicare s physician payment program (P.L ). The package updates payments to providers who are reimbursed under the Medicare fee schedule, while improving and providing new incentives to deliver quality, efficient care. Briefly, the law will: Repeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts; Provide stable, annual updates for services paid under the Medicare physician fee schedule; Consolidate three Medicare incentive programs into one program that rewards performance based on value and improvement; Establish new priorities and provide funding for the development of quality measures; Encourage flexibility through alternative payment models (APM), such as medical homes and shared risk arrangements; and Extend federal funding for the Children s Health Insurance Program (CHIP) for two years. Several provisions in the law will facilitate Medicare s transition away from fee-for-service (FFS) to valuebased payments, incentivize providers to adopt APMs, and promote better health outcomes at lower cost. The major provisions of the law are outlined in this document. Medicare Payment Updates and Incentive Programs (Title I) Updates to Payments Sec. 101 The law repeals the SGR and provides stable updates to providers paid under the physician fee schedule. The updates are described (and displayed in Figure 1) below. July 1, : 0.5 percent annual update : 0 percent annual update, but payments to individual providers will be adjusted based on performance in the Merit-Based Incentive Payment System, as outlined below. o : Providers participating in qualified APMs will receive a 5 percent annual bonus and beyond: There are two annual update factors, one for providers participating in qualified APMs (0.75 percent) and one for providers in non-qualifying APMs (0.25 percent). Page 1 of 6

2 Figure 1: H.R. 2 Medicare Payment Updates by Year 10% 9% 8% 7% 6% 5% 4% 3% 2% 1% 0% FFS APM (Bonus) APM MIPS (Variable) Merit-Based Incentive Payment System (MIPS) Sec. 101 Starting in 2019, the law rewards certain providers (MDs, DOs, dentists, podiatrists, optometrists, chiropractors, PAs, NPs, Clinical Nurse Specialists, and CRNAs) based on performance on several quality measures. Other providers may be added beginning in This program, the Merit-Based Incentive Payment System (MIPS), consolidates three existing Medicare incentive payment programs (Physician Quality Reporting System, Meaningful Use, and Value-Based Payment Modifier) into one comprehensive program. Current rewards and penalties associated with these programs are repealed and new performance-based incentives will begin starting in Providers will be assigned a composite score, and, based on the score, will receive negative, positive, or zero updates. Performance is based on: 1. Quality (30 percent). In this category, the Secretary will be required to align quality measures across programs. Measures will be updated annually. Use of outcomes measures and qualified clinical data registries will be encouraged, and the Department of Health and Human Services (HHS) must encourage providers to report on MIPS measures via Electronic Health Records (EHRs). 2. Resource Use (30 percent). This category is based on measures of quality and efficiency with risk adjustments made for clinical severity. 3. Meaningful Use (25 percent). To avoid reporting duplication, this category requires professionals who report quality measures via EHRs for the MIPS quality category will be deemed to meet the Meaningful Use (MU) clinical quality components. All other MU measures (erx, medication reconciliation, summary of care exchange, etc.) will continue to apply and likely evolve. 4. Clinical Practice Improvement Activities (15 percent). This category includes participation in qualified clinical registries, timely communication of test results, timely exchange of clinical information to patients, and beneficiary engagement to support shared decision-making. Participation in a medical home earns the highest potential score. Participation in other APM models will earn at least half the maximum automatically. Page 2 of 6

3 Under the MIPS program, the Secretary will be required to publish quality measures annually, through notice and comment rulemaking, that are either endorsed by a consensus-based entity (e.g., the National Quality Forum) or that are evidence-based. Medical specialty societies and other relevant stakeholders will be requested to identify and submit quality measures for consideration. In addition, the Secretary is required to submit the methods for developing and selecting the measures including clinical and other data supporting such measures for publication in applicable specialty-appropriate, peer-reviewed journals. This process is meant to allow for greater diversity in the measure development process than in recent years, where the Centers for Medicare and Medicaid Services (CMS) has relied on National Quality Forum (NQF) recommendations. Initial payment incentives based on performance will be between +/-4 percent in 2019, +/-5 percent in 2020, +/-7 percent in 2021, and +/-9 percent in 2022 and subsequent years (see Figure 2). The average for one year becomes the new performance bar for the subsequent year. Exceptional performers will receive additional incentives totaling $500 million annually through Information on a provider s performance in each category will be made publicly available on the CMS Physician Compare web site. Figure 2: Range of MIPS Payment Adjustments by Year 10% 8% 6% 4% 2% 0% -2% -4% -6% -8% -10% 9% 9% 9% 9% 7% 4% 5% -4% -5% -7% -9% -9% -9% -9% Positive Negative Alternative Payment Models (APM) Sec. 101 Providers who receive a substantial share of Medicare revenue through APMs will receive bonus payments of 5 percent annually from 2019 to 2024, and will be excluded from the MIPS requirements. To qualify as an APM participant, providers must receive a certain threshold of Medicare revenues through APMs, defined per the timeline as follows: : 25 percent of Medicare revenue; : 50 percent of Medicare revenue or 50 percent of all-payer revenue along with 25 percent of Medicare revenue; and 2023 and beyond: 75 percent of Medicare revenue or 75 percent of all-payer revenue along with 25 percent of Medicare revenue. Page 3 of 6

