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American Association of Hip and Knee Surgeons

Advocacy, Education, Research

‘CMS’

AAHKS Comments on MACRA Episode-Based Cost Measures Field Testing for TKA Draft Measure

AAHKS and The Knee Society submitted comments to the Centers for Medicare & Medicaid Services (CMS) and Acumen, LLC regarding its MACRA Episode-Based Cost Measures Field Testing. Comments involved both the TKA draft cost measure itself and what information it collects, but also the reports that are generated for physicians’ use and the difficulty in accessing and reviewing… Read More

AAHKS Comments on CMMI New Direction Request for Information

AAHKS submitted comments to the Centers for Medicare & Medicaid Services (CMS) on its Center for Medicare & Medicaid Innovation (“Innovation Center” or CMMI) New Direction Request for Information (RFI). AAHKS is guided by its three principles: payment reform is most effective when physician-led; the burden of excessive physician reporting on metrics detracts from care; and patient access,… Read More

MACRA Field Testing Deadline Extended

The Centers for Medicare & Medicaid Services (CMS) and Acumen, LLC have extended the deadline to provide feedback on MACRA Episode-Based Cost Measures field testing. The new deadline (12:00 p.m. EST on Monday, November 20, 2017) will allow more time to review and provide feedback on confidential field test reports and supplemental documentation, including the mock report and… Read More

AAHKS Statement on CMS Outpatient Rule

AAHKS released a statement regarding the 2018 Medicare Hospital Outpatient Prospective Payment System (OPPS) Final Rule released by the Centers for Medicare & Medicaid Services (CMS) on November 1. CMS finalized their earlier proposal to remove total knee arthroplasty (TKA) from the inpatient only list (IPO). This means that Medicare will now reimburse TKA procedures performed on an… Read More

“Meaningful Measures,” New CMS Initiative

Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma announced a new approach to quality measurement this week. “Meaningful Measures” will involve only assessing those core issues that are most vital to providing high-quality care and improving patient outcomes. CMS released a statement that said it “aims to focus on outcome-based measures going forward as opposed to… Read More

AAHKS Comments on CMS Proposed Rule

CMS has collected comments on the Proposed Rule CMS-5524-P: Medicare Program; Cancellation of Advancing Care Coordination Through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model. This rule recommends, among other issues, to reduce the number of mandatory MSAs that are participating in the Comprehensive Care for Joint Replacement Model… Read More

We Need Your Input! CMS Field Testing Knee Arthroplasty Measure

The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, will be conducting field testing for eight episode-based cost measures before consideration of their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP). These measures, which were developed with input from AAHKS and AAOS,… Read More

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