Posts Tagged funding

CMS Announces New Funding Opportunity for Quality Payment Program (MACRA)

CMS Announces New Funding Opportunity for Quality Payment Program (MACRA)

The Centers for Medicare and Medicaid Services recently announced a new funding opportunity for development, improvement and expansion of quality measures for the Quality Payment Program. According to CMS, the program over three years will provide up to $30 million in funding and technical assistance to clinicians, patients and others working on QPP measures. These cooperative agreements will focus on engagement, data collection to reduce burden, consumer-informed decisions, critical measure gaps and quality measure alignment.

While most physicians are still trying to navigate QPP, the Merit-based Incentive Payment System (MIPS) and the other requirements of MACRA, CMS is beginning to ramp up the implementation of the payment system. Now, physicians need to report on six metrics, which includes one outcome measure from three performance categories: quality, advancing care information and improvement activities. However, beginning in 2019, a fourth category of tying 30 percent of participants’ scores to costs will be added.

There has been disagreement about which quality measures physicians should use, and with over 300 options, the task can be daunting. CMS is hoping more input from stakeholders will lead to better measures that meet program objectives while minimizing administrative workload.

Alabama Quality Assurance Foundation Can Help

The overall goal is to improve patient outcomes and reduce burden by incorporating clinical and patient perspectives in the quality measures development process, but the process has many options and can prove quite daunting. Last year, the Medical Association partnered with the staff at the Alabama Quality Assurance Foundation (AQAF), a nonprofit consulting firm located in Birmingham and contracted by CMS to provide free technical assistance to all Alabama providers. Part of AQAF’s contract with CMS is to provide training to clinicians on the Medicare Access and CHIP Reauthorization Act (MACRA), the Merit-based Incentive Payment System (MIPS) or an Alternative Payment Model (APM).

Technical assistance from the staff at AQAF is always FREE and available immediately by emailing TechAssist@aqaf.com or calling 1-844-205-5540.

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Coalition Pushes for CHIP Reauthorization

Coalition Pushes for CHIP Reauthorization

 

 

DOWNLOAD A COPY OF THE JOINT LETTER

The Medical Association, the Alabama Chapter of the American Academy of Pediatrics, state lawmakers and a number of organizations advocating for children’s health care are petitioning the Alabama Congressional Delegation to support reauthorization of a bipartisan CHIP funding bill before the Sept. 30 deadline. In a letter to the Alabama Congressional Delegation outlining support for CHIP reauthorization, the coalition cited the great strides made possible through CHIP in ensuring children have access to the care they need. As well, any reductions in federal CHIP funding could cause problems for not only Alabama’s ALL Kids program but also children enrolled in Alabama Medicaid.

Below is the letter, and more signees are expected before the Sept. 30 deadline. Download a copy of the letter here.

We, the undersigned Alabama elected officials and organizations advocating for children and pregnant women in our state, write to urge your support of the Hatch-Wyden bill, Keeping Kids’ Insurance Dependable and Secure (KIDS) Act (S. 1827). This bipartisan legislation ensures stability for vulnerable children by extending funding for the Children’s Health Insurance Program (CHIP) for five years. The bill also provides additional protections for low-income children and increases flexibility for states.

As you know, federal funding for CHIP expires on September 30, 2017. Without certainty from Congress on CHIP funding, states will be forced to make drastic cuts to the program. This could mean slashing enrollment, reducing benefits, and imposing higher costs for families.

CHIP is a bipartisan success story. The program was created in 1997 and has been championed by lawmakers on both sides of the aisle since its very beginning. Together with Medicaid, CHIP has helped to reduce the numbers of uninsured children by a remarkable 68 percent. Now is the time for Congress to stabilize the CHIP funding stream and protect the gains in children’s health coverage that have resulted in more than 95 percent of all children in America being enrolled in some form of insurance coverage.

The program is designed around what children need. It offers benefits that are age-appropriate, including dental coverage and mental health and substance abuse services, which may not be covered by a family’s employer-sponsored insurance.

CHIP plans include networks of pediatricians, pediatric medical and surgical subspecialists, and children’s hospitals, which are especially critical for children with special health care needs.

Families deserve peace of mind knowing that they will be able to access the care and support services their children rely on to be healthy.

