Other Regulatory Issues

July 8, 2016 – WSHA Comments to CMS Regarding Value-based Physician Payment

WSHA recently submitted comments on the Center for Medicare and Medicaid Service’s proposed rule regarding physician payment under the Medicare Access and CHIP Reauthorization Act (MACRA).  The act replaces the current sustainable growth rates formula governing physician payment with a new structure that will adjust physician payments based on attainment of quality measures. The act has special provisions for approved alternative payment models.

In its comments, WSHA stressed that the current list of approved models is too limited and may undermine some successful models that are underway.  WSHA also stressed that there needs to be flexibility to accommodate the needs of rural providers who are limited in their ability to take on downside financial risk and have more limited access to electronic health record resources.  WSHA also commented that the payment structure should recognize and reward hospitals and physicians that have already made significant improvements in quality as a result of the Partnership for Patients and other programs. (Andrew Busz, andrewb@wsha.org)

 

March 28, 2016 – OFM Issues Timeline for Phase 2 Rulemaking on Statewide All Payer Health Care Claims Database

The Office of Financial Management has issued a revised timeline for Phase 2 rulemaking for the state all payer claims database (APCD). Phase 2 will address procedures to ensure secure collection and storage of APCD data and compliance with state and federal privacy laws. The Phase 2 rulemaking is schedule to run through September, 2016. More information on the OFM rulemaking process and timeline are available on the OFM website.

February 1, 2016 – OFM Issues Final Phase 1 Rules for the Statewide All Payer Health Care Claims Database

The Office of Financial Management has issued final rules for Phase 1 of all payer claims database (APCD) rulemaking. When established, the APCD will include health care, pharmacy, and dental claims data from public payers and health insurance carriers. Employer-sponsored self-funded health plans may voluntarily provide data. WSHA supports the establishment of the APCD to bring price and service utilization data together to show how use and cost compare. With appropriate oversite for data collection and release, the APCD will be a valuable tool to WSHA and others in the state work to transform health care. In 2015, OFM was charged with rulemaking to operationalize the APCD. Phase 1 of this rulemaking addresses definitions, data submission deadlines, security and privacy, and penalties.  A copy of the final regulations for Phase 1 can be found here. More information on the OFM rulemaking process and timeline are available on the OFM website.

January 6, 2014 – Department of Revenue Releases Excise Tax WAC Discussion Drafts for Review

The Department of Revenue (DOR) recently released discussion drafts of revisions to two Washington administrative code (WAC) chapters pertaining to excise taxes for hospitals and other facilities, and  drugs, devices and supplies.  Both impact WSHA members.

DOR is revising the WACs to update and present complex information in a more usable format.  Both WACs include examples showing how various provisions would be interpreted and applied by the DOR.  DOR has asked WSHA to let them know of any concerns we have with the scope, format, or content of the draft language so corrections could be reflected in proposed rule.  If you have concerns you want WSHA to include in our comments, please contact Andrew Busz, andrewb@wsha.org.

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