4 The law defines APMs to include models under the Center for Medicaid and Medicare Innovation, Medicare Shared Savings Program accountable care organizations, Medicare Health Care Quality demonstration programs, or other risk-sharing arrangements or demonstrations as required by federal law. Qualifying APMs must include quality measures, involve two-sided financial risk, and use certified EHR technology. However, patient-centered medical homes will be exempt from the requirement for downside financial risk if they demonstrate effectiveness in lowering costs and improving quality in the Medicare population. HHS will be tasked with ensuring a diverse array of APM options for providers, particularly those who may not fit well into existing APMs. The Department will evaluate APMs for their viability for relevant specialty providers, providers in small and/or rural practices, and providers that align with private and state-based payer initiatives. To support this process, the law establishes a Technical Advisory Committee (Committee) to provide comments and recommendations to the Secretary on proposed physician-focused payment models. HHS will establish criteria for physician-focused payment models through notice and comment rulemaking by November 1, 2016, and individuals and stakeholders will be permitted to submit proposals for such models to the Committee. The Committee will review the proposed models based on the established criteria and submit recommendations to the Secretary for qualifying APMs. The Secretary will be required to review and post a detailed response to the Committee s recommendations online through the CMS website. Priorities and Funding for Quality Measure Development Sec. 102 The law establishes new priorities and includes $15 million in annual funding to CMS from FY ($75 million total) for quality measure development. By January 1, 2016, HHS will be required to develop and post online through the CMS website a draft plan for the development of quality measures. The plan must address measures in several quality domains, including clinical care, safety, care coordination, patient and caregiver experience, and population health and prevention. Furthermore, in developing the draft plan, the Secretary is required to prioritize the following types of measures: Outcome measures, including patient-reported outcome and functional status measures; Patient experience measures; Care coordination measures; and Measures of appropriate use of services, including measures of overuse. HHS will finalize the operational plan for the development of quality measures for use by May 1, Starting on May 1, 2017, the Secretary will be required to publish annual reports, including stakeholder input, on the progress made in developing and implementing quality measures. Access to Information on Physicians Services Sec. 104 Starting with 2015, the Secretary is required to annually publish, in an easily understandable online format, information on physician services and costs for Medicare beneficiaries. At a minimum, this information must include: The number of services furnished by the physician or other eligible provider, which may include information on the most frequent services or grouping of services; Submitted charges and payments for services; and Page 4 of 6

5 A unique identifier for the physician or other eligible provider that is available to the public. The information published must be searchable by at least the specialty or type of physician, the characteristics of services furnished, and the location of the physician or other eligible provider. Beginning in 2016, HHS is required to integrate this information with the CMS Physician Compare website. Expanding Use of Medicare Data Sec. 105 Starting July 1, 2016, non-governmental access to Medicare claims data (Parts A, B, and D) will be broadened to allow Qualified Entities (QE) to conduct additional analyses and provide or sell the data or aggregated reports to providers, suppliers, employers, insurers, medical specialty societies, and hospital associations. Prior law, enacted in 2010, gave QEs access to Medicare claims data and required that all analyses be published. HHS may expand available data to include Medicaid and CHIP data. The law also permits QEs to provide analyses, and, in some cases, data for a range of non-public uses, such as assisting providers in developing and participating in quality and patient care improvement activities including MIPS and APMs, population health management, disease monitoring and insurance network development and selection. Interoperability of Electronic Health Records Sec. 106 The law establishes a national objective to achieve widespread exchange of health information through interoperable certified EHR technology nationwide by December 31, The legislation defines interoperability as the ability of two or more health information systems or components to exchange clinical and other information, and to utilize that information using common standards to provide access to longitudinal information for health care providers to facilitate coordinated care and improved patient outcomes. No later than July 1, 2016, the law establishes metrics to determine whether the widespread interoperability objective has been met. If the goal of nationwide interoperability is not achieved by the end of 2018, HHS must issue a report by the end of 2019 that identifies the barriers to the objective and issues recommendations to address those barriers, which may include adjustments to provider payments or criteria for decertification of EHR products. The law also requires physicians and other eligible providers and eligible hospitals in the Medicare Meaningful Use program to attest that they are not blocking information. Medicare and Other Health Extenders (Title II) The law extends several Medicare provisions, including some that increase payments for certain hospitals, physicians, and ambulance providers, that were originally set to expire on April 1, 2015, for an additional two years through either FY 2017 or calendar year 2017, depending on the provision s original funding timetable. In addition, the law extends a number of programs administered by CMS, the Administration for Children and Families, the Health Resources and Services Administration (HRSA), and other agencies of HHS, for two additional years through FY A full list of the Medicare and other health extenders is available here. Children s Health Insurance Program (Title III) The law provides $39.7 billion to extend federal funding for CHIP through FY Although the CHIP program is authorized through FY 2019, funding was originally set to expire after September 30, The extension of federal funding preserves CHIP coverage for more than 8 million children and pregnant women in families with income above Medicaid eligibility levels. The law also extends CHIP s Express Lane Page 5 of 6

6 Eligibility and Outreach and Enrollment programs, to help states find uninsured children that are eligible for CHIP and enroll them in coverage efficiently. Fiscal Offsets (Title IV) Limitation on Medigap Sec. 401 Beginning on or after January 1, 2020, Medigap policies that provide coverage of the part B deductible (currently $147 per year) may not be sold or issued to newly eligible Medicare beneficiaries. The Congressional Budget Office (CBO) estimates that this change would save $400 million over the Fiscal Year (FY) window. Income-Related Premium Adjustment for Parts B and D Sec. 402 Starting in 2018, the premiums that certain beneficiaries with relatively high income pay to participate in Part B and Part D will increase. The percentage that beneficiaries pay will increase from 50 percent to 65 percent for those with modified adjusted gross income (MAGI) between $133,501 and $160,000, and to 80 percent for those with $160,001 and above. In addition, beginning in 2020, the income thresholds will be indexed to inflation. CBO estimates that these changes would save $34.3 billion over the FY window. Reduction in Payment Updates for Post-Acute Providers Sec. 411 In 2018, Medicare will reduce its payment update for certain providers of post-acute-care and long-termcare services to 1 percent. CBO estimates that this change would save $15.4 billion over the FY window. Delay of Reduction to Medicaid Disproportionate Share Hospital (DSH) Payments Sec. 412 Currently, reductions in state DSH allotments are scheduled to begin in FY 2017 and continue through FY This policy delays the start of the Medicaid DSH reductions until FY 2018 and adds another year of cuts in FY In addition, the law increases net allotments in the first few years of the budget window and decreases net allotments in later years. CBO estimates that these changes would save $4.1 billion over the FY window. Adjustment to Inpatient Hospital Payment Rates Sec. 414 The scheduled 3.2 percent increase in payment rates for hospital inpatient services for FY 2018 will be replaced with an increase of 0.5 percent each year from FY 2018 through CBO estimates the provision will save $15.1 billion over the FY window. Miscellaneous (Title V) The law includes a number of other miscellaneous provisions, including an exclusion from the statutory Pay-As-You-Go (PAYGO) scorecard. Cost Over the FY window, CBO estimates that H.R. 2 would increase direct spending by $144.7 billion and revenues by $3.7 billion, resulting in an approximately $141 billion increase in federal budget deficits. Page 6 of 6

