The National Association for Medical Direction of Respiratory Care

The Washington Watchline

The 2018 Medicare Inpatient Prospective Payment System

On April 14, 2017 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update the 2018 Medicare Inpatient Prospective Payment System (IPPS) payment policies and rates. The proposed rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, would affect discharges occurring on or after October 1, 2017.

NAMDRC’S Annual Meeting and Advocacy Agenda

The Annual Meeting and Educational Conference of the National Association for Medical Direction of Respiratory Care was recently held at The Meritage Resort and Spa in Napa, California. This meeting, Precision Medicine in Pulmonary, Critical Care and Sleep Medicine continued the well-established tradition of combining evolving science with experienced clinical perspective. The program was developed around the NAMDRC core principles of improving the quality of patient care, reducing barriers to that care and anticipating changes in our practice environment.

Episode Based Cost Measures for Physicians

On December 23, 2016, The Centers for Medicare and Medicaid (CMS) published its updated proposal and request for comments on the methodology for Episode Based Cost Measures that will be used to profile each participating physician by the cost of their care for Medicare beneficiaries. This has been a work in progress since the Physician Resource Use Measurement & Reporting Program was established by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.

The 21st Century Cures Impact on Medical Device Innovation

As noted in last month’s Watchline, The 21st Century Cures Bill made substantial changes to the FDA process for approving and assigning a category to new and improved medical devices. NAMDRC has an interest in policies that affect the availability of devices for patients requiring respiratory support including ventilatory support devices and interfaces, advanced oxygen delivery systems, and disease monitoring systems. It has been a concern of NAMDRC,

The 21st Century Cures Act

In the final days of the 114th Congress, the House passed the 21st Century Cures Act, with a vote of 392 for and 26 opposed. The Senate followed shortly thereafter with a vote of 94 for and 5 opposed and President Obama has signed the legislation into law.

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