We have made available two new reports for PPS Hospitals on the Apprise Secure Portal. These reports are the Value Based Purchasing Impact Report and the OPPS Proposed Rule Analysis. We believe that these reports can be very valuable in helping hospitals estimate future impact of medicare reimbursement and pay-for-performance programs.

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Medicare Outpatient Prospective Payment System
Proposed Rule Analysis (CY 2017)

The calendar year (CY) 2017 Medicare Outpatient Prospective Payment System (OPPS) Proposed Rule Analysis is intended to show providers how Medicare outpatient fee-for-service payments will change from CY 2016 to CY 2017 based on the policies set forth in the CY 2017 OPPS proposed rule.  The analysis incorporates changes to outpatient payments mandated by Congress and implemented by the Centers for Medicare and Medicaid Services (CMS).

The following changes are modeled in this analysis:

  • Marketbasket Update
  • ACA-Mandated Marketbasket Reductions
  • Pass-through Spending BN Adjustment
  • BN Adjustment for Packaging of Unrelated Laboratory Tests
  • Wage Index
  • APC Factor/Updates

A detailed description of the analysis is available for download on the secure portal.

Value Based Purchasing Impact Analysis – Quarterly Update
for FFY 2017 Program

The Value-Based Purchasing (VBP) Impact Analysis is intended to provide hospitals with a preview of the potential impact of the federal fiscal year (FFY) 2017 Medicare inpatient hospital VBP Program based on publicly available data and program rules established by the Centers for Medicare and Medicaid Services (CMS).

The reports included in this analysis estimate VBP scores, impacts, and trends and provide full detail on how the points and scores for each VBP measure and domain are calculated. A report that compares actual FFY 2015 and FFY 2016 program performance to estimated FFY 2017 program performance is also included.

A detailed analysis description is available for download on the secure portal.