SUMMARY OF HEALTH IT AND HEALTH DATA PROVISIONS OF H.R. 2, THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA)

SUMMARY OF HEALTH IT AND HEALTH DATA PROVISIONS OF H.R. 2, THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) SUMMARY OF HEALTH IT AND HEALTH DATA PROVISIONS OF H.R. 2, THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) H.R. 2, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015 was introduced

More information

Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation

Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Proposal 113 th Congress - - H.R.4015/S.2000 114 th Congress - - H.R.1470 SGR Repeal and Annual Updates General

More information

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions ACOG Government Affairs May 2015 The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions This landmark bipartisan legislation, signed into law

More information

Crosswalk of the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) April 21, 2015

Crosswalk of the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) April 21, 2015 Crosswalk of the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) April 21, 2015 ACP has developed a cross-walk analysis of legislation in the 114 th Congress to permanently repeal Medicare

More information

Overview of Physician Payment System Reforms in the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2)

Overview of Physician Payment System Reforms in the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) Overview of Physician Payment System Reforms in the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) June 18, 2015 Prepared for The Health Collaborative akingump.com 2015 Akin Gump Strauss

More information

Section by Section Summary of The SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013

Section by Section Summary of The SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Section by Section Summary of The SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Title I Medicare Payment for Physicians Services Section 101. Short Title; Table of Contents. Section

More information

Medicare Access and CHIP Reauthorization Act of 2015 H.R. 2

Medicare Access and CHIP Reauthorization Act of 2015 H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015 H.R. 2 The American Medical Association and over 750 national and state-based physician and specialty organizations have gone on record in support of

More information

U.S. HOUSE OF REPRESENTATIVES COMMITTEE ON ENERGY AND COMMERCE

U.S. HOUSE OF REPRESENTATIVES COMMITTEE ON ENERGY AND COMMERCE U.S. HOUSE OF REPRESENTATIVES COMMITTEE ON ENERGY AND COMMERCE April 15, 2016 TO: FROM: Members, Subcommittee on Health Committee Majority Staff RE: Hearing entitled Medicare Access and CHIP Reauthorization

More information

CMS Listening Session: EHR Incentive Programs in 2018 & Beyond

CMS Listening Session: EHR Incentive Programs in 2018 & Beyond CMS Listening Session: EHR Incentive Programs in 2018 & Beyond Kate Goodrich, MD, MHS, Director, Center for Clinical Standards and Quality Robert Anthony, Deputy Director, Quality Measurement & Value-Based

More information

CMS is requesting information to aid in the planning and implementation of the MIPS in the following areas:

CMS is requesting information to aid in the planning and implementation of the MIPS in the following areas: Summary of Medicare s Request for Information on the Provisions in MACRA which Allow for Implementation of Alternative Payment Models and a Merit-Based Incentive Payment System On September 28, 2015, the

More information

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), H.R. 2, Pub. Law 114-10

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), H.R. 2, Pub. Law 114-10 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), H.R. 2, Pub. Law 114-10 AMA section-by-section summary H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 or MACRA, was passed

More information

5/19/2016 MIPS AND MACRA: MAKING SENSE OF THE NEW REGULATIONS AND PAYMENT SYSTEMS. No Disclosures AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS

5/19/2016 MIPS AND MACRA: MAKING SENSE OF THE NEW REGULATIONS AND PAYMENT SYSTEMS. No Disclosures AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS MIPS AND MACRA: MAKING SENSE OF THE NEW REGULATIONS AND PAYMENT SYSTEMS 1 No Disclosures 2 1 To Better Understand the Future.. We must remember the past regarding physician payment. 3 THE SGR SGR=Sustainable

More information

H.R. 2 MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) Section by Section

H.R. 2 MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) Section by Section H.R. 2 MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) Section by Section TITLE I SGR REPEAL AND MEDICARE PROVIDER PAYMENT MODERNIZATION The legislation repeals the flawed Sustainable Growth Rate

More information

SGR Repeal and Medicare Provider Payment Modernization Act of 2015: Timeline of Implementation

SGR Repeal and Medicare Provider Payment Modernization Act of 2015: Timeline of Implementation SGR Repeal and Medicare Provider Payment Modernization Act of 2015: Timeline of Implementation 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026+ Base Update Jan Jun: 0 July- Dec: 0.5 0.5% 0.5%

More information

MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) ADVANCING CARE INFORMATION PERFORMANCE CATEGORY

MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) ADVANCING CARE INFORMATION PERFORMANCE CATEGORY MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) ADVANCING CARE INFORMATION PERFORMANCE CATEGORY SUMMARY OF PROVISIONS Brief Synopsis MACRA sunsets the Electronic

More information

SGR Repeal: What Are the Implications to Academic Medicine? Len Marquez Mary Wheatley April 17, 2015

SGR Repeal: What Are the Implications to Academic Medicine? Len Marquez Mary Wheatley April 17, 2015 SGR Repeal: What Are the Implications to Academic Medicine? Len Marquez Mary Wheatley April 17, 2015 Agenda SGR Eulogy High Level Issues in HR2 Important to Academic Medicine Overview of the SGR Replacement

More information

Overview of the EHR Incentive Programs and Merit-Based Incentive Payment System

Overview of the EHR Incentive Programs and Merit-Based Incentive Payment System Overview of the EHR Incentive Programs and Merit-Based Incentive Payment System Patrick M. Hamilton, MPA Health Insurance Specialist/Rural Health Coordinator Centers for Medicare & Medicaid Services Philadelphia

