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American Association of Hip and Knee Surgeons

Advocacy, Education, Research

‘Medicare’

“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 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

AAHKS Submits Recommendations to House

Following up on our previous report regarding Congress seeking input regarding Medicare burdens, this week AAHKS submitted 10 recommendations for Medicare regulatory and statutory relief to the US House of Representatives Committee on Ways and Means, Subcommittee on Health. These new recommendations, submitted to the Committee’s “Medicare Red Tape Relief Project,” highlight some of the recommendations previously submitted… Read More

AAHKS Comments on 2018 Updates to QPP

The CMS Quality Payment Program (QPP) that encompasses the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) as established under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), is reviewed and updates are proposed by CMS for the QPP for each calendar year. The 2018 proposed rule includes updates to low-volume thresholds for MIPS… Read More

US Congress Seeking Input to Reduce Medicare Burdens

The US House of Representatives’ Ways and Means Health Subcommittee announced that it is seeking input from healthcare providers to find legislative and regulatory burdens in Medicare that can be eliminated or changed. In June, AAHKS members provided input on this issue in order to present a list of priority burdens to HHS Secretary Tom Price, MD. Click… Read More

Mid-Year Look at CJR Feedback

Navigant, an operational consulting firm in Chicago, is reporting that many of their hospital clients will likely incur penalties this year from Medicare’s Comprehensive Care for Joint Replacement reimbursement model (CJR). While preparedness has improved, many hospitals are still underprepared according to HealthLeaders Media. Full story.

We Need Your Input on Regulatory Burdens

Health and Human Services Secretary Tom Price, MD has invited AAHKS to participate in a roundtable discussion with the Secretary and his senior staff to identify and discuss regulatory burdens imposed on physicians by HHS/CMS that interfere or have the potential to interfere with the physician-patient relationship. In preparation for this meeting, we are expediting a survey of… Read More

CMS to Award $100 Million to Small Practices

The Centers for Medicare & Medicaid Services (CMS) awarded approximately $20 million to 11 organizations for the first year of a five-year program to provide on-the-ground training and education about the Quality Payment Program for clinicians in individual or small group practices of 15 clinicians or fewer. CMS intends to invest up to an additional $80 million over… Read More

CMS Announces More APMs

The Centers for Medicare & Medicaid Services (CMS) announced more new opportunities for clinicians to join Advanced Alternative Payment Models (APMs) to improve care and earn additional incentive payments under the Quality Payment Program, which implements the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) as a payment alternative to the Sustainable Growth Rate (SGR). Beginning in… Read More

Senate Finance Committee Releases Report on Concurrent Surgeries

The United States Senate Committee on Finance released a report this week on the practice of concurrent and overlapping surgeries. According to the committee’s news release, the report “outlines a number of shortfalls at the federal level in monitoring and auditing teaching hospitals to ensure they are in compliance with Medicare billing restrictions, while also making a number… Read More