Monday Morning Rounds with CMS

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Posted By: HHS/ONC/CMS Communications August 14, 2023

ICYMI, here is recent communication from CMS.

Final FY 2024 Payment Rules

MIPS News

Now Available: 2022 MIPS Performance Feedback, 2022 MIPS Final Score, and 2024 MIPS Payment Adjustment Information
CMS has released Merit-based Incentive Payment System (MIPS) performance feedback and final scores for the 2022 performance year and associated MIPS payment adjustment information for the 2024 payment year. You can view your 2022 MIPS performance feedback, including your final score and 2024 payment adjustment on the Quality Payment Program (QPP) website.

Reminder: 2023 MIPS Value Pathway (MVP) Registration is Open
The Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) registration window is open for the 2023 performance year. Individuals, groups, subgroups, and Alternative Payment Model (APM) Entities that wish to report an MVP can register until November 30, 2023, at 8 p.m. ET. For the 2023 performance year, MVPs are a new, voluntary way to meet MIPS reporting requirements. Each MVP includes a subset of measures and activities that are related to a specialty or medical condition to offer more meaningful participation in MIPS.

News

Resources and Flexibilities to Assist with the Public Health Emergency in Hawaii Due to Recent Wildfires
CMS announced additional resources and flexibilities available in response to the recent wildfires in the State of Hawaii. CMS is working closely with Hawaii to put these flexibilities in place to ensure those affected by these wildfires have access to the care they need – when they need it most. On August 11, 2023, Department of Health and Human Services Secretary Xavier Becerra determined that a Public Health Emergency exists in the State of Hawaii due to the wildfires beginning on August 8, 2023, and continuing.

Medicare Dementia Care Model
The Biden-Harris Administration is taking further action on its commitment to promote care and support for people with Medicare living with dementia and their unpaid caregivers. The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced its Guiding an Improved Dementia Experience (GUIDE) Model, which aims to improve the quality of life for people living with dementia, reduce strain on unpaid caregivers, and help people remain in their homes and communities through a package of care coordination and management, caregiver education and support, and respite services. The GUIDE Model will be tested by the Center for Medicare and Medicaid Innovation and is a key deliverable from President Biden’s April 2023 Executive Order on Increasing Access to High-Quality Care and Supporting Caregivers, as well as key goals of the National Plan to Address Alzheimer’s Disease (National Plan).

Quality Payment Program

Reminder: 2023 APM Incentive Payment Details Available; Learn if Action Needed
CMS has published 2023 Alternative Payment Model (APM) Incentive Payment details on the Quality Payment Program (QPP) website. To access this information, clinicians and surrogates can now log in to the QPP website using their HARP credentials. Eligible clinicians who were Qualifying APM Participants (QPs) based on their 2021 performance should have begun receiving their 2023 5% APM Incentive Payments earlier this summer. Review the 2023 Learning Resources for QP Status and APM Incentive Payment Zip File (2MB) for more details.

Administrative Simplification

MLN Matters Articles

Claims, Pricers, & Codes

CMS Innovation Center