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	<title>CMS Offers Value-Based Purchasing Exceptions After Hurricane Harvey</title>
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				<h1 class="features-title">CMS Offers Value-Based Purchasing Exceptions After Hurricane Harvey</h1>
				<h2 class="features-subheader">Providers in 32 Texas counties and five Louisiana parishes will be exempt from value-based purchasing and quality reporting requirements because of Hurricane Harvey.</h2>
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				<p><img src="https://revcycleintelligence.com/images/avatars/uploads/avatar_51112.png" class="article-top-image"> By <a href="/cdn-cgi/l/email-protection#543e363138383d22313521142c203138383d33313a203931303d357a373b39">Jacqueline Belliveau</a></p>
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<p><time datetime="2017-9-5">September 05, 2017</time> -&nbsp;Providers practicing in areas affected by Hurricane&nbsp;Harvey&nbsp;will not have to report to&nbsp;several&nbsp;Medicare and Medicaid&nbsp;quality reporting and value-based purchasing programs, CMS recently&nbsp;<a href="https://www.cms.gov/About-CMS/Agency-Information/Emergency/Downloads/2017-121-IP-Quality-Program-Exemptions-for-FEMA-Texas-Louisiana-Providerpdf.pdf">announced</a>&nbsp;in an email.&nbsp;</p>

<p><span xml:lang="EN-US">Physicians and other providers&nbsp;employed by&nbsp;certain care sites in&nbsp;32 Texas counties and five Louisiana parishes will automatically receive exemptions from CMS-run&nbsp;<a href="https://revcycleintelligence.com/news/understanding-the-top-10-terms-of-value-based-purchasing">value-based purchasing</a>&nbsp;initiatives. The care sites include acute care hospitals, prospective payment system-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, outpatient dialysis facilities, long-term care hospitals, and ambulatory surgical centers.&nbsp;</span></p>

<p><span xml:lang="EN-US">The&nbsp;impacted areas have all been designated as major disaster counties by the Federal Emergency Management Agency (FEMA), CMS noted.&nbsp;&nbsp;</span></p>

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										<h4>Dig Deeper</h4>
										<ul>
								
								<li><a href="https://revcycleintelligence.com/features/best-practices-for-value-based-purchasing-implementation">Best Practices for Value-Based Purchasing Implementation</a></li><li><a href="https://revcycleintelligence.com/news/how-to-prepare-for-alternative-payment-model-implementation">How to Prepare for Alternative Payment Model Implementation</a></li><li><a href="https://revcycleintelligence.com/features/understanding-the-value-based-reimbursement-model-landscape">Understanding the Value-Based Reimbursement Model Landscape</a></li>
								
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									</aside><p><span xml:lang="EN-US">The federal agency intends for the exceptions to &quot;assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.&quot;&nbsp;</span></p>

<p><span xml:lang="EN-US">Those granted exceptions will not have to report data to care site-specific&nbsp;quality reporting programs, such as the End-Stage Renal Disease Quality Incentive initiative, Home Health Quality Reporting Program, Hospital Inpatient Quality&nbsp;Reporting&nbsp;Program, and Inpatient Psychiatric&nbsp;Facility&nbsp;Quality Reporting Program.&nbsp;</span></p>

<p><span xml:lang="EN-US">The exceptions generally delay the submission deadlines for quarters two and three of 2017.&nbsp;</span></p>

<p><span xml:lang="EN-US">Although, CMS pointed out that hospitals in the designated counties and parishes should understand how the reporting requirement postponements will affect their performance in value-based purchasing&nbsp;initiatives, such&nbsp;as&nbsp;the&nbsp;<a href="https://revcycleintelligence.com/news/gao-hospital-value-based-purchasing-model-rewards-low-quality">Hospital Value-Based Purchasing Program</a>, Hospital Readmissions Reduction Program, and Hospital-Acquired&nbsp;Condition&nbsp;Reduction&nbsp;Program.&nbsp;</span></p>

<p><span xml:lang="EN-US">Hospitals should be aware that minimum case threshold counts in the 2019 fiscal year could be impacted.&nbsp;</span></p>

<p><span xml:lang="EN-US">&quot;For example, hospitals might be scored solely on the HAC [Hospital-Acquired Condition]&nbsp;Reduction Program Domain 1 claims-based measure due to non-submissions resulting in not meeting the minimum number of CDC&nbsp;HAI [Hospital-Acquired Infection]&nbsp;measures&nbsp;with sufficient cases in HAC Reduction Program Domain 2,&quot; wrote CMS.&nbsp;</span></p>

<p><span xml:lang="EN-US">The federal agency also stated that it will evaluate hospital performance in the value-based purchasing programs after&nbsp;<a href="https://mhealthintelligence.com/news/harveys-aftermath-brings-mhealth-telehealth-to-the-forefront">Hurricane Harvey</a>.&nbsp;</span></p>

<p><span xml:lang="EN-US">&quot;Unlike our reporting programs, we must also assess measure performance of affected providers to assess any systemic impact on performance, such as a possible increase in affected hospital readmission rates due to patients evacuated from flooded&nbsp;facilities,&quot; the email stated.&nbsp;&nbsp;</span></p>

<p><span xml:lang="EN-US">CMS urged providers or facilities affected by flood damage to submit their own Extraordinary Circumstances Exceptions request to the national support contractor for these value-based purchasing programs. The federal agency will only consider requests that comply with the appropriate procedures.&nbsp;</span></p>

<p><span xml:lang="EN-US">In addition, providers located outside of the regions may&nbsp;request an exception to&nbsp;reporting&nbsp;requirements for one or more Medicare value-based purchasing or quality reporting programs. They must use the appropriate extraordinary circumstances exception process based on care site.&nbsp;</span></p>

<p><span xml:lang="EN-US">CMS will also extend automatic exceptions to any additional&nbsp;counties&nbsp;that are identified as major&nbsp;disaster&nbsp;regions by FEMA.&nbsp;</span></p>

<p><span xml:lang="EN-US">The federal&nbsp;agency&nbsp;stated&nbsp;it will &quot;continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.&quot;&nbsp;</span></p>
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