Tag: DataGen

Webinar Series Continues on Medicare FFS Quality-based Programs

Member News

The MHA and DataGen hosted the first of two webinars focused on the Medicare fee-for-service (FFS) quality-based programs June 7 to review the Medicare value-based purchasing (VBP) program. A recording and materials from the webinar are now available.

The Medicare fee-for-service (FFS) VBP program is funded by a 2% contribution from inpatient operating payments of all eligible prospective payment system (PPS) hospitals with these funds, totaling approximately $1.9 billion, redistributed among hospitals nationally. Each hospital’s total performance score is determined based on four program domains comprised of various measures. Although the Centers for Medicare and Medicaid Services (CMS) held all hospital scores neutral in fiscal year (FY) 2022 and 2023 and neither penalized nor rewarded hospitals due to the COVID-19 pandemic, the CMS will resume scoring for the FY 2024 program. The VBP program provides hospitals the opportunity to earn more or less than their 2% contribution and is budget neutral nationally.

The second webinar will be held at 1:30 p.m. June 14 and focus on the Medicare Readmissions Reduction program (RRP) and Hospital Acquired Conditions (HAC) reduction program. For these programs, hospitals can remain whole or be subject to payment penalties up to 3% for the RRP and 1% for the HAC program.

Members are encouraged to register for this webinar.  Those with questions regarding these programs or webinars should contact Vickie Kunz at the MHA.

Upcoming Webinars on Medicare FFS Quality-based Programs

Member News

The MHA is partnering with DataGen to host two free webinars focused on Medicare fee-for-service (FFS) quality-based programs, which can reduce hospital inpatient FFS payments by up to 6%, depending upon hospital performance. The webinars are scheduled for June 7 and June 14 at 1:30 p.m. ET.

The first webinar will review the Medicare value-based purchasing program. Due to the pandemic, the Centers for Medicare and Medicaid Services (CMS) neither penalized nor rewarded hospitals for fiscal years (FYs) 2022 and 2023, but will do so for FY 2024. The CMS withholds 2% from Medicare FFS inpatient claims, totaling approximately $1.7 billion nationally, with these funds redistributed based on performance. The latest estimates indicate 27 Michigan hospitals will be subject to a $2.8 million payment penalty for FY 2024, with 54 hospitals gaining $6.7 million. Members are encouraged to register for the value-based purchasing webinar.

The second webinar will review the Medicare readmissions reduction (RRP) and hospital acquired conditions (HAC) reduction programs. The CMS opted not to penalize hospitals under the HAC program for FY 2023, but penalties resume in FY 2024, with 25% of hospitals nationally subject to a 1% payment penalty. The RRP evaluates readmissions for six medical conditions, with hospitals subject to penalties of up to 3% that is applied to Medicare inpatient payments for all FFS discharges. The latest FY 2024 estimates indicate 66 Michigan hospitals will be subject to a $12 million RRP penalty, with 24 hospitals subject to a $9.5 million HAC penalty. Members are encouraged to register for the RRP and HAC webinar.

Hospital quality department and finance staff are encouraged to participate in these webinars, which will be recorded and available for future reference. Members with questions should contact Vickie Kunz at the MHA.

News to Know – Nov. 21, 2022

Member News
  • DataGen is hosting a national webinar to review the 2023 Medicare fee-for-service outpatient prospective payment system final rule and hospital impact analysis at 3 p.m. on Nov. 30, 2022. This webinar is available free of charge but registration is required. The MHA will provide hospitals with an impact analysis of the final rule within the next few weeks. Members with questions should contact Vickie Kunz the MHA.
  • MHA Endorsed Business Partner NextJob is hosting a free webinar on Actionable Neuroscience Insights for Improved Workplace Performance at noon ET Dec. 7, 2022 to educate employees about the brain processes of perception, cognition and neuro-linguistics and share tips to help improve performance at work. MHA members are invited to register and share information about the webinar with their colleagues. To learn more, visit the business partner profile page for NextJob or contact Paul Dzurec at NextJob.

News to Know – Week of Sept. 12

Member News
  • The Centers for Medicare and Medicaid Services recently released a final rule to update the Medicare fee-for-service inpatient prospective payment system for fiscal year 2023, which begins Oct. 1, 2022. Hospitals are invited to participate in a national webinar hosted by DataGen at 3 p.m. Sept. 14 to review key provisions of the rule and estimated impact analysis provided by the MHA. The webinar is free of charge, but registration is required.
  • The deadline to provide contact information in preparation for the state’s anticipated grant program to implement an Emergency Department Medication for Opioid Use Disorder program has been extended to Sept. 23.