1. CMS Proposes Updates to ESRD PPS

    CMS released a proposed rule to update and make revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for 2016. According to CMS, the proposals in this rule are necessary to ensure that ESRD facilities receive accurate Medicare payment amounts for furnishing outpatient maintenance dialysis treatments during calendar year 2016. This rule also proposes to

    • Set requirements for the ESRD Quality Incentive Program (QIP) for CY 2016.
    • Establish and revise requirements for quality reporting and measurement, including the inclusion of new quality measures for payment year (PY) 2019 and beyond.
    • Update programmatic policies for the PY 2017 nd PY 2018 ESRD QIP.
    Comments are due August 25, 2015.

    Read More

  2. NCPDP Testifies at June NCVHS Review Committee Hearings

    The National Committee on Vital & Health Statistics (NCVHS) held a hearing this week to obtain information from the healthcare industry on the currently adopted standards, operating rules, code sets and identifiers used in administrative simplification transactions.  NCPDP testified at the hearing; written comments are available on NCPDP’s Workspace Collaborative website.  The hearing focused on two main objectives:

    Read More

  3. CMS Issues Final Rule on MSSP ACO

    The Centers for Medicare & Medicaid Services (CMS) issued a final rule on the Medicare Shared Savings Program (MSSP) Accountable Care Organizations. According to CMS, the final rule updates the Medicare Shared Savings Program to “encourage the delivery of high-quality care for Medicare beneficiaries and build on the early successes of the program and of the Pioneer Accountable Care Organization (ACO) Model.” The modifications to the proposed regulations stem from comments CMS received from the December 2014 Notice of Proposed Rulemaking:

    Read More

  4. HHS Considers Changes to HPID Rule - Seeks Comments

    The Department of Health and Human Services (HHS) is considering changes to its health plan identifier (HPID) rule. HHS issued a Request for Information (RFI) seeking public comment on how the identifiers' use in healthcare transactions has changed since health plans began using them in 2012, and whether the identifiers still have value. Although they are not currently required to do so, covered entities will be required to include the HPID in HIPAA transactions starting November 7, 2016.  Comments are due July 28, 2015.

    Read More

  5. NCPDP Contracts with Bloomberg Government (BGOV) to Enhance Federal Policy Coverage for Rx Reconn Subscribers

    Now more than ever, NCPDP members need to be in the know about what is happening in our industry at the legislative level.  In 2014, NCPDP tracked 1,920 legislative bills and 967 regulations spanning 34 issue topics through RxReconn, NCPDP’s legislative and regulatory tracking tool.

    Read More

For problems with the site please contact us at webmaster@ncpdp.org