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  • Access and Reimbursement for Infectious Disease Services

    Access and Payments

    Fair and adequate reimbursement for infectious diseases physicians is a key IDSA policy priority. The Society also advocates for access to appropriate treatments for patients with serious infections and for medical liability reform. IDSA’s positions on specific reimbursement and access issues that impact the practice of infectious diseases and Advocacy Alerts to key policy priorities are provided below. 

    Home Infusion Therapy

    IDSA's Efforts in Access and Reimbursement for ID Services

    12/16/2016

    IDSA Comments on the Medicare Final Rule for the Quality Payment Program

    IDSA provides comments on the Medicare Final Rule for the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Programs, collectively known as the Quality Payment Program (QPP). Specifically, IDSA provides further specifics on improvement activities (IAs), virtual groups, hospital-based physicians, and quality and cost measurement int he Medicare QPP.
    10/12/2016

    IDSA Jointly Provides Comments to CMS on the Sepsis National Hospital Inpatient Quality Measure

    In collaboration with the American College of Emergency Physicians, the Society of Critical Care Medicine, and the Society of Hospital Medicine, IDSA jointly submitted a letter to the Center for Medicare and Medicaid Services (CMS) expressing our concerns with the antibiotics listed for the Sepsis National Hospital Inpatient Quality Measure (SEP-1) and provided recommendations towards addressing the issue. 

    9/6/2016

    IDSA Jointly Comments on the CY2017 Medicare Physician Fee Schedule Proposed Rule

    As a member of the Cognitive Care Alliance, IDSA jointly comments on the CY2017 Physician Fee Schedule Propose Rule. Specifically, comments are provided on the collection of data on resources used in furnishing global services as well as improving payment accuracy for primary care, care management, and patient centered services.
    9/6/2016

    IDSA Comments on the CY2017 Medicare Physician Fee Schedule Proposed Rule

    IDSA provides comments on the Medicare Physician Fee Schedule (MPFS) Proposed Rule for calendar year 2017 regarding medicare telehealth services, non-face-to-face prolonged evaluation and management (E/M) services, improving payment accuracy for primary care, care management, and patient centered services, valuation of the global surgery codes, and proposed expansion of the diabetes prevention program (DPP) model.
    12/29/2015

    IDSA Comments on the CY2016 Physician Fee Schedule Final Rule

    IDSA provides comments on the Medicare Program Revisions to Payment Policies under the Physician Fee Schedule Final Rule for CY 2016 regarding the finalized changes for the Physician Quality Reporting System (PQRS) as well as the changes in the measure specifications that are concerning to IDSA. Additionally, IDSA also comments on improving payment accuracy for primary care and care management services and provisions related to the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) specified in Medicare Access and CHIP Reauthorization Act (MACRA).
    12/30/2015

    IDSA Responds to The Joint Commission's Proposed Standards for Antimicrobial Stewardship for Various Types of Healthcare Facilities

    IDSA responds to The Joint Commission's Proposed Standards for Antimicrobial Stewardship for various types of healthcare facilities that include Ambulatory Health Care Centers, Critical Access Hospitals, Hospitals, Nursing Homes, and Office-based Surgical Centers. Please review The Joint Commission’s Proposed Standards for Antimicrobial Stewardship to provide context to our comments.
    11/17/2015

    IDSA Responds to Request for Information Regarding Alternative Payment Models and Merit-Based Incentive Programs (PDF)

    IDSA responds to the Center for Medicare and Medicaid's (CMS) request for information regarding implementation of alternative payment models (APMs) and merit-based incentive payment system (MIPS) called for in the Medicare Access and CHIP Reauthorization Act (MACRA). IDSA expresses the challenges infectious diseases specialists face within the current regulatory quality environment as well as recommendations on how to best implement the new MACRA regulations, being cognizant of the nuances of the ID specialty.
    11/2/2015

    Medical Groups Call for Changes to the Meaningful Use Program (PDF)

    IDSA joined the AMA and over 100 other national and state societies in a letter asking leaders in Congress to make changes to the meaningful use program prior to implementation of its next phase, Stage 3.
    9/2/2014

    IDSA Comments on Medicare Program Revisions to Proposed Payment Policies under the Physician Fee Schedule for CY 2015 (PDF)

    IDSA provides comments on the CY 2015 Physician Fee Schedule (PFS) proposed rule regarding changes to the code valuation process, Medicare Telehealth Services, Chronic Care Management, the Physician Quality Reporting System (PQRS), the Physician Resource-Use Feedback Program and the Value-Based Payment Modifier (VBM), the Medicare Shared Savings Program (MSSP) and the Physician Compare Website, among other Part B related issues.
    12/5/2014

    IDSA Jointly Provides Feedback on the National Quality Forum Measure Endorsement Process (PDF)

    IDSA has joined 31 other organizations to provide comments on the National Quality Forum (NQF) Measure Endorsement Process. The undersigned organizations believe that there are still deficiencies that need to be resolved, specifically around endorsement review timelines, the implementation of updated evaluation criteria, measure testing, and eMeasure requirements.
    12/1/2014

    IDSA Provides Comments on Medicare and Medicaid Program: Conditions of Participation for Home Health Agencies

    IDSA provides comments on the Medicare and Medicaid program: Conditions of Participation for Home Health Agencies proposed rule supporting the proposed changes that encourage a more patient-centered, outcome-oriented delivery of healthcare in the home setting. Furthermore, IDSA respectfully suggests the inclusion of infectious diseases specialists to help implement and maintain the infection control and prevention proposed condition in the rule.
    10/31/2014

    IDSA Leads Groups in Letter to CMS on Stewardship (PDF)

    IDSA was joined by 33 other organizations in a letter to the Centers for Medicare & Medicaid Services (CMS) advocating that hospitals and long-term care facilities be required to implement an antibiotic stewardship program (ASP) as a Condition of Participation (COP) in Medicare and Medicaid.  CMS is known to be actively considering the proposal.  The recommendation was also made by the President's Council of Advisors on Science and Technology (PCAST) in their recent report on combating antibiotic-resistant bacteria.

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