Upload File

coa 2018 tripplogan final 1 copy...*final medicare part d dir reporting requirements for 2015;...

  • Home
  • Documents
  • COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal
46
Community Pharmacies: Leveraging Access & Data to Impact Health Care Quality and Value

Upload: others

Post on 17-Sep-2020

2 views

Category:

Documents


0 download

Report

TRANSCRIPT

Page 1: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Community Pharmacies:

Leveraging Access & Data to Impact Health

Care Quality and Value

Page 2: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Today’s Health Care Decisions are DATA

DRIVENPharmacy CANNOT be

Excluded from the EQUATION

Page 3: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

LeveragingAccessData

GOALS• Explain how pharmacy quality is defined in today’s health care system

and Identify key strategies for improving patient care that also positively impacts other health care stakeholders.

• Describe barriers and benefits of direct to payer engagement through clinically integrated pharmacy provider networks

OBJECTIVES (Pharmacist & Technician)

• Explain how pharmacy quality is defined in the healthcare system• Identify key strategies in improving patient care that also positively

impact other healthcare stakeholders• Describe barriers and benefits of direct to payer engagement through

clinically integrated pharmacy provider networks.

Page 4: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Disclosures:TrippLogan,PharmD

TrippLogan,PharmDdoesnothave(nordoesanyimmediatefamilymemberhave)actualorpotentialconflictofinterest,withinthelasttwelvemonths,avestedinterestinoraffiliationwithanycorporateorganizationofferingfinancialsupportorgrantmonies forthiscontinuingeducationactivity,oranyaffiliationwithanorganizationwhosephilosophycouldpotentiallybiasthispresentation.

Affiliations:

NCPA Innovation Center Board Member; CPESN USA National Luminary; Partner, MedHere Today Consulting; Partner, ESPhA; Vice President, Logan & Seiler Inc. (L&S Pharmacy / Medical Arts Pharmacy)

Page 5: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

TrippLogan,PharmDCOMMUNITY PHARMACIST / PHARMACY OWNER• 2nd generation multi-pharmacy owner -

Southeast Missouri• Strong focus on appropriate medication use • Quality focused pharmacy practices• Residency program, care coordination, disease

state management, diabetes support group, medication use monitoring, MTM, compliance packaging, TOC, etc.

SERVICE ORGANIZATIONS• Pharmacy Quality Alliance (PQA) Board

Liaison• NCPA Innovation Center Board Member• CPESN USA National Luminary• CPESN Missouri Lead Luminary • Local Department of Health Board of Directors

PHARMACY QUALITY CONSULTANT / PARTNERMedHere Today is a healthcare quality and performance consulting firm created to help healthcare stakeholders expand and grow their quality and value based initiatives by leveraging community pharmacy.

Page 6: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal
Page 7: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

AdherenceData

Page 8: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

AdherenceMonitoring:2011IncreaseinADDITIONALprogram-drivenRx

volume

100 29*

2900Numberofpatientsenrolledinprogram

AdditionalRxsperpatientannually

*ArmstrongT.,ImpactoftheMedHereTodayProgramonPersistenceandAdherence,ADescriptiveReport;Pfizer,May2011.

Page 9: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

AllRxsARE NOT CreatedEqual

Page 10: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

AllRxsARE NOT CreatedEqual

Fill vs Claim

Page 11: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

RxFillvsRxClaim

Page 12: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

LessonsLearned1. Prescriptionvolumecanbesignificantlyincreased

withadherencemonitoring2. Enhancedpatientengagementresultsinincreases

inadherencemetrics3. Prescriptionvolumeincentivesareoftenpositively

perceivedbypharmacies4. Adherencemonitoringhasmanyfinancialand

patientcarebenefitstothepharmacy

Page 13: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

MedicationSafetyData

Page 14: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

HighRiskMedicationintheElderly

https://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovgenin/downloads/2014-trends-in-part-c-and-d-star-rating-measure-cut-points.Pdfhttps://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovgenin/downloads/2017-trends-in-part-c-and-d-star-rating-measure-cut-points.Pdf

Page 15: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

HighRiskMedicationintheElderly

Page 16: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

HighRiskMedicationintheElderly

“ThePatientwasexaminedbyme(face-to-face).Myprofessionaljudgementisaswritten.Toobadyourcomputercan’tseethepatient.:”

Page 17: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

HighRiskMedicationintheElderly

Page 18: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

HighRiskMedicationintheElderly

Page 19: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

HighRiskMedicationintheElderly

Do HRM metric improvements

positively reflect better patient outcomes?

