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Healthcare Advocacy Update

Thursday, January 11, 2018   (0 Comments)
Posted by: TCAA Staff
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On Wednesday, January 10th, the American Hospital Association, Association of American Medical Colleges, America's Essential Hospitals and others told a federal court today that they intend to appeal an earlier decision rejecting their attempts to block $1.6 billion in cuts to the 340B program. Click here for the notice of appeal.


The House Energy and Commerce Committee released a report examining the 340B program. The report is the result of a two-year investigation conducted by the Republicans on the Committee, but Chairman Walden said he hopes to see bipartisan solutions and that legislative action will be taken “fairly soon”. It highlights the bipartisan support for the program, but also includes a series of recommendations to help address program weaknesses.


On Tuesday, January 9th, CMS introduced an expanded bundled payment model that calls for participants, including acute care hospitals and physician groups, to take on risk in both inpatient and outpatient settings, and that will qualify providers for additional incentives under the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.


The new voluntary episode payment model, known as Bundled Payments for Care Improvement (BPCI) Advanced, will test an iteration of bundled payments for 32 Clinical Episodes (29 inpatient; 3 outpatient) and aims to align incentives to reduce expenditures and improve quality of care for Medicare beneficiaries.


The first cohort will commence participation in the new Model on October 1, 2018, and the Model Period Performance will run through December 31, 2023. CMS will provide a second application opportunity in January 2020.


The announcement comes on the heels of CMS’ November 2017 final rule cancelling the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) incentive payment model and reduced by half the number of participants in the Comprehensive Care for Joint Replacement (CJR) model.

CMS will hold an Open-Door Forum on January 30, 2018 at 12:00PM to answer questions the public may have about the new Bundled Payments for Care Improvement Advanced (BPCI Advanced) model. Registration for the event is now open. 

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