Quality Insights News 

The Centers for Medicare & Medicaid Services (CMS) will remove Social Security Numbers (SSNs) from all Medicare cards by April 2019. A new, unique Medicare Number is replacing the SSN-based Health Insurance Claim Number (HICN) on each new Medicare card.

The Centers for Medicare & Medicaid Services (CMS) released its proposed policies for Year 3 (2019) of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). The provisions included in the NPRM are reflective of the feedback it received from many stakeholders, and continue to provide additional flexibilities to reduce burden and smooth the transition, where possible, so that doctors and other clinicians can spend more time with patients.

If you submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, you can now view your performance feedback and MIPS final score.

Too often, unused prescription drugs find their way into the wrong hands. This leads to dangerous and often tragic situations. To combat this public health and safety issue, the Drug Enforcement Agency (DEA) created National Prescription Drug Take Back Day.

If you’re an eligible clinician participating in the Quality Payment Program, you now have until Tuesday, April 3, 2018 at 8 PM EDT to submit your 2017 MIPS performance data. You can submit your 2017 performance data using the new feature on the Quality Payment Program website.


March 27 is American Diabetes Association (ADA) Alert Day and Quality Insights Quality Innovation Network’s Everyone with Diabetes Counts (EDC) program is working with patients, healthcare providers and community organizations throughout Delaware, Louisiana, New Jersey, Pennsylvania and West Virginia to raise awareness, share information about how to lower risk factors for getting diabetes, and help those who have diabetes learn to best manage their condition for a healthier life.

The Journal of Health Promotion and Maintenance recently published a study of the Everyone with Diabetes Counts (EDC) program as it relates to hospital use in West Virginia. The study analyzed the impact of EDC on people with Medicare living in rural counties in West Virginia between February 1, 2013, and June 30, 2014. Results indicated that those who completed the program had 29 percent fewer hospitalizations than those who had not completed the program. This resulted in an estimated savings of $35,900 per 100 program completers in West Virginia.

SymposiumQuality Insights joined Livanta, the Beneficiary and Family Centered Care - Quality Improvement Organization (BFCC-QIO) for Pennsylvania and New Jersey and the Centers for Medicare & Medicaid Services (CMS) on February 28, 2018 to co-present at a symposium in Philadelphia, PA. The program highlighted the QIOs' findings and successes related to innovative person and family engagement initiatives.

The Centers for Medicare & Medicaid Services (CMS) is accepting recommendations from stakeholders for potential consideration of new specialty measure sets and/or revisions to existing specialty measure sets for program year 2019 of the Merit-based Incentive Payment System (MIPS) program. 


CMS Launches New Data Submission System on QPP.CMS.GOV for Clinicians in the Quality Payment Program
 
On Tuesday, January 2, 2018, the Centers for Medicare & Medicaid Services (CMS) launched a new data submission system for clinicians participating in the Quality Payment Program. Clinicians can now submit all of their 2017 Merit-based Incentive Payment System (MIPS) data through one platform on the qpp.cms.gov website. 

The Centers for Medicare & Medicaid Services (CMS) is offering online, self-paced courses about the Quality Payment Program through the MLN Learning Management System. There are now seven courses available.

As proposed in the 2018 Quality Payment Program proposed rule, solo practitioners and groups can choose to participate in the Merit-based Incentive Payment System (MIPS) as a virtual group for the 2018 performance period.

Visit CMS.gov to View New and Existing Quality Payment Program Resources

On November 2nd, the Centers for Medicare & Medicaid Services (CMS) issued the final rule with comment for the second year of the Quality Payment Program (calendar year 2018), as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) as well as an interim final rule with comment.

On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) issued the final rule with comment for the second year of the Quality Payment Program (calendar year 2018), as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) as well as an interim final rule with comment.

Quality Insights has received funding from the Centers for Medicare & Medicaid Services (CMS) to help emergency medical service (EMS) providers offer expanded care to people with Medicare who live in West Virginia. The goal of this collaboration is to lessen unnecessary hospital admissions and emergency department visits while enhancing access to quality care for the state’s most vulnerable and rural residents.  

November is National Diabetes Month and Quality Insights Quality Innovation Network’s Everyone with Diabetes Counts (EDC) program is working with community partners and health care providers to improve health outcomes and quality of life among people with diabetes in its five-state network. The theme for this year includes a focus on the connection between kidney health and diabetes. 

2016 Physician Quality Reporting System (PQRS) feedback reports and 2016 Annual Quality and Resource Use Reports (QRURs) were released on September 18, 2017. The PQRS feedback reports show your program year 2016 PQRS reporting results, including if you are subject to the 2018 PQRS downward payment adjustment. 

This October, Quality Insights, as a partner in the advancement of health information technology to help improve healthcare —is a Proud Partner in National Health IT Week.

It’s not too late to participate in the first year of the Merit-based Incentive Payment System (MIPS)—one of the two tracks in the Quality Payment Program. The transition year of MIPS has been underway since January 1, 2017 and runs until December 31, 2017.

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