Page 20: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Opioids

Pharmacy 1 Pharmacy 2

Page 21: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Opioids

Pharmacy 1 Pharmacy 2

Page 22: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Opioids

Pharmacy 1 Pharmacy 2Cash Prescriptions Cash Prescriptions

Page 23: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

https://www.optum.com/about/news/optumrx-risk-management-program-leads-to-better-outcomes.html

Page 24: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

https://cvshealth.com/newsroom/press-releases/cvs-health-fighting-national-opioid-abuse-epidemic-with-enterprise-initiativeshttps://expressscriptsholdingco.gcs-web.com/news-releases/news-release-details/safer-opioid-prescribing-express-scripts-significantly-reduces

Page 25: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

https://cvshealth.com/newsroom/press-releases/cvs-health-fighting-national-opioid-abuse-epidemic-with-enterprise-initiativeshttps://expressscriptsholdingco.gcs-web.com/news-releases/news-release-details/safer-opioid-prescribing-express-scripts-significantly-reduces

Do opioid metric improvements positively

reflect better patient outcomes?

Page 26: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

LessonsLearned1. Claims based metrics don’t always tell the whole

story2. History may be telling us something with the

opioid epidemic3. Strategies need to be developed to fill these

measurement gaps4. There are opportunities to improve the way

pharmacies are being measured

Page 27: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

PharmacyInterventionStrategies

ClaimsBased PatientBasedFillreminders CopayassistanceMedsync Medicationaccess

Fillgapsincare TransitionofcareMedicationsafety Healthliteracy/social

CMR CarecoordinationPackaging TransportationDayssupply EducationDIRreduction Empathy

Page 28: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

“Thereismorevalueinhittingthemeasure'sstarrebatelevel,thanafocusonthemedicalcostreduction”

-MedicarePartDPlanExecutive,August2017

PayerStrategies

Page 29: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Direct&IndirectRemuneration(DIR)Data

Page 30: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

It’s Not Just About Star RatingsTherealityofwhatiscoming...

…orwhatmayalreadybehere…

ACE-I Prescribed and TakenSingle =

Home Run = BP < 140/90

Patient Hospitalization AvoidedGrand Slam =

Slide compliments of: Troy Trygstad [email protected] & Joe Moose [email protected]

PresentationtoCMSQ2-2016

Page 31: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

HighQualityPharmacyProviders

HighRisk/ChronicallyillMedicareMember

PatientAttribution

MedicarePartDHealthPlan

HighQuality

PharmacyProvider

PresentationtoCMSQ2-2016

Page 32: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

HighQualityPharmacyProviders

HighRisk/ChronicallyillMedicareMember

PatientAttribution

HigherDIRFees

HighQuality

PharmacyProvider

PresentationtoCMSQ2-2016

Page 33: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

WhatHighQualityPharmacyProvidersSee

PresentationtoCMSQ2-2016

Page 34: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

WhatHighQualityPharmacyProvidersFeel

PresentationtoCMSQ2-2016

Page 35: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

WhatisaDIRfee?DIRisanyformofpriceconcession,receivedeitherbythePartDsponsororbyanintermediarycontractingorganization(aPharmacyBenefitsManager,orPBM,forinstance)withwhichthesponsorhascontracted,fromanysource(includingmanufacturers,pharmacies,enrollees,oranyotherpersonorentity)thatservestodecreasethecostsincurredunderthePartDplanbythePartDsponsor,eitherdirectlyorindirectly.Thus,DIRincludesdiscounts,chargebacks,rebates,cashdiscounts,freegoodscontingentonapurchaseagreement,up-frontpayments,coupons,goodsinkind,freeorreduced-priceservices,grants,legaljudgmentamounts,settlementamountsfromlawsuitsorotherlegalaction,andotherpriceconcessionsorsimilarbenefits.*

