We have made available three new reports for PPS Hospitals on the Apprise Secure Portal. These reports are the Medicare OPPS Final Rule Impact AnalysisValue Based Purchasing Impact Analysis and Readmission Reduction Analysis. These reports can be very valuable in helping hospitals estimate future impact of medicare reimbursement and determining where they stand in pay for performance programs. Below are summaries of each report. You can view your hospital’s report in addition to detailed descriptions on the apprise portal.

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Value Based Purchasing Impact Analysis – Quarterly Update
for FFY 2018 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) 2018 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 2016 and FFY 2017 program performance to estimated FFY 2018 program performance is also included.

 

Medicare Outpatient Prospective Payment System Final Rule Impact Analysis
for CY 2017 program

The CY 2017 Medicare Outpatient Prospective Payment System (OPPS) Final Rule Analysis is intended to show providers how Medicare inpatient fee-for-service (FFS) payments will change from CY 2016 to CY 2017 based on the policies set forth in the FFY 2017 OPPS final rule.

This iteration of the OPPS final rule analysis includes marketbasket updates, budget neutrality adjustments, new wage index data, changes to APC weights and other outpatient payment changes identified mandated by CMS.

 

Readmissions Reduction Program Analysis
for CY2017 program

This analysis provides detailed performance information on the readmissions measures  evaluated under the Medicare Hospital Readmissions Reduction Program and provides hospitals with an in-depth review of actual performance under the FFYs 2016 and 2017 programs. The analysis also projects potential exposure under the FFY 2018 Program.

The specific measures analyzed include:

  • Heart Attack (AMI)
  • Heart Failure (HF)
  • Pneumonia (PN)
  • Hip/Knee Surgery (THA/TKA)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Coronary Artery Bypass Graft Surgery (CABG)