Currently in Alabama, 157,000 children are covered by CHIP, known as ALL Kids in our state. With state budgets already set for the coming year, states are counting on CHIP to continue in its current form. Changes to CHIP’s structure – including changes to the Maintenance of Effort or the enhanced CHIP matching rate – would cause significant disruption in children’s coverage and leave states with critical shortfalls in their budgets. Given CHIP’s track record of success, changes to CHIP that would cause harm to children must not be made. In Alabama, we would be forced to use funds originally appropriated for Alabama Medicaid to keep children covered on CHIP. So lack of continued funding at its current level would mean a double hit for Alabama!

Today, we stand united in urging you and your colleagues to work together to enact a five-year extension of CHIP funding.  Securing this critical source of coverage for children and pregnant women into the future is an important opportunity for meaningful, bipartisan action to honor CHIP’s 20 years of success.

Thank you for all you do for our state and the children of Alabama.

 

Sincerely,

Representative Steve Clouse, Chair, House Ways and Means General Fund Committee

Representative Anthony Daniels, House Minority Leader

Representative Nathaniel Ledbetter, House Majority Leader

Representative Mac McCutcheon, Speaker of the House

Representative April Weaver, Chair, House Health Committee

Senator Del Marsh, Senate President Pro Tempore

Senator Jim McClendon, Chair, Senate Health & Human Services Committee

Senator Greg Reed, Senate Majority Leader

Alabama Academy of Family Physicians

Alabama Arise

Alabama Chapter-American Academy of Pediatrics

Alabama Children First

Alabama Hospital Association

Children’s of Alabama

Medical Association of the State of Alabama

UAB Health System

University of South Alabama Health System

VOICES for Alabama’s Children

 

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Physician Groups Issue Joint Statement on Medicaid Funding Cuts

Physician Groups Issue Joint Statement on Medicaid Funding Cuts

April 8, 2016 | MONTGOMERY – Without Fully Funding Medicaid, Patient Care at Risk

With the passing of the General Fund budget, lawmakers appropriated $700 million for Medicaid next year, $85 million short of what is needed to fully fund Medicaid. Now the Medicaid Agency is left with the tough decisions of which programs to cut, and how deep to reach into the pockets of Alabama’s citizens who can already barely afford their medications and health treatments. Services at risk of being cut are prescription drug coverage for adults, eyeglasses for adults, outpatient dialysis, prosthetics and orthotics, hearing programs, Program of All Inclusive Care for the Elderly (PACE), among other programs and services that patients across Alabama need to survive.

Medicaid is a critical component of our health care system, covering the young and elderly. More than half the births in Alabama and 47 percent of our children are covered by Medicaid, as well as 60 percent of Alabama’s nursing home residents. Without full funding, the Medicaid program will collapse, leaving these individuals without coverage. While uncompensated care is delivered every day in all 67 counties of this state, without Medicaid, charity care needs could skyrocket, crippling the health care delivery system and potentially placing the burden on those with private health insurance through higher premiums and co-pays.

Alabama Medicaid is the backbone of our state, supporting the health and welfare of the young and elderly citizens that physicians have pledged to protect during their medical careers. Consequently, we cannot support any solution other than fully funding a program that touches so many lives. Allowing Alabama Medicaid to continue with adequate funding is a smart investment in Alabama and her citizens. The current appropriated budget will have dire consequences.

Physician practices, hospitals and nursing homes are among the economic engines driving many Alabama communities. Closure of these health care providers will have a devastating impact on the state of Alabama and the health and prosperity of its citizens. The ripple effect will be felt from Mobile to Huntsville.

Therefore we call on the legislature and the Governor to work toward a permanent revenue solution to fully fund Medicaid.

Our organizations strongly believe that Medicaid matters … to all Alabamians.

For more information or comment, please contact:

Mark Jackson, Medical Association of the State of Alabama, (334) 954-2500
Linda Lee, Alabama Chapter, American Academy of Pediatrics, (334) 954-2543
Jeff Arrington, Alabama Academy of Family Physicians, (334) 954-2570

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Official Statement on the Medicaid Funding Crisis

Official Statement on the Medicaid Funding Crisis

May 5, 2016 – Alabama’s physicians are urging our state lawmakers and Gov. Bentley to start now to find a permanent revenue solution to fully fund Alabama Medicaid before the next fiscal year.

