PatientEngagementHIT

Policy & Regulation News

CMS Announces Patient Navigator Funding, Enrollment Changes

September 13, 2018 - CMS has announced the recipients of $10 million grant funding for patient navigator programs, considerably slashing the resources states will have to connect patients with comprehensive health insurance. The patient navigator program was developed as a part of the Affordable Care Act (ACA). Per the law, state exchanges must set up patient navigator services that help patients...


Articles

Experts State 2019 Physician Fee Schedule Harms Patient Care Access

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More healthcare industry leaders are expressing concerns over provisions included in the 2019 proposed Physician Fee Schedule, specifically stating that statutes to reduce reimbursement for evaluation and management (E/M) services could...

CMS Rule May Reduce Reporting Burden, But Harm Patient Care Access

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Proposed changes for the 2019 Physician Fee Schedule would effectively put “patients over paperwork,” helping to deliver on a promise from CMS to improve patient-centered care and patient care access, said the American Medical...

CMS to Drive Community Care Coordination for Behavioral Health

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CMS has announced a new care delivery model that aims to improve preventive care, early detection, and care access for pediatric patients at-risk of having an opioid addiction or behavioral health issue. The Integrate Care for Kids (IncK)...

MyHealthEData, Patients Over Paperwork Key in CMS Final Rules

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CMS has issued final rules related to the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System. Finalized changes will support patient-centered care by reinforcing the MyHealthEData...

Hospitals Say OPPS Proposed Rule Will Harm Patient Access to Care

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Hospital associations across the country are speaking out against the recent CMS proposed Hospital Outpatient Prospective Payment System (OPPS) rule, stating that the rule will hinder patient access to care and increase out-of-pocket...

Verma: CMS Makes Strides in Patient-Centered Care, Medicare Reform

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CMS is making progressing in its mission to fulfill patient needs and drive patient-centered care through various new Medicare policies, agency Administrator Seema Verma said in a speech at the Commonwealth Club of...

CMS Proposed Rule to Let Patients Access Care at Preferred Sites

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CMS has proposed changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) to create site-neutral payments, thus allowing senior patients to access the care they need in their preferred care site. Creating site-neutral...

Industry Orgs Question CMS Proposals for QPP, Value-Based Care

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As industry organizations begin their in-depth analyses of the recent CMS proposed changes to the Physician Fee Schedule and Quality Payment Program, several have issued preliminary responses saying the rule could hinder provider payments...

Understanding Patient Relationship Codes in MACRA, QPP

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In January 2018, the Centers for Medicare & Medicaid Services (CMS) announced optional reporting for patient relationship codes that would define the purposes for which a clinician treated a patient. Healthcare professionals should opt...

NCQA Testing Patient-Centered Outcomes Measures in Value-Based Care

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The National Committee for Quality Assurance (NCQA) is teaming up with four healthcare providers and payers across the country to test new patient-centered outcomes measures. The project, funded by the John A. Hartford Foundation and The...

CMS Calls for Patient-Centered Data Access in New Agency Initiative

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CMS will be putting patients at the center of healthcare decisions as a part of the Data Driven Patient Care Strategy, an offshoot of the MyHealtheData initiative, CMS Administrator Seema Verma announced this week at the 9th annual Health...

CMS Calls for Hospital Price Transparency Mandates in Proposed Rule

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CMS has proposed updates to its payment programs that could require healthcare organizations to offer price transparency to patients, allowing patients to make well-informed treatment decisions in a time during which patients face high...

Congressional Caucus Calls for Patient-Centered Care, Wellness

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The Integrative Health & Wellness Caucus held its first official meeting addressing patient-centered care and whole-person wellness initiatives. The caucus, launched in October, 2017, aims to support patient needs in healthcare,...

CMS Cancels Shared Decision-Making Models Due to Planning Issues

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CMS has announced that it will not pilot the Shared Decision Making (SDM) and the Direct Decision Support (DDS) Models, two initiatives aimed at supporting shared decision-making and patient engagement in healthcare. The agency cited...

CMS Adds Star Ratings, More Data to Physician Compare Website

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CMS has made changes to its Physician Compare website, updating the tool with 2016 data and adding star ratings to demonstrate clinical quality. These moves are a part of the agency’s efforts to give patients access to clinical...

Key Reminders for 2018 Patient Engagement Reporting Requirements

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As 2017 draws to a close, healthcare professionals must ready themselves for a new set of patient engagement reporting requirements under both meaningful use and the Medicare Access and CHIP Reauthorization Act (MACRA). These policy...

Top 3 Facts About Patient Engagement Policy Requirements

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Patient engagement may be a key factor in the shift toward consumer- and patient-centered care, but it also has an important place in the policy requirements that are driving the healthcare industry. From the CMS EHR Incentive Programs,...

FDA Plans First Patient Engagement Advisory Committee Meeting

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The FDA has set a date for its first Patient Engagement Advisory Committee (PEAC) meeting, according to an agency blog post. Kathryn O’Callaghan and Jeffery Shuren, MD, JD, wrote that the meeting will take place on October 11 and 12...

House Bill Taps Medical Scribes to Support Patient Engagement

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The House of Representatives passed a bill that would allow VA clinicians to shift their focuses from the EHR onto driving stronger patient engagement, aiding a better care experience. The VA Medical Scribes Pilot Act of 2017 (HR 1848)...

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