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Guiding Principles for Public Reporting

Over the past decade, the number of organizations reporting hospital and physician quality performance data has increased. In order to address concerns regarding the variation in this performance data, an advisory group of hospital quality experts convened by the AAMC developed a set of guiding principles for publicly reporting provider performance data.

Below, please find the “Guiding Principles for Public Reporting of Provider Performance,” which call for data and reporting methodologies to be well-defined in terms of purpose, transparency, and validity.

For additional information on this AAMC initiative, please contact Jennifer Faerberg or Mary Wheatley.

On Patient Care

Latest Testimony and Correspondence

VA Releases Interim Final Rule for Veterans Care Agreements

May 17, 2019

The Department of Veterans Affairs (VA) May 14 released an interim final rule on Veterans Care Agreements (VCA). This rule implements section 101 of the Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (VA MISSION Act, P.L. 115-182),which authorizes the VA to enter into agreements to “furnish required care and services when such care and services are not feasibly available to certain individuals through a VA facility, a contract, or a sharing agreement”.

CMS Finalizes Formulary Requirements for Medicare Advantage and Part D Plans

May 17, 2019

The Centers for Medicare and Medicaid Services (CMS) May 16 issued a final rule allowing Medicare Advantage (MA) and Part D plans to utilize step therapy and prior authorization for drugs in six drug categories (“protected classes”) and for some Part B drugs [see Washington Highlights, Nov. 30, 2018]. The rule also includes the requirement for Part D plans to implement an electronic real-time benefit tool (RTBT) to make available beneficiary-specific drug coverage and cost information to prescribers. Plans will also be required to include negotiated drug pricing information on the Explanation of Benefits (EOB).

Senate Passes PAHPA Reauthorization

May 17, 2019

The Senate May 16 passed by voice vote the Pandemic and All-Hazards Preparedness and Advancing Innovation Act (PAHPAI, S.1379).