“Alabama already runs the most bare-bones Medicaid program in the country,” said Medical Association Executive Director Mark Jackson, “so to end this legislative session without an appropriate funding solution is more than heartbreaking. It’s dangerous. In just five months, one-quarter of our state’s population will be at risk of losing their access to health care because of the legislature’s inability to come to an agreement on funding options that would have helped close the $85 million gap in Medicaid’s budget. More than half the births in Alabama and 47 percent of our children are covered by Medicaid, as well as 60 percent of Alabama’s nursing home residents. Without full funding, the Medicaid program will collapse, leaving these individuals without coverage. We are asking Gov. Bentley and our legislators begin work today to find a permanent funding plan to secure Medicaid and reassure our residents that the medical care they need will remain within their grasp. The Medical Association remains ready to work with our elected officials to find a permanent solution to the Medicaid funding crisis.”

The Medical Association believes Alabama Medicaid is more than an insurance program for the poor and underinsured and must be fully funded as it is critical to the health care infrastructure of our state. Alabama Medicaid provides health coverage for eligible children, pregnant women, and severely disabled and impoverished adults – about 1 million Alabamians.

Alabama’s physicians strongly believe that Medicaid matters … to all Alabamians.

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Physician Groups Issue Joint Statement on 2016 Special Session Announcement

Physician Groups Issue Joint Statement on 2016 Special Session Announcement

July 27, 2016 | MONTGOMERY – Our organizations applaud the Governor and are encouraged that he has taken the first step toward fully funding Alabama Medicaid by announcing his intention to call a special session.

As for his proposal for a lottery, we support the passage of new revenue that will provide for a long-term fix for Medicaid. As with any legislation, we will need to see the details of what he is proposing to ensure that it does in fact fully fund Medicaid’s needs for the long term before we can take a formal position.

In addition to the need for long-term funding, there is also a critical need to fix the $85 million shortfall in the 2017 budget, which the lottery will not do because of the time necessary for implementation. Consequently, it is important that the Governor and lawmakers find both a solution for 2017 and a long-term a revenue stream for Alabama Medicaid. We are concerned that the Governor did not address a short-term funding solution in his announcement today.

Alabama Medicaid is the backbone of our state, supporting the health and welfare of the young and elderly citizens that physicians have pledged to protect during their medical careers. Consequently, we cannot support any solution other than fully funding a program that touches so many lives. Allowing Alabama Medicaid to continue with adequate funding is a smart investment in Alabama and her citizens.

Physician practices, hospitals and nursing homes are among the economic engines driving many Alabama communities. Closure of these health care providers will have a devastating impact on the state of Alabama and the health and prosperity of its citizens. The ripple effect will be felt from Mobile to Huntsville.

Our organizations strongly believe that Medicaid matters … to all Alabamians.

For more information or comment, please contact:

Mark Jackson, Medical Association of the State of Alabama, (334) 954-2500
Linda Lee, Alabama Chapter-American Academy of Pediatrics, (334) 954-2543
Jeff Arrington, Alabama Academy of Family Physicians, (334) 954-2570

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Official Statement on Special Session/Medicaid Funding

Official Statement on Special Session/Medicaid Funding

Sept. 7, 2016 – The Medical Association of the State of Alabama would like to thank the members of the Alabama House of Representatives and Senate who supported the passage of the BP legislation today, which will provide much needed additional funding for Alabama Medicaid. We are pleased that our lawmakers have worked together for a solution for FY 2017 as well as providing additional funds for FY 2018. We are hopeful this additional funding will allow physician practices that were forced to lay off individuals to resume normal operations and continue to provide access to care to their Medicaid patients.

“Alabama already runs the most bare-bones Medicaid program in the country,” said Medical Association of the State of Alabama Executive Director Mark Jackson. “Without this additional funding, the cuts that Medicaid had implemented beginning Aug. 1, would have been dangerous to the infrastructure our state’s health care system. This additional funding will provide some stability to the system which covers more than half the births in Alabama, 47 percent of our children, and 60 percent of our nursing home residents.”

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