Tuesday, June 21, 2022

CMS proposes pay boost for ESRD facilities

https://ifttt.com/images/no_image_card.png


The Centers for Medicare and Medicaid Services proposes a 3.1% Medicare pay hike for dialysis providers next year and lays out plans for quality improvement in a draft regulation issued Tuesday.

The proposed rule would hike the base rate for dialysis services by $6.19 to $264.09. The regulation would increase payments to hospital-based end-stage renal disease providers by 3.7% and to freestanding facilities by 3.1%, according to CMS.

CMS also wants to suppress four metrics from its quality-improvement program next year to account for the effects of COVID-19, including a readmission ratio and a measure of prevalent patients waitlisted. CMS will collect and post the data but not factor them into payments.

CMS proposes adding healthcare employees’ COVID-19 vaccination status as a factor in its the quality measurements starting in 2025. Facilities would need begin reporting that information in 2023.

CMS also wants to convert the standardized transfusion ratio reporting measure, which tracks how many red blood cell transfusions a facility performs relative to the national average, into a clinical measure starting in 2025.

The agency also would update scoring methodology so dialysis providers that meet prior minimum data and eligibility requirements receive scores based on clinical value. CMS also proposes converting the clinical measure for hypercalcemia—when calcium levels in the blood are too high—to a reporting measure and identifying replacement metrics that more accurately reflect quality improvement.

Additionally, the agency requests input about home dialysis quality indicators. Some quality measures apply to home dialysis, but not all. Providers that perform higher rates of home dialysis are subject to fewer quality measures as a result.

CMS also solicits feedback on how to use measurement and stratification to improve health equity at ESRD facilities and on whether to include social determinants of health screening measures in future payment regulations.

The proposed rule includes changes to the scoring methodology and patient education services under the ESRD Treatment Choices Model. The mandatory Center for Medicare and Medicaid Innovation payment initiative began in January 2021 and runs through June 2027. CMS modified the model last year to create incentives for providers to reduce disparities in home dialysis and kidney transplant rates.

The agency also proposes add-on payment adjustments for three new dialysis-related products.



Source link



source https://financetin.com/cms-proposes-pay-boost-for-esrd-facilities/financetin.com

Related Posts:

  • Driving the Insanely Maxed Out Mini GPThe new Mini GP, which will only be sold for one year, is already hard enough to pin down—should you be lucky enough to get your hands on one through a dealer right now. It’s harder to label, written up elsewhere as, in no sh… Read More
  • Scientists Discover New Organs in the Throat If confirmed, these glands could be the first of their kind discovered in about 300 years. Modern anatomy books show only three types of salivary glands, a set near the ears, another below the jaw and a third under the tongu… Read More
  • Chronic Use of Heartburn Prescriptions Can Cause DiabetesHeartburn is one of the primary symptoms of gastroesophageal reflux disease (GERD). It feels like a burning sensation behind the breastbone, which can move to the neck and throat. Sometimes you may also taste a sour, bitter f… Read More
  • Purdue to Plead Guilty to Opioid-Related Crimes The company will plead guilty to three counts, including conspiracy to defraud the United States and violating federal anti-kickback laws, the Justice Department officials to the AP. from WebMD Healthhttps://img.webmd… Read More
  • The 5 Best Helmets To Get For The Active Man On The GoEvery man that leads an active life shares one thing. They need to have a helmet in their life. That way you can go out and worry less about getting into an accident that can cause a head injury. As the workout industry is bi… Read More

0 comments:

Post a Comment