CMS Innovation Center (CMMI) - NEW!

Alternative Payment Models (APMs) COVID-19 Adjustments

In response to the COVID-19 emergency, CMS is adding certain flexibilities and protections to its stable of APMs. Those covered in the attached PDF are: Click Here

  • BPCI – Advanced
  • Comp ESRD Care
  • Comp CJR
  • Direct Contracting
  • ET3
  • HHVBP
  • Independence at Home
  • Integrated Care for Kids
  • Kidney Care Choices
  • Maternal Opioid Misuse Model
  • Medicare Care Choices
  • MDPP
  • ACO Track 1+
  • Next Gen ACO
  • Oncology Care Model
  • Primary Care First
 

 

QUALITY PROGRAM UPDATES

 
 

PROVIDER RELIEF FUND FAQs

The Health & Human Services (HHS) has issued a “frequently asked questions” guidance document for physicians who don’t file cost reports to complete the portal application. Even physicians who have already received a payment from the Provider Relief Fund can and should still apply if they do not file cost reports. As summarized by the HFMA, the announcement revealed that HHS is using the additional $20 billion it started paying out April 24 to adjust what facilities and providers receive so that the entire $50 billion distribution is based on the facility’s/provider’s portion of net patient service revenue relative to the national total. HHS is using $2.5 trillion as the denominator so the payment calculation for the total $50B “General Distribution” is: (Individual Provider 2018 Revenue/$2.5 Trillion) X $50 Billion = Expected General Distribution.

Download Provider Relief fund FAQs

 

 

RISK ADJUSTMENT FAQ

 
Diagnosis and Documentation:
 

 

ACCOUNTABLE CARE ORGANIZATIONS

 

 

Flexibilities for QPP - COVID 19 PHE - NEW!

The Centers for Medicare & Medicaid Services (CMS) implemented multiple flexibilities for the Quality Payment Program (QPP) in response to the COVID-19 PHE. Specific flexibilities include:

 

 

QPP Response At-a-Glance - NEW!

Understanding the relief efforts associated with QPP and timelines are provided at-a-glance. Click here to find all of the CMS details regarding the APP flexibilities.

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