Dombi - winter 2017

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Now calculating benchmarks and achievement thresholds at state level ◦ Too few ”small” HHAs Apply VBP based on large vs. small HHAs, but only if at least 8 in the cohort Drops 4 measures that were not needed or not ready Establishes appeals process Submission process/timetable changes
Combined PAC VBP Controversial first versions Version 3 ◦ budget neutral in the aggregate ◦ MSPB, Discharge to community, and preventable readmission measures • Optional quality measures ◦ Two-track risk model • 2-5% at risk (high risk track) • 1-2% at risk (low risk w/ other VBP involvement, e.g. HHVBP) Reduced base rates with performance bonus opportunity Industry concerns No Senate counterpart (yet)
Page 1 and 2: February 6-8, 2017 Loews Madison Ho
Page 3 and 4: Post-Acute Care Value-Based Purchas
Page 5 and 6: Permit Non-physician Practitioners
Page 7 and 8: HHPPS 2017 Final rule Rates Value-B
Page 9 and 10: New model intended to address: ◦
Page 11 and 12: Timing of implementation TBD ◦ Ne
Page 13: Generally supportive of VBP as a pa
Page 17 and 18: IMPACT Act driven New Measures ◦
Page 19 and 20: MA plans have begun auditing home h
Page 21 and 22: Suspension/rescission of pre-claim
Page 23 and 24: 2016 ◦ 4,976 HHA surveys ◦ 2.5%
Page 25 and 26: First major revision in CoPs in 3 d
Page 27 and 28: Request that CMS withdraw CoPs or e
Page 29 and 30: Rule changes directly and indirectl
Page 31: Election results raise speculation

Dombi - winter 2017

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