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President Issues Executive Orders to Address COVID-19 Pandemic

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On Jan. 21, President Biden issued additional executive orders and directives instructing various federal agencies to take specific actions to address the COVID-19 pandemic, including expanding testing and vaccination capacity, increasing personal protective equipment (PPE) and other necessary materials to combat the pandemic, slowing the spread of COVID-19, and addressing inequitable outcomes. 

Updates for the Week of Jan. 18

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The Centers for Medicare & Medicaid Services issued the following updates this week:​​

Hospital IPPS: FAQs on Market-Based MS-DRG Relative Weights
HQRP Quarterly Update for 4th Quarter of 2020 Available
2/3: Overall Hospital Quality Star Ratings on Care Compare: 2021 OPPS Rule Methodology Webinar
CMS Updates Qualifying Alternative Payment Model Participant (QP) Thresholds (see slide 12)

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HHS Updates Provider Relief Fund Reporting Requirements

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On Jan. 15, the U.S. Department of Health and Human Services (HHS) updated its Provider Relief Fund (PRF) reporting requirements to reflect changes required by the recently passed Consolidated Appropriations Act of 2021 (CAA). In addition to calculating lost revenue attributable to COVID-19 based on the difference between 2019 and 2020 actual patient care revenue, PRF recipients may now choose from two other methodologies.

NAMI California Releases Two State of Community Reports

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The National Alliance on Mental Illness (NAMI) California has released its 2020 State of Community Reports for both families and diverse communities. NAMI California engaged families from across the state, compiling both qualitative and quantitative data highlighting the most important issues facing Californians.   

CMS Releases Final Medicare Advantage Part C & D Payment Policies for CY 2022

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The Centers for Medicare & Medicaid Services (CMS) has finalized the Medicare Advantage Part C and Part D payment methodologies for calendar year 2022. Because of the COVID-19 pandemic, CMS is providing earlier notification of the finalized payment changes to give plans more time to prepare bids for 2022, which are due June 7. The finalized changes are expected to increase plan revenue by 4.08%.  

CEO Message: Better, but Far from OK

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The often-shared parable of the frog that is boiled over time because it fails to recognize that the temperature of the water it is in is slowly rising could well be an appropriate metaphor for COVID-19’s arc in California. 

HHS Expands Access to Treatment for Opioid Use Disorder

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The U.S. Department of Health and Human Services has eliminated the X-waiver for physicians, meaning that physicians can prescribe buprenorphine without taking an eight-hour course and without obtaining a waiver from the Substance Abuse and Mental Health Services Administration.  

HQI to Host Root Cause Analysis Innovation Virtual Summit

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The Hospital Quality Institute (HQI) along with the Collaborative Healthcare Patient Safety Organization (CHPSO) and the Alliance for Quality Improvement and Patient Safety (AQIPS) are partnering to present the Root Cause Analysis (RCA) Innovation Virtual Summit. This first-of-its-kind summit kicks off Feb. 16 with a series of four “pre-summit” webinars.

HHS Adds Optional Data Reporting Fields for Health Care Personnel, Patient Vaccinations

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The U.S. Department of Health & Human Services (HHS) recently announced updates to COVID-19 hospital reporting. HHS added seven new optional fields related to health care personnel and patient vaccinations that hospitals can report on each Wednesday. While currently optional, the fields are likely to become mandatory in the future. An interim final rule added collecting and reporting COVID-19 data to the Medicare and Medicaid conditions of participation.