FutureFocus May 9, 2018: Revising Conditions Of Participation To Increase Data Sharing

Lisa Remington

In this week’s FutureFocus, is the announcement of CMS discussing a Request for Information (RFI) for feedback on solutions to achieve better data sharing between providers. A similar RFI was announced recently in FY 2019 PPS updates. There is a possibility of revising Conditions of Participations. Another merger between three home care companies will form one of the largest providers of home-based care in the U.S. In another announcement, Humana and Landmark announce an in-home care program for chronic conditions.

Lisa Remington, President, Remington Health Strategy Group

Within payment and policy proposed regulations for the Medicare hospice benefit in FY 2019 announced April 27, CMS released a Request for Information (RFI) to obtain feedback from stakeholders on positive solutions to better achieve “interoperability” or the sharing of healthcare data between providers.

Three companies merge to create one of the largest provider of home-based care. In another announcement, payor Humana and Landmark develop a chronic care model for Medicare Advantage Members.

The hospice rule also proposes to enable more efficient use of Hospice Compare data by no longer directly displaying the seven component measures from which a composite measure is calculated on Hospice Compare, once the composite measure is displayed. CMS would still provide the public the ability to view these component measures in a manner that avoids confusion on Hospice Compare.

CMS has scheduled an Alternative Dispute Resolution Initiative Call for May 22, 1:30-3 pm ET. Register through Medicare Learning Network events.

MayJune 2018 cover

Insights Changing Post-Acute's Future

* The new focus on discharge planning, patient choice and post-acute providers.

* Telehealth usage advancing through policy changes.

* Bundled payments and the windy road for PAC participants.

* Medicaid and Medicaid managed care preparing for value-based models.

* The value-based market transformation taking bolder steps.

 * Value-based innovation models changing the status quo.

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