The Health Plan Identifier is designed to furnish a standard way to identify health plans in electronic transactions. The Health Plan Identifier is a standard, unique health plan identifier required by the Health Insurance Portability & Accountability Act of 1996 (HIPAA). Check out these FAQs.
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Pathways to Success – this new direction for the Shared Savings Program redesigns the participation options available under the program to encourage Accountable Care Organizations (ACOs) to transition to performance based risk more quickly and, for eligible ACOs, incrementally, to increase savings for the Trust Funds.
CMS has updated the list of eCQMs that are fully specified and are available to be used for the 2019 performance period in the Quality Payment Program, which were finalized in the Medicare Physician Fee Schedule Final Rule.
You can now check the Quality Payment Program Participation Status Tool to view your final 2018 eligibility status for the Merit-based Incentive Payment System.
The final performance period for the Value Modifier and PQRS programs was 2016 and the final payment adjustment year is 2018. Therefore, the Quality and Resource Use Reports and PQRS Feedback Reports will no longer be available after the end of 2018.
Overall national health spending grew at a rate of 3.9 percent in 2017, almost 1.0 percentage point slower than growth in 2016, according to a study conducted by the Office of the Actuary at CMS and published as a Web First by Health Affairs.
The Quality Payment Program started on January 1, 2017. Prior to the QPP, payment increases for Medicare services were set by the Sustainable Growth Rate…
The Office of the National Coordinator for Health Information Technology (ONC) will hold the 2018 Annual Meeting November 29-30, 2018 at the Washington Hilton in Washington, DC.
The U.S. Department of Health and Human Services, through CMS, announced and sought input on a new “International Pricing Index” (IPI) payment model to reduce what Americans pay for prescription drugs.