The National Association for Medical Direction of Respiratory Care

The Washington Watchline

The Revised Medicare Financial Controls For Physicians

On Wednesday, April 27, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule that would establish key parameters for the new Quality Payment Program required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). This legislation, which repealed the SGR formula, has been hailed as the most significant Medicare reform in two decades. This legislation established programs that increase Medicare control over physician compensation and allowed Congress to repeal the SGR formula.

Proposed Inpatient Rule Impacts Pneumonia

On April 18, 2016 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update fiscal year 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS). 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, 2016. The proposed payment policies are driven by the budget mandate to reduce net Medicare spending by $423 billion between 2016 and 2025.

NAMDRC Addresses Medical Device Innovation

The 2016 Annual Meeting and Educational Conference of the National Association for Medical Direction of Respiratory Care (NAMDRC) was recently held at The Omni Rancho Las Palmas Resort, Rancho Mirage, California. This meeting focused on The Role of Technology in Pulmonary, Critical Care and Sleep Medicine and continued the well-established tradition of combining evolving science with experienced clinical perspective.

Telemedicine on the Washington Agenda

One of Congress’ legislative goals, over the last decade, has been to reduce the utilization of acute care hospital beds. Recognizing this shift in care location, private equity dollars have been flowing into the development of mobile technology, new primary care delivery models, and telehealth. Thought leaders in Congress, professional societies and healthcare systems have bee n taking steps to address existing regulatory barriers to expand the use of this technology.

The 2016 Office of Inspector General Work Plan

For 2016, The Office of Inspector General (OIG) of Health and Human Services, the largest inspector general's office in the Federal Government, will be continuing to increase its focus on provider compensation in the Medicare program through implementation of sophisticated data analytics and predictive algorithms. OIG’s independent and objective oversight of the programs and operations of HHS are shaped by legislative and budgetary requirements. The great majority of the OIG’s work is focused on Medicare and Medicaid programs with roughly three quarters of its total funding

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