The National Association for Medical Direction of Respiratory Care

The Washington Watchline

The Proposed 2019 Inpatient Prospective Payment System

On April 24, 2018, the Centers for Medicare & Medicaid Services (CMS) released the proposed Inpatient Prospective Payment System (IPPS) for 2019. In the proposed rule the current CMS administration continues to unwind the quality reporting complexity instituted under the previous administration. Under the new leadership the agency’s priority has been to reduce reporting burdens so that hospitals can divert staff from paperwork to patient care. The Agency’s administration has been focused on defining a smaller set of patient-centered outcome measures.

Will the MIPS be Repealed in the Near Future?

While the attention of most physician organizations has been on implementation of the Merit-based Incentive Payment System (MIPS), it is possible that this program may soon be radically altered or discarded through Congressional action. In its March report to Congress, the influential Medicare Payment Advisory Commission (MedPAC) has taken a strong stance that MIPS should be repealed as soon as possible.

Pending Legislation for Graduate Medical Education Funding

Companion bills that would expand funding for Graduate Medical Education (GME) have been introduced in the House of Representative and the Senate.  The Resident Physician Shortage Reduction Act of 2017, H.R.2267 was introduced May 1, 2017 by Representatives Joseph Crowley (D-NY) and Ryan Costello (R-PA) with 67 cosponsors followed by the June 7, 2017 introduction of S.1301 by Senator C. William Nelson (D-FL) with 4 cosponsors. These bills have been informed and strongly supported by the American Association of Medical Colleges (AAMC).

The AAMC Weighs in on the MACRA Regulations

On January 2, 2018 Janis M. Orlowski, M.D., M.A.C.P.  Chief, Health Care Affairs, American Association of Medical Colleges (AAMC) sent a letter to Ms. Seema Verma, Administrator,  Centers for Medicare and Medicaid Services (CMS) commenting on the evolving regulations for the Medicare Access and CHIP Reauthorization Act (MACRA). One section of the letter addresses the important issue of risk adjustment for the Medicare physician performance metrics. Dr. Orlowski states:   

2020 Physician Compensation Based on Their Cost to Medicare

In 2018 physician compensation will be adjusted under the Value Based Payment Method (VBPM) first implemented in 2015.  However, The Centers for Medicare and Medicaid Services (CMS) will be collecting and analyzing data to be used in determining physician compensation in 2020, the first year fully impacted by the Merit-based Incentive Payment System (MIPS). While physician compensation in 2019 will be under MIPS, only three of the four categories will be used by CMS. The cost category will first apply in the 2020 payment and will account for 10% of a physician’s final score. 

Get in Touch

8618 Westwood Center Drive, Suite 210
Vienna, Virginia 22182

Phone:  703.752.4359

Stay In Touch

Sign up for Conference and Other Announcements

NAMDRC FacebookNAMDRC LinkedIn

Copyright © 2020 The National Association for Medical Direction of Respiratory Care. All Rights Reserved.