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American Association of Hip and Knee Surgeons

Advocacy, Education, Research

‘CMS’

CMS Announces Qualifying APM Participant Determinations

Based on eligible clinician participation in the 2017 Advanced Alternative Payment Models (APMs), the Centers for Medicare & Medicaid Services announced qualifying APM participant (QP) determinations. Physicians can look up their QP status based on calculations from claims with dates of service between January and March of this year for the first QP snapshot. Full details.

CMS Issues Programmatic Waivers for Disaster Areas

The Federal declarations of a State of Emergency and Public Health Emergency for the United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida allows for CMS programmatic waivers based on Section 1135 of the Social Security Act. These waivers will prevent gaps in access to care for beneficiaries impacted by the emergency. Learn about blanket… Read More

AAHKS Comments on Two CMS Proposed Rules

AAHKS has commented on the Centers for Medicare & Medicaid Services (CMS) CY 2018 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule (HOPPS) and the CY 2018 Medicare Physician Fee Schedule Proposed Rule (MPFS). In the HOPPS proposed rule, CMS requested input on removing TKA from the inpatient only (IPO) list as well as… Read More

CMS Reduces CJR Mandatory Participation

The Centers for Medicare and Medicaid Services (CMS) issued a new proposed rule that would reduce the number of mandatory geographic areas participating in the Comprehensive Care for Joint Replacement (CJR) model from 67 to 34 and allow the remaining 33 to opt-in to continue participating voluntarily while also excluding low volume and rural hospitals from mandatory participation.… Read More

Patrick Conway Leaves CMS

CMS has announced that Patrick Conway, MD, MSc, Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer will leave the agency to serve as CEO for Blue Cross Blue Shield of North Carolina. Dr. Conway received the American Medical Association’s (AMA) Dr. Nathan Davis Award for Outstanding Government Service this past February after being nominated by… Read More

Initial Trends Identified in CMS Proposed Rule

On June 20, 2017, CMS released a 1,058-page proposed rule to update the payment policies, rates, and quality provisions under the two tracks of the Medicare Quality Payment Program (QPP): the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (AAPMs) for 2018. Epstein Becker & Green (EBG) has identified two initial trends. Payment and delivery system… Read More

New “Better Care Reconciliation Act” Summarized

US Senate Republicans released the Better Care Reconciliation Act on June 22, which proposes to undo core provisions of the Affordable Care Act (ACA) while leaving many of that law’s lesser known features intact. It also picks up the US House of Representative’s fundamental redesign of the current Medicaid program. Epstein Becker & Green prepared this summary for… Read More

AAHKS Participating in HHS Roundtable and Hill Visits

Tom Price and Mark Froimson

United States Secretary of Health and Human Services (HHS), Tom Price, MD and CMS Administrator Seema Verma, MPH hosted a trio of roundtable discussions this week to discuss regulatory burdens imposed on physicians by HHS/CMS that interfere or have the potential to interfere with the physician-patient relationship. AAHKS President Mark I. Froimson, MD and Health Policy Council Chair… Read More

Get Ready for “Pick Your Pace” Week

AAHKS is joining the American Medical Association (AMA) in “Pick Your Pace” week to address questions about the new Quality Payment Program (QPP) physician payment system created by the Medicare Access and CHIP Reauthorization Act (MACRA) administered by CMS. In its first year, physicians can pick their own pace for Medicare reporting. If physicians report only one measure… Read More

AAHKS Comments on CMS IPPS Proposed Rule

AAHKS submitted comments to CMS this week regarding the proposed rule, “Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2018 Rates.” Our comments were guided by three principles: Payment reform is most effective when physician-led. The burden of excessive physician… Read More