CMS Announces New Prospective Payment System for End-Stage Renal Disease

Support & Live Chat

CMS ANNOUNCES NEW PROSPECTIVE PAYMENT SYSTEM
FOR END-STAGE RENAL DISEASE FACILITIES

PROGRAM WOULD REWARD EFFICIENT, HIGH QUALITY CARE
FOR PEOPLE WITH END-STAGE RENAL DISEASE

The Centers for Medicare & Medicaid Services (CMS) today issued a final rule that will change how Medicare pays for dialysis services for Medicare beneficiaries who have end-stage renal disease (ESRD). CMS also issued a proposed rule that would establish a new quality incentive program (QIP) to promote high quality services in dialysis facilities by linking a facility' s payments to performance standards. The QIP is the first pay-for-performance program in a Medicare fee-for-service payment system.

"The new payment system and quality incentive program for dialysis services have significant potential to improve patient outcomes and promote efficient delivery of health care services," said CMS Administrator Donald Berwick, M.D. "In addition, for the first time in any of our payment systems, the quality of care facilities furnish to patients will be reflected in their payment rates." Currently, facilities only report on whether they have complied with quality measures.

In addition to finalizing the ESRD PPS payment policies and rates for calendar year 2011, CMS issued a proposed rule that would establish performance standards and a scoring methodology for the Quality Incentive Program required by the Medicare Improvements for Patients and Providers Act0f 2008 (MIPPA) to ensure quality of care for patients with ESRD.

To read the entire CMS Press Release issued on 7/26 click here: http://www.cms.gov/apps/media/press_releases.asp

Also, for additional information please see :
CMS Fact sheet (7/26): https://www.cms.gov/apps/media/fact_sheets.asp
End Stage Renal Disease (ESRD) Center site: www.cms.gov/center/esrd.asp

A link to the proposed rule, which will be published in the Federal Register on August 12, 2010 will be available at: http://www.ofr.gov/OFRUpload/OFRData/2010-18466_PI.pdf or
www.ofr.gov/inspection.aspx.

CMS will accept comments on the QIP proposed rule until Sept. 24, 2010, and will respond to them in a final rule to be issued later this year.

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to (http://www.cms.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf).

If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) to unsubscribe or to leave the appropriate listserv.

Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.gov/ContactCMS). Thank you.