More information

The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Medicare Access and CHIP Reauthorization Act (MACRA) Repeals the Sustainable Growth Rate Moves to a payment system based on

More information

Medicare Program; Request for Information Regarding Implementation of the Merit

Medicare Program; Request for Information Regarding Implementation of the Merit This document is scheduled to be published in the Federal Register on 10/20/2015 and available online at http://federalregister.gov/a/2015-26568, and on FDsys.gov DEPARTMENT OF HEALTH AND HUMAN SERVICES

More information

MACRA Overview and RFI

MACRA Overview and RFI MACRA Overview and RFI HIT Joint Committee October 6, 2015 Kate Goodrich, MD MHS Director, Quality Measurement and Valuebased Incentives Group CMS Medicare Access and CHIP Reauthorization Act (MACRA) The

More information

Summary of Federal SCHIP Reauthorization, Economic Stimulus, and Health Care Reform Bills and Proposals

Summary of Federal SCHIP Reauthorization, Economic Stimulus, and Health Care Reform Bills and Proposals Summary of Federal SCHIP Reauthorization, Economic Stimulus, and Health Care Reform Bills and Proposals I. Children s Health Insurance Program (CHIP) Reauthorization Act of 2009 A. Funding for CHIP. The

More information

Transforming Healthcare through Data-Driven Solutions. Pay for Performance Solutions

Transforming Healthcare through Data-Driven Solutions. Pay for Performance Solutions Transforming Healthcare through Data-Driven Solutions Pay for Performance Solutions Medicare Access and CHIP Reauthorization Act of 2015 MACRA Enacted April 15, 2015 10/14/2015 Copyright Mingle Analytics

More information

The Sustainable Growth Rate (SGR) and Medicare Physician Payments: Frequently Asked Questions

The Sustainable Growth Rate (SGR) and Medicare Physician Payments: Frequently Asked Questions The Sustainable Growth Rate (SGR) and Medicare Physician Payments: Frequently Asked Questions Jim Hahn Specialist in Health Care Financing March 21, 2014 Congressional Research Service 7-5700 www.crs.gov

More information

Health Insurance Reform at a Glance Implementation Timeline

Health Insurance Reform at a Glance Implementation Timeline Health Insurance Reform at a Glance Implementation Timeline 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access

More information

STATEMENT OF ACHIEVING THE PROMISE OF HEALTH INFORMATION TECHNOLOGY BEFORE THE UNITED STATES SENATE COMMITTEE ON HEALTH, EDUCATION, LABOR & PENSIONS

STATEMENT OF ACHIEVING THE PROMISE OF HEALTH INFORMATION TECHNOLOGY BEFORE THE UNITED STATES SENATE COMMITTEE ON HEALTH, EDUCATION, LABOR & PENSIONS STATEMENT OF PATRICK CONWAY, MD, MSc ACTING PRINCIPAL DEPUTY ADMINISTRATOR, DEPUTY ADMINISTRATOR FOR INNOVATION AND QUALITY, AND CHIEF MEDICAL OFFICER, CENTERS FOR MEDICARE & MEDICAID SERVICES ON ACHIEVING

More information

Meaningful Use: The Next Chapter January 13, 2016

Meaningful Use: The Next Chapter January 13, 2016 Meaningful Use: The Next Chapter January 13, 2016 In collaboration with: Today s presenter: Al Wroblewski, Client Services Relationship Manager Agenda Expanded Role of Health IT Drives Change Payment Reform

More information

Medicare Access and CHIP Reauthorization Act of 2015 Merit-Based Incentive Payment System and Alternative Payment Model Provisions

Medicare Access and CHIP Reauthorization Act of 2015 Merit-Based Incentive Payment System and Alternative Payment Model Provisions Medicare Access and CHIP Reauthorization Act of 2015 Merit-Based Incentive Payment System and Alternative Payment Model Provisions Department of Health & Human Services Centers for Medicare & Medicaid

More information

HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs

HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs March 26, 2015 Agenda Meaningful Use Stage 3 NPRM 2015

More information

Strengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011.

Strengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011. Implementation Timeline Reflecting the Affordable Care Act 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access

More information

Public Law 114 10 114th Congress An Act

Public Law 114 10 114th Congress An Act 129 STAT. 87 Public Law 114 10 114th Congress An Act To amend title XVIII of the Social Security Act to repeal the Medicare sustainable growth rate and strengthen Medicare access by improving physician

More information

MIPS. ACR Issues Analysis of Proposed MACRA MIPS Rule

MIPS. ACR Issues Analysis of Proposed MACRA MIPS Rule ACR Issues Analysis of Proposed MACRA MIPS Rule The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule (CMS-5517-P) on April 27, 2016, to establish many of the provisions of Medicare

More information

MACRA & APMs: More than Acronyms June 2, 2016

MACRA & APMs: More than Acronyms June 2, 2016 MACRA & APMs: More than Acronyms June 2, 2016 Agenda 1. Framework 2. CMS Quality Initiatives 3. MACRA - MIPS or APM? 4. Alternative Payment Models 5. Case Study 2 Alternative Payment Models Transitioning

More information

The Road to Meaningful Use EHR Stimulus Payments. By Amy S. Leopard, Walter & Haverfield LLP

The Road to Meaningful Use EHR Stimulus Payments. By Amy S. Leopard, Walter & Haverfield LLP The Road to Meaningful Use EHR Stimulus Payments By Amy S. Leopard, Walter & Haverfield LLP On July 28, 2010, the Centers for Medicare and Medicaid Services (CMS) published a final rule regarding what

More information

CMS QCDR (Qualified Clinical Data Registry) and Other Ways PPRNet Can Help with Value-Based Payment

CMS QCDR (Qualified Clinical Data Registry) and Other Ways PPRNet Can Help with Value-Based Payment CMS QCDR (Qualified Clinical Data Registry) and Other Ways PPRNet Can Help with Value-Based Payment Cara Litvin MD, MS Assistant Professor MUSC Department of Medicine Agenda Provide an update of the current

