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An Analysis of CMS’s Proposed Rules Implementing MACRA and Updating FY 2017 IPPS/LTCH

Webinar Only

This webinar will discuss two major proposed rules CMS announced in April—one revolutionizing physician payments and the other revising and updating Medicare's 2017 Inpatient Prospective Payment System (IPPS). On April 27, 2016, CMS released the 962-page display-copy of its proposed rule implementing the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which is the recent far-reaching legislation that permanently replaces Medicare's Sustainable Growth Rate (SGR) with new physician payment systems emphasizing quality and efficiency. Just days earlier, on April 18, 2016, CMS issued its proposed rule to revise and update the 2017 IPPS. Understanding CMS’s proposals is essential both for planning and budgetary purposes and for pro-active participation in the implementation of the new policies. On Monday, May 9, 2016, King & Spalding is hosting a 75-minute Webinar that will analyze some of the most important items contained in both proposed rulemakings including:

  • The pros and cons of each of the two payment models available to physicians under CMS’s proposed implementation of MACRA: the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs), including advice on how to choose between the two models and their significance for the wider healthcare community;
  • The Latest on DSH/UCC Payments – Including CMS’s proposal to begin using data from Worksheet S-10 for FY 2018;
  • Two Midnight Rule – CMS’s proposal to reverse the 0.2% payment reductions made pursuant to its two midnight rule in prior years by including a 0.6% pay increase in 2017;
  • Pay-for-Performance – Including several proposed changes to the Hospital-Acquired Condition (HAC) Reduction Program and CMS’s continued refinement of the Value-Based Purchasing program;
  • Notification for Observation Services – CMS proposal to institute a standardized written notice, known as the Medicare Outpatient Observation Notice (MOON), to Medicare patients receiving observation outpatient care for more than 24 hours;
  • LTCH PPS Changes – Including CMS’s proposal to rebase and revise the LTCH-specific market basket to reflect a 2013 base year and the resulting 6.9 percent decrease in expected overall payments.

Interested parties will have until June 16, 2016 to submit comments on the IPPS proposed rule and until June 26, 2016 to submit comments on the MACRA proposed rule.

You do not have to be a client to attend, and there is no charge.

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If you have questions concerning this Roundtable Webinar, e-mail

Event Details

Date: May 9, 2016

Time: 8:00 pm