also delayed the competition for Round 2 from 2009 to 2011 and authorized national mail-order competitions after 2010.
did not change income thresholds for these programs.
supporters say the changes will improve the quality of the plans; critics say the changes make offering PFFS plans too difficult and expensive, especially in rural communities.
NQF has begun work for each of five duties required by MIPPA
related to quality measures: (1) make recommendations on a national strategy and priorities; (2) endorse quality measures, which involves a process for determining which ones should be recognized as national standards; (3) maintain--that is, update or retire--endorsed quality measures; (4) promote electronic health records; and (5) report annually to Congress and the Secretary of HHS.
Among other prohibitions, Section 103 of MIPPA
and the final regulations significantly restrict the marketing of Medicare Part C plans:
In addition to the Highmark grant, our EHR and e-prescribing program positions us to qualify for all MIPPA
(the "Medicare Improvements for Patients and Providers Act of 2008") provisions, one of which delayed Round 1, require CMS to implement a second Round 1 in 2009.
Although it has been suggested that the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA
) will lower payments to Medicare Advantage plans, MIPPA
does not significantly alter the payment structure.
, physicians who use a qualified e-prescribing system for their Medicare patients will be eligible to receive a bonus of 2% of their Medicare revenue in 2009 and 2010.
Medicare Advantage membership declined to approximately 164,000 at the end of the third quarter 2011 due to the Company's exit from certain markets as a result of new network requirements contained in the MIPPA
legislation, lapsation and the limited ability to add new members during the 2011 Annual Enrollment Period as a result of the CMS enrollment and marketing sanctions which, as noted, were lifted on August 5, 2011.
also mandated that GAO (Government Accountability Office [GAO] 2011) conduct a study of this program, which found that CMS faces challenges incorporating resource use and quality measures for physician feedback reports that are "meaningful, actionable, and reliable.
Since the enactment of MIPPA
in 2008 and the subsequent funding of the KDE program by the Centers for Medicare and Medicaid Services (CMS) in 2010, there is a paucity of literature on the outcomes of this Medicare reimbursed education program for patients with CKD.