IHA Daily Briefing: April 13

Friday, April 13, 2018

CMS Updates Data Tool
April 18 Webinar on New Medicare SNF VBP Program
Public Health 3.0: An Illinois Workforce Development Forum
Did You Know?

CMS Updates Data Tool
The Centers for Medicare & Medicaid Services (CMS) has released an update of its Market Saturation and Utilization Data Tool that includes interactive maps and a dataset that shows national-, state- and county-level provider services and utilization data for selected health service areas. This update now includes Federally Qualified Health Centers and Ophthalmology data with seven, 12-month reference periods and the following health service areas:

  • Home Health, Ambulance (Emergency, Non-Emergency, Emergency & Non-Emergency);
  • Independent Diagnostic Testing Facilities (Part A and Part B);
  • Skilled Nursing Facilities;
  • Hospice;
  • Physical and Occupational Therapy;
  • Clinical Laboratory (Billing Independently);
  • Long-Term Care Hospitals;
  • Chiropractic Services;
  • Cardiac Rehabilitation Programs; and
  • Psychotherapy.

In a fact sheet, CMS says that it uses the Market Saturation and Utilization Data Tool as one of many tools to monitor and manage market saturation as a means to help prevent potential fraud, waste and abuse.

April 18 Webinar on New Medicare SNF VBP Program
The Protecting Access to Medicare Act (PAMA) of 2014 mandated the implementation of a Medicare Value-Based Purchasing (VBP) program for skilled nursing facility (SNF) services beginning Oct. 1, 2018.

DataGen will conduct a national webinar on Wed., April 18 from 2 – 3 p.m. CT to provide detailed information on this program. Registration is required.

Following are specific components of the SNF VBP program:

  • The first measure to be used in the program is the Skilled Nursing Facility 30-Day All Cause Readmission Measure;
  • The Centers for Medicare & Medicaid Services (CMS) will withhold two percent of Medicare payments to fund the VBP distribution pool, but only 50 – 70 percent will be returned to SNF providers based on performance. This program is not budget-neutral;
  • SNFs performance will be scored based on both achievement and improvement results; and
  • The performance period for federal fiscal year 2019 is the 12-month period from Jan. 1 through Dec. 31, 2017.

More information is available on the CMS website.

IHA will be distributing initial estimates of the financial impact of this new program to members providing skilled nursing services within the next few weeks.

Public Health 3.0: An Illinois Workforce Development Forum
On May 3, the Illinois Public Health Institute will partner with local health departments, the University of Illinois and field experts on a forum in Springfield focused on how public health, hospital and community collaboration can address social determinants of health and promote health equity. Speakers include Julie Trocchio from the Catholic Health Association, Jaime Dircksen from Trinity Health, Jane Erickson from Rethink Health, and Brian Castrucci from the de Beaumont Foundation—which pioneered The Practical Playbook.

For more information, see the full agenda and register for the forum.

Did You Know?
In 1910, the arsenic-based drug Salvarsan, the first cure for syphilis, was the most widely prescribed drug in the world. It was developed by German biochemist and Nobel Prize winner Paul Ehrlich after three years of testing. His efforts to target individual diseases with specific drugs marked an important milestone in pharmaceutical research.

In recognition of Sexually Transmitted Disease Awareness Month, read more about Ehrlich's discovery and his impact on drug development.