CMS has awarded the HAP Pennsylvania Hospital Engagement Network (PA-HEN)
a third year Partnership for Patients (PfP)
contract. This allows for building upon the successful work accomplished in years 1 and 2 to improve quality and patient safety by reducing preventable harm and readmissions in PA hospitals. The third year work will focus on continuing to spread best-practices, integrating new strategies to decrease the number of hospital-acquired conditions, and leveraging its work on health literacy to improve the use of “teach back” and address health disparities that impact preventable readmissions.
PA Insurance Dept. Announces Option for Continuing Individual Policies
The state Department of Insurance announced
that insurance companies will have the option to continue individual policies originally set for cancellation pursuant to the Affordable Care Act. HAP has pressed the Insurance Department to work with insurers to extend coverage during this transition. The agency said that options for policyholders may differ and may include continuation of their current policies or enrollment in a new ACA-compliant product; options will be insurance-company specific and consumers are encouraged to call their current insurance carrier for information. Tips for consumers are in an agency fact sheet
The Centers for Medicare & Medicaid Services (CMS) released the final calendar year (CY) 2014 rules for end-stage renal disease
(ESRD) and home health providers
. The rules impact payments as follows:
- Reduce home health payments 1.05 percent or $200 million
- Implement first stage of the four-year rebasing of the Home Health Prospective Payment System (HH PPS)
- Maintain overall Medicare payments for ESRD facilities at their current levels—an improvement over the proposed reduction of 9.3 percent
- Increase hospital-based ESRD facility payments by 0.8 percent
The rules will be published in the December 2 Federal Register
and will be effective January 1, 2014.