This Weekly’s Hot Topics

  • TOMORROW! June 21, 2017, providers MUST use the most recent version of the ABN (Noridian News)
  • Medicare Payment Advisory Commission (MedPAC) released its June 2017 Report to Congress (National News)
  • CMS will pay you for your input! CMS wants to improve its Quality Payment Program (QPP) website(qpp.cms.gov) (CMS News)

The California Medical Association has updated its Health Law Library with 2017 content, including a MACRA Overview and California’s Prescription Drug Monitoring Program. CMA members can access On-Call documents free and non-members can purchase On-Call documents for $2 per page. For more information click here and go to California News.

TOMORROW! June 21, 2017, providers MUST use the most recent version of the Advance Beneficiary Notice of Noncoverage (ABN) Form CMS-R-131 with the March 2020 expiration date. If the new form is not used on or after this date, any new ABN executed on the old form will be considered invalid and would result in provider liability if Medicare denies the claim.  For more information click here and got to Noridian News.

Last week the Medicare Payment Advisory Commission (MedPAC) released its June 2017 Report to Congress, issuing several major recommendations related to Medicare Part B drug payments.  MedPAC’s recommendations include a reduction in Wholesale Acquisition Cost (WAC)-based payments and a reduction in the average sales price (ASP) add-on payment. Medicare also would develop a program that would allow providers to use private Pharmacy Benefit Manager (PBM)-style vendors to negotiate drug prices with manufacturers.  For more information click here and go to National News.

Earlier this year, COA submitted formal comments on the draft recommendations to MedPAC. In the letter, COA expressed its deep concern that the proposal completely ignores the realities of the American cancer care delivery system.  If implemented, COA believes that these recommendations will backfire, causing the opposite of their intent, driving more cancer care into the much more expensive hospital setting and accelerating increases in Part B costs for Medicare and beneficiaries. For more information click here and go to Affiliate Association News.

 

To view the complete California Oncology Weekly Newsletter, click on the date below.

June 20, 2017