• Thursday, January 17, 2019 8:47 AM | Deleted user

    January is National Human Trafficking Awareness Month! Here are a few simple ways you can get involved today and throughout 2019:

    • Earn free continuing education/continuing medical education credits with SOAR Online—and learn at your own pace. Modules include SOAR to Health and Wellness, Trauma-Informed Care, and Culturally and Linguistically Appropriate Services. (Also available in español!)  

     Sign up for our email listserv to receive updates on NHTTAC trainings and materials.

    NHTTAC delivers training and technical assistance (T/TA) to inform and enhance the public health response to human trafficking. Contact NHTTAC today to find out how you can request T/TA for your agency or conference.

  • Tuesday, January 15, 2019 10:38 AM | Deleted user

    The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool based on calculations from the third snapshot of data from Alternative Payment Model (APM) entities. The third snapshot includes data from Medicare Part B claims with dates of service between January 1 and August 31, 2018. As a reminder, the tool includes 2018 Qualifying APM Participant (QP) and MIPS APM status.

    For those in the Medicare Shared Savings Program, a fourth snapshot date, December 31, will apply to you. It’s used for determining which eligible clinicians are participating in a MIPS APM for purposes of the APM scoring standard.

    Note: If you are in participating in a MIPS APM (and do not qualify as a QP or Partial QP), you will most likely need to participate in MIPS, but will be subject to the APM Scoring Standard.

    To learn more about how CMS determines QP and MIPS APM status for each snapshot, please view the QP Methodology Fact Sheet.

    What Does QP Status and MIPS APM Status Mean?

    If you qualify as a QP, this means you are:

    • Eligible for the 5% APM incentive bonus, and
    • Exempt from participating in MIPS.

    How Do I Check My QP or MIPS APM Status?

    To view your QP or MIPS APM status at the individual level:

    To check your group’s 2018 eligibility at the APM entity level:

    • Log into the CMS Quality Payment Program website.  Learn how by downloading the QPP Access User Guide.
    • Browse to the Taxpayer Identification Number affiliated with your group
    • Access the details screen to view the eligibility status of every clinician based on their NPI

    What APMs are Included in the QPP Participation Status Tool?

    The updated Quality Payment Program Participation Status Tool includes the following 2018 Advanced APMs and MIPS APMs:

    • Bundled Payments for Care Improvement Advanced Model (BPCI Advanced)
    • Comprehensive ESRD Care (CEC) Model (LDO arrangement)
    • Comprehensive ESRD Care (CEC) Model (non-LDO two-sided risk arrangement)
    • Comprehensive ESRD Care (CEC) Model (non-LDO one-sided risk arrangement)
    • Comprehensive Primary Care Plus (CPC+) Model
    • Medicare Accountable Care Organization (ACO) Track 1+ Model
    • Medicare Shared Savings Program Accountable Care Organizations – Track 1, 2, 3
    • Next Generation ACO Model
    • Oncology Care Model (OCM) (one-sided Risk Arrangement)
    • Oncology Care Model (OCM) (two-sided Risk Arrangement)
    • Vermont Medicare ACO Initiative (as part of the Vermont All-Payer ACO Model)

    For a comprehensive list of APMs, visit the QPP Resource Library.

    Questions?

    Contact the Quality Payment Program Service Center by:

    Website: CMS.GOV
  • Tuesday, December 04, 2018 3:28 PM | Deleted user

    To register, click here


  • Tuesday, December 04, 2018 10:08 AM | Deleted user

    To Register, click here.

    For more information:
    Melissa Hoffman
    mhoffman@mssny.org  
    (518) 465-8085


  • Thursday, November 29, 2018 10:59 AM | Deleted user

    Please be advised that effective November 29, 2018, editing will be implemented on prescriptions for topical compounded drug products. See attachment for details.


  • Wednesday, November 28, 2018 9:58 AM | Deleted user

    New Online Tool Displays Cost Differences for Certain Surgical Procedures
    Procedure Price Lookup will help patients with Medicare consider potential cost differences when choosing among safe and clinically appropriate settings

    Today, the Centers for Medicare & Medicaid Services (CMS) launched a new online tool that allows consumers to compare Medicare payments and copayments for certain procedures that are performed in both hospital outpatient departments and ambulatory surgical centers. The Procedure Price Lookup tool displays national averages for the amount Medicare pays the hospital or ambulatory surgical center and the national average copayment amount a beneficiary with no Medicare supplemental insurance would pay the provider.

    “Price transparency in health care is a priority for the Trump Administration. Working with their clinicians, the Procedure Price Lookup will help patients with Medicare consider potential cost differences when choosing where to have a medical procedure that best meets their needs,” said CMS Administrator Seema Verma.

    The Procedure Price Lookup tool is launching as required by Congress in the 21st Century Cures Act. Medicare’s statutes require that CMS maintain separate payment systems for different types of healthcare providers, meaning both CMS and patients may pay different amounts for the same service, depending on the site of care.

    “The different payment rates are a prime example of Medicare’s misaligned financial incentives, under which providers can make more money if they see patients at one location as opposed to another,” Administrator Verma said.

    Procedure Price Lookup, part of the agency’s eMedicare initiative, joins other patient-oriented transparency tools, including an overhauled version of the agency’s drug pricing and spending dashboards, which provide patients with Medicare and Medicaid spending information for thousands more drugs than ever before and, for the first time, list the prescription drug manufacturers that were responsible for price increases.

    CMS recently launched the eMedicare initiative to empower beneficiaries with cost and quality information. This announcement included the launch of an enhanced interactive online decision support feature to help people better understand and evaluate their Medicare coverage options. eMedicare also offers a mobile-optimized out-of-pocket cost calculator to provide beneficiaries with information on overall plan costs and prescription drug costs.

    For a blog post on the Procedure Price Lookup took by Administrator Verma, please visit: https://www.cms.gov/blog/you-have-right-know-price.

    The Procedure Price Lookup tool is available at: https://www.medicare.gov/procedure-price-lookup/.

  • Friday, November 16, 2018 1:55 PM | Deleted user

    Below are links to MLMIC’s most recent issues of Dateline and Case Review that can be found at MLMIC.com.

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