More information

Details for: CMS PROPOSES DEFINITION OF MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY. Wednesday, December 30, 2009

Details for: CMS PROPOSES DEFINITION OF MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY. Wednesday, December 30, 2009 Details for: CMS PROPOSES DEFINITION OF MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY Return to List For Immediate Release: Contact: Wednesday, December 30, 2009 CMS Office of

More information

The Changing Health Care Delivery and Payment Landscape from a Policy Perspective

The Changing Health Care Delivery and Payment Landscape from a Policy Perspective The Changing Health Care Delivery and Payment Landscape from a Policy Perspective Presented by: Camille S. Bonta, MHS Summit Health Care Consulting April 19, 2016 Health Care Spending is Rising National

More information

Participating Accountable Care Organizations (ACOs) that meet quality performance standards will be eligible to receive payments for shared savings.

Participating Accountable Care Organizations (ACOs) that meet quality performance standards will be eligible to receive payments for shared savings. Background Sec. 3022 of the Patient Protection and Affordable Care Act (PPACA) requires the Secretary to establish the Medicare Shared Savings Program by Jan. 1, 2012 Program goals: Promote accountability

More information

Health Care Reform Update January 2012 MG76120 0212 LILLY USA, LLC. ALL RIGHTS RESERVED

Health Care Reform Update January 2012 MG76120 0212 LILLY USA, LLC. ALL RIGHTS RESERVED Health Care Reform Update January 2012 Disclaimer This presentation is for educational purposes only. It is not a complete analysis of the material contained herein. Before taking any action on the issues

More information

How Health Reform Will Affect Health Care Quality and the Delivery of Services

How Health Reform Will Affect Health Care Quality and the Delivery of Services Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care

More information

Summary of Major Provisions in Final House Reform Package

Summary of Major Provisions in Final House Reform Package SPECIAL BULLETIN Monday, March 22, 2010 This summary is five pages. Summary of Major Provisions in Final House Reform Package The U.S. House of Representatives late yesterday voted to pass landmark health

More information

The Patient Protection and Affordable Care Act. Implementation Timeline

The Patient Protection and Affordable Care Act. Implementation Timeline The Patient Protection and Affordable Care Act Implementation Timeline 2009 Credit to Encourage Investment in New Therapies: A two year temporary credit subject to an overall cap of $1 billion to encourage

More information

Federal Health Care Reform: Implications for Hospital and Physician partnerships. Walter Kopp Medical Management Services

Federal Health Care Reform: Implications for Hospital and Physician partnerships. Walter Kopp Medical Management Services Federal Health Care Reform: Implications for Hospital and Physician partnerships Walter Kopp Medical Management Services Outline Overview of federal health reform legislation Implications for Care delivery

More information

Center for Medicare and Medicaid Innovation

Center for Medicare and Medicaid Innovation Center for Medicare and Medicaid Innovation Summary: Establishes within the Centers for Medicare and Medicaid Services (CMS) a Center for Medicare & Medicaid Innovation (CMI). The purpose of the Center

More information

Medicare Provisions in the Patient Protection and Affordable Care Act (PPACA)

Medicare Provisions in the Patient Protection and Affordable Care Act (PPACA) Medicare Provisions in the Patient Protection and Affordable Care Act (PPACA) Patricia A. Davis, Coordinator Specialist in Health Care Financing Jim Hahn Analyst in Health Care Financing Paulette C. Morgan

More information

Senate Finance Committee Health Care Reform Bill

Senate Finance Committee Health Care Reform Bill Senate Finance Committee Health Care Reform Bill Below is a review of those measures contained in the Senate Finance Committee s draft on health care reform that correspond to issues contained in the NLN

More information

Washington Update. Rebecca Hyder Director, Congressional Affairs American Academy of Ophthalmology

Washington Update. Rebecca Hyder Director, Congressional Affairs American Academy of Ophthalmology Washington Update Rebecca Hyder Director, Congressional Affairs American Academy of Ophthalmology 214 Legislative Agenda Medicare Physician Payment Reform Compounding Vision Research Funding Physician

More information

Patient Protection and Affordable Care Act [PL 111-148] with Amendments from 2010 Reconciliation Act [PL 111-152] Direct-Care Workforce

Patient Protection and Affordable Care Act [PL 111-148] with Amendments from 2010 Reconciliation Act [PL 111-152] Direct-Care Workforce DIRECT-CARE WORKFORCE AND LONG-TERM CARE PROVISIONS AS ENACTED IN PATIENT PROTECTION AND AFFORDABLE CARE ACT AND HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010 Key Provisions Direct-Care Workforce

More information

MIPS Performance Scoring: Understanding How CMS Proposes to Calculate Performance Is Key to Preparing for MIPS Participation

MIPS Performance Scoring: Understanding How CMS Proposes to Calculate Performance Is Key to Preparing for MIPS Participation MIPS Performance Scoring: Understanding How CMS Proposes to Calculate Performance Is Key to Preparing for MIPS Participation By Robert F. Atlas, Lesley R. Yeung, and M. Brian Hall IV June 2016 On May 9,

More information

Frequently Asked Questions: Electronic Health Records (EHR) Incentive Payment Program

Frequently Asked Questions: Electronic Health Records (EHR) Incentive Payment Program 1. Where did the Electronic Health Records (EHR) Incentive Program originate? The American Recovery and Reinvestment Act (ARRA) was signed into law on February 17, 2009, and established a framework of

More information

Accountable Care Organizations: What Providers Need to Know

Accountable Care Organizations: What Providers Need to Know DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Accountable Care Organizations: FACT SHEET Overview http://www.cms.gov/sharedsavingsprogram On October 20, 2011, the Centers

More information

Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and payment changes (CMS-1632-P)

Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and payment changes (CMS-1632-P) Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and payment changes (CMS-1632-P) Date 2015-04-17 Title Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and

