Deprecated: Creation of dynamic property Cookie_Law_Info_Cli_Policy_Generator::$plugin_name is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/cookie-law-info/legacy/admin/modules/cli-policy-generator/cli-policy-generator.php on line 176

Deprecated: Use of "self" in callables is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/cookie-law-info/legacy/includes/class-cookie-law-info.php on line 604

Deprecated: Creation of dynamic property WPCF7R_Base::$plugin_path is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-base.php on line 28

Deprecated: Creation of dynamic property WPCF7R_Base::$version is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-base.php on line 30

Deprecated: Creation of dynamic property WPCF7r_Settings::$page_slug is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-settings.php on line 18

Deprecated: Creation of dynamic property Qs_Api::$activation_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 15

Deprecated: Creation of dynamic property Qs_Api::$changelog_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 16

Deprecated: Creation of dynamic property Qs_Api::$api_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 17

Deprecated: Creation of dynamic property Qs_Api::$store_id is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 18

Deprecated: Creation of dynamic property Qs_Api::$sku is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 19

Deprecated: Creation of dynamic property Qs_Api::$extensions_list_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 20

Deprecated: Creation of dynamic property Qs_Api::$promotions_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 21

Deprecated: Creation of dynamic property WPCF7r_Settings::$api is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-settings.php on line 19

Deprecated: Creation of dynamic property WPCF7R_Base::$wpcf_settings is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-base.php on line 43

Deprecated: Creation of dynamic property Qs_Api::$activation_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 15

Deprecated: Creation of dynamic property Qs_Api::$changelog_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 16

Deprecated: Creation of dynamic property Qs_Api::$api_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 17

Deprecated: Creation of dynamic property Qs_Api::$store_id is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 18

Deprecated: Creation of dynamic property Qs_Api::$sku is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 19

Deprecated: Creation of dynamic property Qs_Api::$extensions_list_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 20

Deprecated: Creation of dynamic property Qs_Api::$promotions_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 21

Deprecated: Creation of dynamic property WPCF7R_Base::$wpcf7_redirect is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-base.php on line 45

Deprecated: Creation of dynamic property Qs_Api::$activation_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 15

Deprecated: Creation of dynamic property Qs_Api::$changelog_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 16

Deprecated: Creation of dynamic property Qs_Api::$api_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 17

Deprecated: Creation of dynamic property Qs_Api::$store_id is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 18

Deprecated: Creation of dynamic property Qs_Api::$sku is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 19

Deprecated: Creation of dynamic property Qs_Api::$extensions_list_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 20

Deprecated: Creation of dynamic property Qs_Api::$promotions_url is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-qs-api.php on line 21

Deprecated: Creation of dynamic property WPCF7r_Utils::$api is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-utils.php on line 23

Deprecated: Creation of dynamic property WPCF7R_Base::$wpcf7_utils is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-base.php on line 47

Deprecated: Creation of dynamic property WPCF7R_Base::$wpcf7_submission is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-base.php on line 49

Deprecated: Creation of dynamic property WPCF7R_Base::$wpcf7_user_panel is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/wpcf7-redirect/classes/class-wpcf7r-base.php on line 51

Deprecated: version_compare(): Passing null to parameter #2 ($version2) of type string is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/Ultimate_VC_Addons/Ultimate_VC_Addons.php on line 1272

Deprecated: ctype_digit(): Argument of type null will be interpreted as string in the future in /nas/content/live/ahsrcmprod/wp-content/mu-plugins/wpe-cache-plugin/cache-control.php on line 174

Deprecated: Use of "self" in callables is deprecated in /nas/content/live/ahsrcmprod/wp-content/plugins/cookie-law-info/legacy/includes/class-cookie-law-info.php on line 604
End-Stage Renal Disease Proposed 2018 Policy and Payment Rate Changes

End-Stage Renal Disease Proposed 2018 Policy and Payment Rate Changes

July 2017 ~

CMS has issued a proposed rule that would update payment policies for the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS).

According to CMS the ESRD PPS proposed rule is one of several for CY 2018 that reflect a broader strategy to relieve regulatory burdens for providers; support the patient-doctor relationship in healthcare; and promote transparency, flexibility, and innovation in the delivery of care.

“CMS is committed to transforming healthcare to empower patients and doctors so that they can make the best decisions about their health,” said CMS Administrator Seema Verma in a CMS press release. “A focus on patient-centered care allows providers to direct their time and resources to improving health outcomes for all patients rather than complying with burdensome regulations from Washington, D.C.”

The rule covers payment rates for renal dialysis services furnished to beneficiaries on or after January 1, 2018. Key changes under the ESRD PPS proposed rule include:

  • A 0.7% rate update, which reflects a projected 2.2% market basket increase that is offset by a 1% reduction under the Protecting Access to Medicare Act (PAMA) and a 0.5% multifactor productivity reduction;
  • Update outlier fixed dollar loss amounts and Medicare Allowable Payments;
  • Allowing the use of any pricing methodology under section 1847A of the Social Security Act to determine the cost of drugs and biologicals when average sales price (ASP) data is not available for outlier payment purposes;
  • Setting the acute kidney injury (AKI) dialysis rate to equal the proposed ESRD PPS base rate;
  • changes to its ESRD Quality Incentive Program (QIP) quality measures and methodologies for payment years 2019 – 2021; and
  • A “Request for Information on Medicare Flexibilities and Efficiencies” that invites suggestions for ways to “increase quality of care, lower costs, improve program integrity, and make the health care system more effective, simple and accessible.”

CMS says the payment incentives implemented under the proposed rule focus on improved quality of care at dialysis facilities, ensure program stability, and will build patient-centered system of care to increase competition. CMS anticipates that the proposed rule would increase total Medicare payments to ESRD facilities by 0.8% in 2018, with hospital-based ESRD facilities having an estimated 1.0% increase and freestanding facilities having an estimated 0.8% increase.

CMS will accept comments on the proposed rule until August 28, 2017.

For More information, refer to ESRD Fact Sheet or visit the ESRD Center webpage.

 

Source(s): CMS MLN Connects; CMS Press Release; CMS Fact Sheet; Federal Register;
AdvantEdge
AdvantEdge