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American Association of Hip and Knee Surgeons

Advocacy, Education, Research

‘Medicare’

MedPAC Recommends MIPS Elimination – FAQ

The Medicare Payment Advisory Commission (MedPAC) recently published its semiannual report to Congress, which includes a recommendation to eliminate the Merit-Based Incentive Payment System (MIPS). While MedPAC has recommended the elimination of MIPS on more than one occasion, Congress is not likely to take action on repealing MIPS and will leave any changes to the Centers for Medicare… Read More

AAHKS Legislative Retreat Puts Focus on Patient Care

Pat Toomey's office

On Friday, a contingent of the AAHKS Board of Directors, Committee Chairs and Vice Chairs, Health Policy Fellows, local AAHKS members, AAHKS staff and from The Hip Society met in Washington, D.C. for a day of advocacy action as part of a two-day legislative retreat focused on the care of hip and knee patients. Congressman Roger Marshall, MD… Read More

“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