More information

TABLE 1: STAGE OF MEANINGFUL USE CRITERIA BY FIRST PAYMENT YEAR

TABLE 1: STAGE OF MEANINGFUL USE CRITERIA BY FIRST PAYMENT YEAR OVERVIEW The Centers for Medicare and Services (CMS) on March 20 released its proposed rule for Stage 3 of the Electronic Health Record (EHR) Incentive Program, also called Meaningful Use (MU) Stage 3

More information

WHAT IS MEANINGFUL USE AND HOW WILL IT AFFECT MY PRACTICE? CMS EHR Incentive Programs

WHAT IS MEANINGFUL USE AND HOW WILL IT AFFECT MY PRACTICE? CMS EHR Incentive Programs OVERVIEW WHAT IS MEANINGFUL USE AND HOW WILL IT AFFECT MY PRACTICE? CMS EHR Incentive Programs In 2009, the Health Information Technology for Economic and Clinical Health Act (HITECH) provision of the

More information

The Middle Class Tax Relief and Job Creation Act of 2012

The Middle Class Tax Relief and Job Creation Act of 2012 The Middle Class Tax Relief and Job Creation Act of 2012 The conference report extends the payroll tax cut through the end of the year putting a full $1,000 in the pockets of the typical American family

More information

CMS s framework for Value Modifier

CMS s framework for Value Modifier CMS s framework for Value Modifier Relationship between quality of care, cost composites and the Value Modifier Clinical Care Patient Experience Population/ Community Health Patient Safety Care Coordination

More information

Medicare Electronic Health Record Incentive Payments for Eligible Professionals

Medicare Electronic Health Record Incentive Payments for Eligible Professionals Connecting America for Better Health Medicare Electronic Health Record Incentive Payments for Eligible Professionals The American Recovery and Reinvestment Act (Recovery Act) of 2009 provides for incentive

More information

Summary of the Major Provisions in the Patient Protection and Affordable Health Care Act

Summary of the Major Provisions in the Patient Protection and Affordable Health Care Act Summary of the Major Provisions in the Patient Protection and Affordable Care Act Updated 10/22/10 On March 23, 2010, President Barack Obama signed into law comprehensive health care reform legislation,

More information

Medicare: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590

Medicare: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590 Medicare: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590 Patricia A. Davis, Coordinator Paulette C. Morgan Holly Stockdale Analyst in Health Care Financing Sibyl Tilson Jim Hahn

More information

The Rise of the Machine: The Role of Data & Analytics in New Healthcare Delivery Models

The Rise of the Machine: The Role of Data & Analytics in New Healthcare Delivery Models American Bar Association Washington Health Law Summit December 7, 2015 Washington, DC The Rise of the Machine: The Role of Data & Analytics in New Healthcare Delivery Models NEW HEALTHCARE DELIVERY MODELS

More information

Navigating CMS Incentive Programs for Eligible Professionals Why It Matters and What You Need to Know. Dr. Paul Mulhausen, CMO

Navigating CMS Incentive Programs for Eligible Professionals Why It Matters and What You Need to Know. Dr. Paul Mulhausen, CMO Navigating CMS Incentive Programs for Eligible Professionals Why It Matters and What You Need to Know Dr. Paul Mulhausen, CMO Objectives Better understand CMS Incentive Programs and payment adjustments

More information

Navigating Meaningful Use Stage 2

Navigating Meaningful Use Stage 2 Navigating Meaningful Use Stage 2 Follow Justin Barnes @HITAdvisor Ask Questions & Follow Today s Conversation #askhit Justin T. Barnes VP, Greenway Medical Technologies Chairman Emeritus, EHR Association

More information

Medicare & Medicaid EHR Incentive Programs

Medicare & Medicaid EHR Incentive Programs Medicare & Medicaid EHR Incentive Programs Stage 2 NPRM Overview Robert Anthony Office of E-Health Standards and Services Marsha Smith Office of Clinical Standards and Quality March 21, 2012 Proposed Rule

More information

Accountable Care Organizations (ACO) Proposed Rule Summary March 31, 2011

Accountable Care Organizations (ACO) Proposed Rule Summary March 31, 2011 Accountable Care Organizations (ACO) Proposed Rule Summary March 31, 2011 On March 31, 2011, the Centers for Medicare & Medicaid Services (CMS) released the longawaited proposed rule on Accountable Care

More information

HFMA Region 9 Webinar Are You on the Right Path to Value?

HFMA Region 9 Webinar Are You on the Right Path to Value? HFMA Region 9 Webinar Are You on the Right Path to Value? March 21, 2016 P. Todd DeWeese, MBA Vice President The Affordable Care Act s Path to Payment Reform and Corresponding Impact on the Health Care

More information

CMS Listening Session: Merit-Based Incentive Payment System (MIPS)

CMS Listening Session: Merit-Based Incentive Payment System (MIPS) CMS Listening Session: Merit-Based Incentive Payment System (MIPS) Kate Goodrich, MD, MHS, Director, Center for Clinical Standards and Quality Pierre Yong, MD, MPH, MS, Acting Director, Quality Measurement

More information

Medicare Electronic Health Record Incentive Payments for Eligible Professionals Last Updated: May 2013

Medicare Electronic Health Record Incentive Payments for Eligible Professionals Last Updated: May 2013 Medicare Electronic Health Record Incentive Payments for Eligible Professionals Last Updated: May 2013 The Medicare Electronic Health Record (EHR) Incentive Program provides for incentive payments to Medicare

More information

Healthcare Reform Update Conference Call VI

Healthcare Reform Update Conference Call VI Healthcare Reform Update Conference Call VI Sponsored by the Healthcare Reform Educational Task Force October 9, 2009 2:00-2:45 2:45 pm Eastern Healthcare Delivery System Reform Provisions in America s

More information

The Honorable David Durenberger Former U.S. Senator from Minnesota. Evan Falchuk Vice Chairman, Best Doctors, Inc.

