Dombi - winter 2017

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New benefit effective 1/1/<strong>2017</strong> Alternative to DME wound vac Disposable device Covered under Part B as outpatient service item/service HHA is only eligible provider Requires home health benefit eligibility Permits concurrent HH and OPS payments
IMPACT Act driven New Measures ◦ MSPB-PAC HH QRP ◦ Discharge to Community-PAC HH QRP ◦ Potentially Preventable 30-Day Post-Discharge Readmission for HH QRP ◦ Drug Regimen Review conducted with Follow-Up for Identified Issues-PAC QRP Still open to considering socio-economic status as factor in risk adjustment Potential measures for PAC VBP
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 and 14: Generally supportive of VBP as a pa
Page 15: Combined PAC VBP Controversial fir
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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