*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016

PresentationtoCMSQ2-2016

Page 36: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

WhatisaDIRfee?DIRisanyformofpriceconcession,receivedeitherbythePartDsponsororbyanintermediarycontractingorganization(aPharmacyBenefitsManager,orPBM,forinstance)withwhichthesponsorhascontracted,fromanysource(includingmanufacturers,pharmacies,enrollees,oranyotherpersonorentity)thatservestodecreasethecostsincurredunderthePartDplanbythePartDsponsor,eitherdirectlyorindirectly.Thus,DIRincludesdiscounts,chargebacks,rebates,cashdiscounts,freegoodscontingentonapurchaseagreement,up-frontpayments,coupons,goodsinkind,freeorreduced-priceservices,grants,legaljudgmentamounts,settlementamountsfromlawsuitsorotherlegalaction,andotherpriceconcessionsorsimilarbenefits.*

*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016

Shouldn’tthegoalbetodecreasethecostsincurredundertheMedicareProgramand

toMedicareMembers?

PresentationtoCMSQ2-2016

Page 37: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

OutcomesData&PharmacyNetworks

Page 38: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

ClinicallyIntegratedNetworkofProviders

1.CMS Innovation Center Grant & National Expansion of Concept

1.NC Pharmacy Providers Partner with Family Practice CIN

Family Practice Providers in North Carolina Prove CIN Savings

1.FTC Exemption for Clinically Integrated Network (CIN) Creation

1.Federal Trade Commission Barriers to Collaboration (ANTI-TRUST)

1.Begins as Providers Striving to DO MORE Together

Page 39: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Patient Access

Page 40: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Benefits of Providing Medication Use Support Integrated with Primary Care

A2010performanceanalysisofCommunityCareofNorthCarolinaprimarycarepracticeswithintegratedcommunity-basedpharmacysupports

Page 41: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

What is an Enhanced Pharmacy Service?

According to the Community Pharmacy Enhanced Service Pharmacy Network* (CPESN), an Enhanced Pharmacy Service is a service that:

“…transcends conventional outpatient pharmacy contract obligations.”*

Network Minimum Service Sets Like:§ Comprehensive Medication Reviews§ Medication Synchronization Program

§ Immunization Screening§ Medication Reconciliation

§ Personal Medication Record *https://www.cpesn.com/

Page 42: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

What is an Enhanced Pharmacy Service?

According to the Community Pharmacy Enhanced Service Pharmacy Network* (CPESN), an Enhanced Pharmacy Service is a service that:

“…transcends conventional outpatient pharmacy contract obligations.”*

Network Minimum Service Sets Like:§ Comprehensive Medication Reviews§ Medication Synchronization Program

§ Immunization Screening§ Medication Reconciliation

§ Personal Medication Record *https://www.cpesn.com/

Opportunities are LOCAL

Page 43: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal
Page 44: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal
Page 45: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

WhoaretheMarketDisruptors?

•Frustrated Employers•Clinically Integrated Networks of Providers

•Patient Engagement Technology Vendors•Healthcare Cost Transparency Advocates•Patients With a Voice!

Page 46: COA 2018 TrippLogan Final 1 copy...*Final Medicare Part D DIR Reporting Requirements for 2015; Centers for Medicare & Medicaid Services memorandum; May 31, 2016 Shouldn’t the goal

Thank You!!Tripp Logan, PharmD

[email protected]


Medicare Shared Savings Program, ACO Final Rule€¦ · Organizations final rule ... CMS released the proposed Medicare Shared Savings Program: ... CMS reiterates that there is no

CMS Final 2016 Medicare Payment and Policy Updates

Medicare preperation presentation final

FINAL REPORT SUMMARY OF METHODOLOGY AND APPROACH … · 1 FINAL REPORT SUMMARY OF METHODOLOGY AND APPROACH USP MEDICARE MODEL GUIDELINES v7.0 COOPERATIVE AGREEMENT USP Medicare Model

MEDICARE HOSPITAL OUTPATIENT CHANGES - Medtronic · MEDICARE HOSPITAL OUTPATIENT CHANGES EFFECTIVE JANUARY 1, ... Medicare Coverage Policies ... Medicare CY 2015-CY 2017 OPPS final

acumen Critical Access Hospital Medicare€¦ · Agenda Reimbursement Update Current Status for Critical Access Hospitals (CAH) Medicare Inpatient PPS Final Rule - FFY 2018 Final