The Honorable David Durenberger Former U.S. Senator from Minnesota. Evan Falchuk Vice Chairman, Best Doctors, Inc. November 17, 2015 Andrew Slavitt Administrator Center for Medicare and Medicaid Services (CMS) U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue,

More information

PRINCIPAL DEPUTY ADMINISTRATOR, DEPUTY ADMINISTRATOR FOR INNOVATION AND QUALITY, AND CHIEF MEDICAL OFFICER, CENTERS FOR MEDICARE & MEDICAID SERVICES

PRINCIPAL DEPUTY ADMINISTRATOR, DEPUTY ADMINISTRATOR FOR INNOVATION AND QUALITY, AND CHIEF MEDICAL OFFICER, CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF PATRICK CONWAY, MD, MSc ACTING PRINCIPAL DEPUTY ADMINISTRATOR, DEPUTY ADMINISTRATOR FOR INNOVATION AND QUALITY, AND CHIEF MEDICAL OFFICER, CENTERS FOR MEDICARE & MEDICAID SERVICES ON EXAMINING

More information

MACRA: Medicare's Shift to Value-based Delivery & Payment Models. Presented by Amy Mullins, MD, CPE, FAAFP

MACRA: Medicare's Shift to Value-based Delivery & Payment Models. Presented by Amy Mullins, MD, CPE, FAAFP MACRA: Medicare's Shift to Value-based Delivery & Payment Models Presented by Amy Mullins, MD, CPE, FAAFP Current State Over Utilization Volume over Value Fee for Service Silos of Care 2 Push Toward Value

More information

Meaningful Use Qualification Plan

Meaningful Use Qualification Plan Meaningful Use Qualification Plan Overview Certified EHR technology used in a meaningful way is one piece of a broader Health Information Technology infrastructure intended to reform the health care system

More information

Medicare Provisions in the Patient Protection and Affordable Care Act (PPACA): Summary and Timeline

Medicare Provisions in the Patient Protection and Affordable Care Act (PPACA): Summary and Timeline Medicare Provisions in the Patient Protection and Affordable Care Act (): Summary and Timeline Patricia A. Davis, Coordinator Specialist in Health Care Financing Jim Hahn Analyst in Health Care Financing

More information

A Summary of the Health-Related Provisions of the American Taxpayer Relief Act of 2012 (H.R. 8)

A Summary of the Health-Related Provisions of the American Taxpayer Relief Act of 2012 (H.R. 8) A Summary of the Health-Related Provisions of the American Taxpayer Relief Act of 2012 (H.R. 8) By Michal McDowell Introduction Both the Senate and the House passed H.R.8 (89-8 and 257-167, respectively),

More information

Meaningful Use Timeline

Meaningful Use Timeline Eligible Hospitals and CAHs (Federal Fiscal Year Base) Meaningful Use Timeline Year One: October 1, 2010 Reporting year begins for eligible hospitals and CAHs. July 3, 2011 Last day for eligible hospitals

More information

The American Tax Relief Act of 2012 Summary of Health Care Related Provisions January 2013

The American Tax Relief Act of 2012 Summary of Health Care Related Provisions January 2013 of 2012 Summary of Health Care Related Provisions On January 3, President Obama signed the American Tax Relief Act of 2012 (ATRA) to partially avert the so-called fiscal cliff, which would have resulted

More information

The now tips, the how tools, and the must timing for your MU path in 2014.

The now tips, the how tools, and the must timing for your MU path in 2014. Meaningful Use in 2014 - Window of Opportunity The now tips, the how tools, and the must timing for your MU path in 2014. Inside you will find: CLICK ON TITLES TO NAVIGATE MU 2014 updates; Must know changes!

More information

H.R. 30 Save American Workers Act of 2015

H.R. 30 Save American Workers Act of 2015 CONGRESSIONAL BUDGET OFFICE COST ESTIMATE January 7, 2015 H.R. 30 Save American Workers Act of 2015 As introduced in the House of Representatives on January 6, 2015 SUMMARY H.R. 30 would change how penalties

More information

What is the Meaning of Meaningful Use? How to Decode the Opportunities and Risks in Health Information Technology

What is the Meaning of Meaningful Use? How to Decode the Opportunities and Risks in Health Information Technology What is the Meaning of Meaningful Use? How to Decode the Opportunities and Risks in Health Information Technology Rick Rifenbark and Leeann Habte1 To achieve greater efficiencies in health care, enhanced

More information

MEDICAID ELECTRONIC HEALTH RECORD INCENTIVE PROGAM. Requirements

MEDICAID ELECTRONIC HEALTH RECORD INCENTIVE PROGAM. Requirements MEDICAID ELECTRONIC HEALTH RECORD INCENTIVE PROGAM Requirements Original: May 2, 2011 Updated: September 11, 2014 Table of Contents Introduction... 3 Resources:... 3 Background... 3 Eligibility... 4 Additional

More information

JULY 2010 FINAL RULE. Medicare & Medicaid Programs Electronic Health Record Incentive Program as it Applies to Physicians

JULY 2010 FINAL RULE. Medicare & Medicaid Programs Electronic Health Record Incentive Program as it Applies to Physicians JULY 2010 FINAL RULE Medicare & Medicaid Programs Electronic Health Record Incentive Program as it Applies to Physicians 2 JULY 2010 FINAL RULE - STAGE ONE MEANINGFUL USE Summary Points Brief History...

