CMS Posts Physician Payments Data Today, September 30, 2014
Today's the day
: the government's Open Payments database of monies paid to physicians by drug and device companies is to be made public. ProPublica has a preview
HHS: 63 more issuers in 2015 Health Insurance Marketplaces
At least 248 Qualified Health Plan issuers will participate in the federally-facilitated Health Insurance Marketplace in 2015, and at least 67 will participate in state-based Marketplaces, according to preliminary data from 44 states released yesterday by the Department of Health and Human Services. That’s 63, or 25%, more than this year. Some issuers belong to the same parent company. Fourteen issuers this year have not filed for participation in 2015.For counts by state and marketplace type, see the HHS report.
NCQA Health Insurance Plan Rankings 2014-2015 - Summary Report (Private)
View plan details, the methodology and other information about the rankings, and license an Excel version of the Summary and Detail-level Health Plan Rankings results.View the rankings and other informaiton...
Hospices Brace for New CMS Five-Day Submission Requirement for the NOE
CMS announced the final rule for hospices regarding the timely filing of the NOE in transmittal 3032 sent out August 22.
In the document, CMS designates that a timely-filed NOE (Notice of Election) shall be filed within five calendar days after the hospice admission date. This applies to the NOTR (Notice of Election Termination/Revocation) as well. This regulation is effective for dates of services on or after October 1st.Continue reading...
Post-Acute Care Bill Passes House and Senate
On Sept. 16, House passed a bill to standardize patient data collected across the four post-acute care settings, which include long-term care hospitals, inpatient rehabilitation facilities, home health agencies and skilled nursing facilities (SNF). The bipartisan bill, Improving Medicare Post-Acute Care Transformation (IMPACT) Act (H.R. 4994)
, was sponsored by House Ways and Means Committee Chairman and Ranking Member Dave Camp (R-MI) and Sander M. Levin (D-MI), respectively. Moreover, a Senate companion bill (S. 2553), introduced by Senate Finance Committee Chairman Ron Wyden (D-OR) and Ranking Member Orrin Hatch (R-UT), passed the Senate on Sept. 18. "This bill is critical to driving fundamental reform of care for seniors after a hospitalization. Working together in an open, transparent way, the Ways and Means and Senate Finance Committees were able to produce a bill that will ensure our seniors get the highest quality and most cost effective care possible," Chairman Camp said in a statement. Besides mandating that providers submit standardized data by 2019, a measure that allows Medicare to more easily assess quality across different post-acute care settings, the bill dictates that collected data must be interoperable for facilitated data exchange among post-acute care and other providers as a means to better coordinate care and improve Medicare beneficiary outcomes. The legislation also directs Department of Health and Human Services (HHS) to lessen by 2 percent payments for SNFs that don't report the required data. Lawmakers have said the information would be utilized by the HHS Centers for Medicare and Medicaid Services (CMS) to alter the post-acute payment system using a new site-neutral or bundled payment system, or other changes. For more information, visit www.finance.senate.gov
CMS Releases Medicare Hospital Payment Data, New Online Tools
On June 2, CMS released Medicare hospital pricing data for 2012 in an effort to increase transparency, lower costs and improve the quality of care, The Hill reports (Al-Faruque, The Hill, 6/2).About the Data
The information, which was revealed at the annual Health Datapalooza conference in Washington, D.C., is the agency's first annual update to Medicare hospital charge, which compare the average amount a hospital charges for services provided with a similar inpatient stay or outpatient visit (HHS release, 6/2).Continue reading...
CMS releases PQRS, eRx progress report
The Centers for Medicare & Medicaid Services has released a new report on two of its pay-for-reporting incentive programs for eligible professionals (EPs): the Physician Quality Reporting System (PQRS) and electronic prescribing (eRx).
The 90 page report on 2012 participation results and trends in the programs demonstrates "exciting progress," according to CMS officials.Continue reading...
MedPAC Recommends No ASC Pay Increase for 2015; 3.25-5.25% Increase for HOPDs
On Friday, the Medicare Payment Advisory Commission approved a final recommendation for Medicare pay rates in 2015, recommending that ambulatory surgery centers get 0 percent pay raise, according to an AHA News report.
At the same time, MedPAC recommended increasing hospital inpatient and outpatient prospective payment systems by 3.25 percent in the absence of sequestration cuts and 5.25 percent if spending cuts continue. The sequestration that begun last April enacted automatic 2 percent Medicare payment cuts for the next 10 years.
However, MedPAC did suggest reducing or eliminating pay differences between hospital outpatient departments and physician offices for some procedures, as currently hospital outpatient departments are paid significantly more.Source
NHA is one of the 20 Most Promising Data Analytics Companies
Companies today recognize that they have opportunities to use data and analytics to raise productivity, improve decision-making, and gain competitive advantage. CIOs understand that analytics will define the difference between the losers and winners going forward. As the market evolves a vast array of data analytics technology and solution vendors are positioning themselves for leadership. A large number of venture-backed startups are battling against established BI and enterprise software providers.
While there are plenty to choose from, organizations that succeed with Big Data analytics will be those that understand the possibilities, see through the vendor hype and choose the right deployment model. In the last few months, we have looked at hundreds of data analytics companies and shortlisted the ones that are at the forefront of tackling the real analytics challenges. We present to you CIOReview's 20 Most Promising Data Analytics Companies. A distinguished panel comprising of CEOs, CIOs, VCs, industry analysts and the editorial board of CIOReview selected the Final 20.Continue reading...