MACRA likely ma­jor topic at AHIP con­fer­ence

Modern Healthcare - - THE WEEK AHEAD - —Shan­non Much­more

The Medi­care Ac­cess and CHIP Reau­tho­riza­tion Act fi­nal rule re­leased ear­lier this month in­cludes fund­ing to cre­ate and im­ple­ment a core set of per­for­mance mea­sures to be used by pri­vate and public in­sur­ers alike.

The goal, ac­cord­ing to the CMS, is to get pay­ers on the same page when com­par­ing qual­ity, mak­ing the data more eas­ily gath­ered and un­der­stood.

“This is a first step of an on­go­ing process to en­sure both public pro­grams and the pri­vate sec­tor align mea­sures and re­port­ing, es­pe­cially as we ad­vance al­ter­na­tive pay­ment mod­els,” said Carmella Bocchino, ex­ec­u­tive vice pres­i­dent of Amer­ica’s Health In­surance Plans, one of the in­dus­try groups con­sult­ing with the CMS on the is­sue.

AHIP will dis­cuss MACRA im­ple­men­ta­tion and other is­sues re­lated to Medi­care, Med­i­caid and those du­ally el­i­gi­ble for the pro­grams at a con­fer­ence this week in Wash­ing­ton, D.C.

Among the speak­ers is Andy Slavitt, act­ing ad­min­is­tra­tor of the CMS, which was formerly headed by AHIP Pres­i­dent Mar­i­lyn Taven­ner.

Other top­ics on the agenda in­clude pri­or­i­ties for Medi­care Ad­van­tage and Part D, care co­or­di­na­tion, per­son­cen­tered care and the pos­si­ble im­pli­ca­tions of the elec­tion.

The clos­ing key­note speaker for the con­fer­ence will be Vir­ginia Gov. Terry McAuliffe, who will dis­cuss Med­i­caid is­sues.

Medi­care top­ics to be ad­dressed at the con­fer­ence in­clude the CMS’ ini­tia­tive to mon­i­tor provider di­rec­to­ries; CMS au­dit find­ings re­lated to de­nials, ap­peals and griev­ances; us­ing an­a­lyt­ics to identify and man­age pa­tient opi­oid abuse; and strate­gies for ad­dress­ing health­care dis­par­i­ties.

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