In a letter of intent (LOI) to the Physician-Focused Payment Model Technical Advisory Committee (PTAC), an advisory group to the Centers for Medicare & Medicaid Services (CMS), ASCO expressed its intent to submit a physician payment reform model for PTAC review and eventual consideration by CMS as an advanced alternative payment model (APM) under the Medicare Access and CHIP Reauthorization Act (MACRA) and the Quality Payment Program (QPP).
ASCO in Action regularly provides the latest news and analysis related to cancer policy news; see the following online articles. These updates provide snapshots of ASCO’s ongoing advocacy efforts, as well as opportunities for ASCO members and guests to take action on critical issues affecting the cancer community.
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ASCO has joined a coalition of more than a dozen specialty societies in supporting an effort in the U.S. House of Representatives to relieve the significant administrative burdens and financial penalties slated to be imposed on physicians in 2018 as part of the Medicare physician fee schedule (MPFS)—due to be released this summer. ASCO is concerned about the impact these burdens could have on patient care since oncologists would have to juggle the requirements of multiple Medicare quality improvement programs in addition to time spent providing patient care.
ASCO recently submitted comments to the Centers for Medicare & Medicaid Services (CMS) in response to the agency’s call for stakeholder input on measuring and comparing oncologists and other health care providers based on cost under the Quality Payment Program’s (QPP) Merit-Based Incentive Payment System (MIPS).
This year, oncology practices across the country are implementing changes to comply with the Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act (MACRA), which will transition practices from the current fee-for-service reimbursement system to providing value-based cancer care.
The Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act, launched in January 2017 and is being implemented in oncology practices across the country. 2017 is a transition year, but practices still have to report some quality data in order to avoid financial penalties in 2019. This transition year offers practices an opportunity to test the QPP reporting system before 2018, when quality reporting will require a significantly heavier lift to avoid financial penalties in 2020. ASCO is releasing a series of webinars to guide oncology practices to successful quality reporting.
The Centers for Medicare & Medicaid Services has extended the data submission deadline for the Electronic Health Record (EHR) reporting mechanism of the 2016 Quality Reporting Document Architecture (QRDA) for the Physician Quality Reporting System (PQRS) program. Individual eligible professionals (EPs), PQRS group practices, qualified clinical data registries (QCDRs), and qualified EHR data submission vendors (DSVs) now have until Friday, March 31 at 8:00 p.m. Eastern Time to submit 2016 EHR data via QRDA.
“ASCO congratulates Seema Verma for her confirmation as Administrator of the Centers for Medicare & Medicaid Services (CMS). Administrator Verma is now in a key position to lead the agency during the next phase of healthcare reform in the United States, and to help ensure that millions of Medicare and Medicaid beneficiaries with cancer have access to high-quality oncology care."
The deadline to submit reconsideration applications for the 2017 Electronic Health Record (EHR) Incentive Program payment adjustment—based on the 2015 reporting period—is Feb. 28, 2017. Applications will not be accepted after the deadline.
With the new Congress and Administration in place, ASCO has been on Capitol Hill monitoring the issues that affect the cancer care community, and educating lawmakers on how best to serve Americans with cancer. In particular, ASCO is closely tracking efforts to repeal and replace the Affordable Care Act (ACA), the discussion on the future of Medicaid, and relevant cabinet appointments.
The Centers for Medicare & Medicaid Services (CMS) has extended the attestation deadline for the 2016 Medicare EHR Incentive Program to Monday, March 13, 2017, at 11:59 p.m. PT. Participating providers must attest to the 2016 program requirements before the deadline to avoid a negative payment adjustment in 2018.
An American Medical Association (AMA)-led coalition including ASCO and 15 other health care organizations today urged health plans, benefit managers, and other stakeholders to reform utilization management policies, including prior authorization requirements, imposed on medical tests, procedures, devices, and drugs.
The Centers for Medicare and Medicaid Services (CMS) Electronic Health Record (EHR) Incentive Programs attestation system is now open. Eligible professionals and hospitals may attest for any 90-day continuous reporting period within the 2016 calendar year. Providers must attest by February 28, 2017 to avoid a 2018 payment adjustment.
CMS is accepting applications through January 30, 2017 for its new Clinical Practice Imrovement Activities (CPIA) study, which will look at the challenges of collecting and reporting quality data. Participants will receive full credit for the CPIA performance category through the Quality Payment Program under MACRA.