Final 2012 Medicare Physician Fee Schedule Summary

Medicare 1135 Waivers & Two Interim Final …...Medicare 1135 Waivers & Interim Final Rules Enabling Health System Expansion • Waivers –CMS issued national (“blanket”) 1135

“ Christians Shouldn’t Judge”

Medicare Diabetes Prevention Program Expanded Model Overview · Medicare Diabetes Prevention Program Model Expansion Overview of Final Rule in CY 2017 Medicare Physician Fee Schedule

CY 2015 Medicare Physician Fee Schedule (PFS) Final Rule Medicare Physician Fee Schedule Final Rul… · 2015 Medicare Physician Fee Schedule (MPFS) Final Rule . December 2, 2014

MGMA MEMBER-EXCLUSIVE ANALYSIS Final 2020 Medicare ... Final-Physician-Fee-Schedule-Analysis.pdfThe Centers for Medicare & Medicaid Services (CMS) finalized changes to both Medicare

Final Report on GPCI Malpractice RVUs - Centers for Medicare

Final CY 2014 Marketing Guidance for California Medicare ...€¦ · 1 Final CY 2014 Marketing Guidance for California Medicare-Medicaid Plans Released: July 10, 2013 Revised: March

Holiday Cheer –2021 Medicare Final Rules

2014 Medicare Physician Fee Schedule Final Rule

FINAL RULES FOR MEDICARE ADVANTAGE PLANS AND … · FINAL RULE SUMMARY April 2019 FINAL RULES FOR MEDICARE ADVANTAGE PLANS AND TELEHEALTH Coverage of telehealth-delivered services

Presentation 2020 MedicarePrep Final · 2020-02-28 · MEDICARE PREPARATION. What is Medicare? Medicare is a federal health insurance program for people: • age 65+; • medically

Medicare Home Health PPS Final Rule: Key Points

CY2018 Medicare Final Rules for HOPPS, ASC, and PFS · CY2018 Final Medicare Rules Issued for Hospital ... and Ambulatory Surgical Center (ASC) Payment System final rule ... CMS is

Final CY 2017 Marketing Guidance for California Medicare ... · 1 Final CY 2017 Marketing Guidance for California Medicare-Medicaid Plans Issued: August 22, 2016 Introduction All

Medicare 101 understanding medicare final

Medicare CY 2018 Outpatient Prospective Payment … 2018 OPPS/ASC Final Rule 1 Medicare CY 2018 Outpatient Prospective Payment System (OPPS) Final Rule Claims Accounting Calculating

Final Rule for the Medicare Shared Savings Program

CY 2016 MEDICARE OUTPATIENT HOSPITAL FINAL RULE

FINAL REPORT, SUMMARY OF METHODOLOGY …...FINAL REPORT, SUMMARY OF METHODOLOGY AND APPROACH USP MEDICARE MODEL GUIDELINES v6.0 COOPERATIVE AGREEMENT USP Medicare Model Guidelines

Summary of Final Medicare Hospital Outpatient and ... · Summary of Final Medicare Hospital Outpatient and Physician Fee Schedule (Physicians and Freestanding Centers) CY 2014 Rules

shouldn’t be any different.fexcontracting.com/.../13-0430-FHolding-Hands-Final-Expense-Mailer … · 13/3/2014  · Planning your Funeral shouldn’t ... If you are between the

Advisor Live: Medicare Final Rules on OPPS and MPFS

Medicare ACOs Final Rule June 2015.pdf

FINAL - Home - Centers for Medicare & Medicaid Services

FY 2014 Medicare Final Rule Summary of Major Provisions

Centers for Medicare and Medicaid Services Medicare and ... · and the Centers for Medicare and Medicaid Services (CMS) released the final rule for implementation of the Medicare

FY2020 Medicare Hospital IPPS and LTCH Final …...FINAL RULE Fiscal Year 2020 Medicare Hospital Inpatient Prospective Payment System and Long- Term Care Hospital Prospective Payment

DOTPA Final Report - Centers for Medicare & Medicaid Services