Current Report Articles
Federal Focus

Federal Focus (June 5, 2020) – CMS Releases Risk Adjustment Data Validation Program Proposed Rule
The Centers for Medicare & Medicaid Services released a proposed rule that would amend the methodology and other requirements for the U.S. Department of Health and Human Services' risk adjustment data validation program. The proposed rule would provide states and insurers with a more stable and predictable regulatory framework, promote program integrity and foster increased competition. Comments will be due 30 days after the date of publication in the Federal Register.

AHA Submits Rural Maternal Health Policy Recommendations to CMS
On May 28, the American Hospital Association submitted comments to The Centers for Medicare & Medicaid Services' Request for Information Regarding Maternal and Infant Health Care in Rural Communities. AHA's response recommended CMS focus its efforts on the following demonstrated strategies for successfully addressing barriers in rural communities:

  • Outline policy initiatives
  • Establish community-based partnerships
  • Foster and develop multidisciplinary maternal health care teams
  • Enhance efforts to recruit physicians and other providers

Additionally, AHA suggested several strategies to improve access, quality of care, and outcomes in prenatal, obstetrical and postpartum care for CMS to consider. Such opportunities include the following:

  • Expand support of the Alliance for Innovation on Maternal Health bundles
  • Utilize telehealth opportunities to expand health care access
  • Support training of multidisciplinary teams to treat pregnancy in rural communities
  • Increase access to implicit bias training to aid in the improvement of quality of care and outcomes for mothers and infants in all communities

MLN Connects Provider eNews Available
The Centers for Medicare & Medicaid Services issued updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following:

  • Medicare diabetes prevention program
    • Become a Medicare enrolled supplier
    • Valid claims
  • COVID-19: adjusting operations to manage patient surge
  • Provider Enrollment, Chain and Ownership System /National Plan and Provider Enumeration System /Electronic Health Record identity and access management system: role renamed