Heart of Health Policy | Updates on Health Policy News Affecting Practice
CMS Announces New Voluntary Bundled Payment Model
The Centers for Medicare and Medicaid Services (CMS), through its Innovation Center, released a new voluntary bundled payment model on Jan. 9 called Bundled Payments for Care Improvement Advanced (BPCI Advanced). This model is intended to build on the lessons from the current Bundled Payments for Care Improvement model that will conclude later this year. BPCI Advanced will qualify as an Advanced Alternative Payment Model (Advanced APM) under the Quality Payment Program (QPP) in 2018. Qualified participants (based on either patient counts or payment) are eligible for a five percent bonus in payment years 2019 through 2024. Under the Medicare Access and CHIP Reauthorization Act (MACRA), Advanced APMs must include the use of certified electronic health records, use quality measures similar with those in the Merit-based Incentive Payment System (MIPS) and bear financial risk.
In BPCI Advanced, 32 distinct clinical episodes are available to model participants. Of those episodes, 29 are inpatient, including AMI, cardiac arrhythmia, cardiac defibrillator, cardiac valve, congestive heart failure, coronary artery bypass grafting, pacemaker and percutaneous coronary intervention (PCI). New to this version of BPCI are three outpatient clinical episodes, including PCI. The first cohort of participants will start on Oct. 1, 2018, with a performance period running through Dec. 31, 2023. CMS will provide a second application opportunity in January 2020.
ACC believes that APMs, such as BPCI Advanced, have the potential to enhance patient care and improve the quality of care while lowering Medicare and Medicaid costs. To support members considering participation in APMs, ACC is creating the Alternative Payment Model Framework, launching in February on ACC.org. This tool will help members assess their readiness for APM participation. ACC also maintains an online MACRA hub (ACC.org/MACRA) for members seeking general information on the QPP, including information on Advanced APMs.
FDA Pilot Program to Address Improved Transparency of Drug Clinical Trial Data
U.S. Food and Drug Administration (FDA) Commissioner, Scott Gottlieb, MD, recently announced a new pilot program to improve transparency around clinical trial information to spur innovation and scientific analysis for new drugs.
The Agency plans to continue sharing information around product approvals and improve its transparency regarding clinical study reports that may be advantageous to patients, providers and scientists. Some information on drug approvals is currently shared with the public, but according to complaints, it is done through a complex and confusing format. The FDA plans to initiate talks with drug companies to assess their willingness to participate in the program and then solicit public feedback once the pilot is completed.
Don’t Miss These Health Policy-Focused Sessions at ACC.18
Saturday, March 10
2:00 p.m. – 3:30 p.m.
James T. Dove Keynote: Is the Thinking Cardiologist Obsolete? Quality Outcomes Through Better Reasoning.
Presented by John E. Brush, MD, FACC
Saturday, March 10
4:45 p.m. – 6:00 p.m.
Session 643: NCDR CathPCI Registry for Reporting and Quality
Sunday, March 11
9:30 a.m. – 10:00 a.m.
Heart to Heart Stage Presentation
Session 6503: MACRAnyms: Understanding the Alphabet Soup
Sunday, March 11
10:45 a.m. – 12:15 p.m.
Session 667: Impact of Evolving Health Care Reforms on Heart Failure Patients
Session 675: Achieving the Quadruple Aim in Healthcare
Monday, March 12
8:00 a.m. – 9:30 a.m.
Session 727: Payment Reform: Updated From the Trenches
Check the ACC.18 App or Online Program Planner for more details.
Clinical Topics: Arrhythmias and Clinical EP, Cardiac Surgery, Diabetes and Cardiometabolic Disease, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Prevention, Sports and Exercise Cardiology, Implantable Devices, SCD/Ventricular Arrhythmias, Atrial Fibrillation/Supraventricular Arrhythmias, Aortic Surgery, Cardiac Surgery and Arrhythmias, Cardiac Surgery and Heart Failure, Acute Heart Failure, Exercise
Keywords: ACC Publications, Cardiology Interventions, Medicaid, Centers for Medicare and Medicaid Services (U.S.), Ursidae, Outpatients, Drug Approval, Inpatients, Motivation, Pilot Projects, United States Food and Drug Administration, Medicare, Health Expenditures, Coronary Artery Bypass, Drug Evaluation, Electronic Health Records, Patient Care, Percutaneous Coronary Intervention, Pacemaker, Artificial, Arrhythmias, Cardiac, Heart Valves, Heart Failure, Consumer Product Safety, Running, Defibrillators, Cohort Studies
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