Billing & payments

Today, the Centers for Medicare & Medicaid Services (CMS) released preliminary data on COVID-19 derived from Medicare claims. The data provides a highly instructive picture of the impact of COVID-19 on the Medicare population, further confirming a number of long understood patterns in the disease such as the elevated risk for seniors with underlying health conditions.

Antimicrobial resistance (AMR) represents an urgent clinical and economic crisis for the American health care system. Each year, more than 2 million Americans are infected by bacteria that are resistant to existing antibiotic drugs, resulting in thousands of deaths annually.
Over the past year, the Centers for Medicare & Medicaid Services (CMS) has engaged with the provider community in a discussion about regulatory burden issues. This included publishing a Request for Information (RFI) soliciting comments about areas of high regulatory burden.
91 percent of all clinicians eligible for the Merit-based Incentive Payment System (MIPS) participated in the first year of the Quality Payment Program (QPP). The submission rates for Accountable Care Organizations and clinicians in rural practices were at 98 percent and 94 percent, respectively.
CMS in April expanded the Medicare Diabetes Prevention Program (MDPP), a national performance-based payment model offering a new approach to type 2 diabetes prevention in eligible Medicare beneficiaries with an indication of pre-diabetes.
CMS is pleased to announce a new funding opportunity for the development, improvement, updating, and expansion of quality measures for use in the Quality Payment Program. CMS will be partnering with clinicians, patients, and other stakeholders to provide up to $30 million of funding and technical assistance in development of quality measures.