More information

Medicare Physician Reporting: Beyond PQRS. Mary Patton Wheatley Senior Specialist, AAMC August 17, 2011

Medicare Physician Reporting: Beyond PQRS. Mary Patton Wheatley Senior Specialist, AAMC August 17, 2011 Medicare Physician Reporting: Beyond PQRS Mary Patton Wheatley Senior Specialist, AAMC August 17, 2011 Who is the AAMC? The Association of American Medical Colleges (AAMC) serves and leads the academic

More information

Advancing Care Information: Meaningful Use 2.0 MAY 19, 2016

Advancing Care Information: Meaningful Use 2.0 MAY 19, 2016 Advancing Care Information: Meaningful Use 2.0 MAY 19, 2016 Agenda CPeH comments: MACRA Interoperability RFI Sign on today! Health IT in MACRA: MIPS - Advancing care information MIPS - Clinical practice

More information

Medicare Provisions in the Patient Protection and Affordable Care Act (PPACA): Summary and Timeline

Medicare Provisions in the Patient Protection and Affordable Care Act (PPACA): Summary and Timeline Medicare Provisions in the Patient Protection and Affordable Care Act (): Summary and Timeline Patricia A. Davis, Coordinator Specialist in Health Care Financing Jim Hahn Analyst in Health Care Financing

More information

MACRA: Looking Ahead - Implications Across the Care Continuum. May 16, 2016/ 12:00-1:00 PM EST

MACRA: Looking Ahead - Implications Across the Care Continuum. May 16, 2016/ 12:00-1:00 PM EST MACRA: Looking Ahead - Implications Across the Care Continuum May 16, 2016/ 12:00-1:00 PM EST 1 Today s Presenter Melinda Hancock Partner, DHG Healthcare Leads a team in developing DHG Healthcare s next

More information

19 June 2014. 888.879.7302 www.greenwayhealth.com

19 June 2014. 888.879.7302 www.greenwayhealth.com Meaningful Use Timeline Changes and Penalties Explained By: Adele Allison, National Director of Industry and Government Affairs Greenway Health On May 20, 2014, CMS issued a proposed rule offering flexibility

More information

Meaningful Use Stage 2 Requirements Primer

Meaningful Use Stage 2 Requirements Primer WHITE PAPER Meaningful Use Stage 2 Requirements Primer Shefali Mookencherry, MPH, MSMIS, RHIA Principal Consultant Hayes Management Consulting Hayes WHITE PAPER: Meaningful Use Stage 2 Requirements Source:

More information

DETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM

DETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM 1 DETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM Definition of ACO General Concept An ACO refers to a group of physician and other healthcare providers and suppliers

More information

Key Information. QP or Partial QP Determination

Key Information. QP or Partial QP Determination HIMSS MACRA NPRM Fact Sheet Alternative Payment Models: Qualifying Alternative Payment Model Participant & Partial Qualifying Alternative Payment Model Participant Determination Key Information During

More information

Clinical Quality Measures for Providers

Clinical Quality Measures for Providers Meaningful Use White Paper Series Paper no. 6a: Clinical Quality Measures for Providers Published September 15, 2010 Clinical Quality Measures for Providers Papers 5a and 5b in this series reviewed the

More information

Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only)

Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only) Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only) Background Enacted on February 17, 2009, the American Recovery

More information

February 10, 2014. The Honorable Nancy Pelosi Minority Leader U.S. House of Representatives H-204 U.S. Capitol Building Washington, DC 20515

February 10, 2014. The Honorable Nancy Pelosi Minority Leader U.S. House of Representatives H-204 U.S. Capitol Building Washington, DC 20515 February 10, 2014 The Honorable John A. Boehner Speaker U.S. House of Representatives H-232 U.S. Capitol Building Washington, DC 20515 The Honorable Nancy Pelosi Minority Leader U.S. House of Representatives

More information

GAO ELECTRONIC HEALTH RECORDS. First Year of CMS s Incentive Programs Shows Opportunities to Improve Processes to Verify Providers Met Requirements

GAO ELECTRONIC HEALTH RECORDS. First Year of CMS s Incentive Programs Shows Opportunities to Improve Processes to Verify Providers Met Requirements GAO United States Government Accountability Office Report to Congressional Committees April 2012 ELECTRONIC HEALTH RECORDS First Year of CMS s Incentive Programs Shows Opportunities to Improve Processes

More information

Modifications to Meaningful Use in 2015 through 2017 (Modified Stage 2) and the NC Medicaid Electronic Health Record Incentive Program

Modifications to Meaningful Use in 2015 through 2017 (Modified Stage 2) and the NC Medicaid Electronic Health Record Incentive Program Modifications to Meaningful Use in 2015 through 2017 (Modified Stage 2) and the NC Medicaid Electronic Health Record Incentive Program Presented by: Layne Roberts, Data Analyst Overview NC MEDICAID EHR

More information

Mar. 31, 2011 (202) 690-6145. Summary of proposed rule provisions for Accountable Care Organizations under the Medicare Shared Savings Program

Mar. 31, 2011 (202) 690-6145. Summary of proposed rule provisions for Accountable Care Organizations under the Medicare Shared Savings Program DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE

More information

The Affordable Care Act

The Affordable Care Act The Affordable Care Act What does it mean for internists? Joshua Becker MD 10/14/2015 VII. 2015 Reforms and Beyond Payment Penalties under Medicare s Pay-for-Reporting Program Value-Based Payment Modifier

More information

Healthcare Reform (ACA) Update Greater Magnolia Chamber of Commerce

Healthcare Reform (ACA) Update Greater Magnolia Chamber of Commerce Healthcare Reform (ACA) Update Greater Magnolia Chamber of Commerce FREDDY WARNER System Executive, Public Policy & Government Relations Memorial Hermann Health System March 27, 2014 PRESENTATION OUTLINE

More information

Medicare and Medicaid Programs; EHR Incentive Programs

Medicare and Medicaid Programs; EHR Incentive Programs Medicare and Medicaid Programs; EHR Incentive Programs Background The American Recovery and Reinvestment Act of 2009 establishes incentive payments under the Medicare and Medicaid programs for certain

More information

Overview Selected Health IT Provisions in The American Recovery and Reinvestment Act of 2009 (ARRA)

Overview Selected Health IT Provisions in The American Recovery and Reinvestment Act of 2009 (ARRA) Overview Selected Health IT Provisions in The American Recovery and Reinvestment Act of 2009 (ARRA) Susan M. Christensen Senior Public Policy Advisor Washington, DC (c) BAKER DONELSON 2009 1 This overview

More information

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009 Medicare & Medicaid EHR Incentive Program Final Rule Implementing the American Recovery & Reinvestment Act of 2009 Overview American Recovery & Reinvestment Act (Recovery Act) February 2009 Medicare &

More information