Proposed QIP Changes: CY2016 & PY2017-19

CMS has filed a proposal in the Federal Register with multiple modifications to the QIP program, including for CY2016 changes to:

  • Case mix payment adjustment
  • Low-volume payment adjustment
  • Payment adjustment for rural facilities
  • Base rate
  • Drug designation
  • Outlier services fixed dollar loss amounts

and for PY2017-19 changes to:

  • Clinical and reporting measures
    • ICH-CAHPS
    • Single dialysis adequacy measure
    • Ultrafiltration rate reporting
    • Influenza vaccination reporting
  • Small-facility adjuster

For full details and a link to the Federal Register, see http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-06-26.html .

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