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Regulations: CMS removes advance care planning from annual wellness visit, publishes value-based purchasing proposal

Medicare Weekly Update, January 18, 2011

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CMS publishes hospital value-based purchasing proposed rule

On January 13, CMS published in the Federal Register a proposed rule that would establish a hospital value-based purchasing program for acute care hospitals under the IPPS. The new program would provide value-based incentive payments to hospitals beginning in FY 2013, based on their achievement or improvement on a set of clinical and patient experience of care quality measures, as required by the Patient Protection and Affordable Care Act. CMS had previously released the rule as a display copy for public inspection.

View the proposed rule.

CMS withdraws advance care planning as element of annual wellness visit

On January 10, CMS published in the Federal Register a notice to rescind the addition and definition of voluntary advance care planning as a specified element of the annual wellness visit that was finalized in the 2011 MPFS final rule. CMS cited a “wide range of views on this subject held by a broad range of stakeholders (including members of Congress and those who were involved with this provision during the debate on the Affordable Care Act),” in deciding to remove the provision.

View the amendment.

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