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Medicare Spending Per Beneficiary Measure – Public Comment Period Ends February 5th

OASIS Answers - Monday, January 18, 2016

The Centers for Medicare & Medicaid Services (CMS) has posted an opportunity for public comment on a new cross-setting quality measure mandated by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014:  Medicare Spending Per Beneficiary (MSPB).  The IMPACT Act promotes person-centered care through the alignment of a set of quality measures across the post-acute settings of home health, inpatient rehabilitation facilities (IRF), skilled nursing facilities (SNF), and long term care hospitals (LTCH). 

The IMPACT Act requires development of total estimated Medicare spending per beneficiary measures for post-acute care (PAC) providers, and stipulates that these measures should align with the hospital MSPB measure in certain ways. The MSBP measure is a claims-based measure that will use Medicare fee-for-service claims and Medicare eligibility files. The MSPB-PAC measures evaluate PAC providers’ efficiency relative to the efficiency of the national median PAC provider of the same type. There is a separate MSPB-PAC measure for SNF, HHA, LTCH, and IRF providers.  Within each measure, a given PAC provider is only compared to other providers in the same setting. Specifically, the measures assess the cost to Medicare for services performed by the PAC provider and other healthcare providers during an MSPB-PAC episode.

Detailed specifications for the MSPB measure can be found at the CMS Quality Measures Public Comment site. Information on the measure, including instructions for submitting comments, can be found at the bottom of the page in the “Downloads” section in the file labeled MSPB-PAC Measure Specifications-Draft

The public comment period for the Medicare Spending per Beneficiary cross-setting measure has been extended and now closes on 2/5/2016. Comments should be submitted to:

Thank you for your commitment to post-acute quality of care!

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Home Health Compare and Star Ratings Calendar for 2016 Posted

OASIS Answers - Sunday, January 17, 2016

The Centers for Medicare & Medicaid Services (CMS) has posted the 2016 calendar for Home Health Compare updates.  The calendar also includes the dates for the Quality of Patient Care Star Ratings Preview Reports which are posted in individual home health agency CASPER folders approximately 3 months before this data is updated on the Home Health Compare website. 

In addition to the Quality of Patient Care Star Ratings, the new Patient Survey Star Ratings, derived from the HHCAHPS (Home Health Consumer Assessment of Healthcare Systems and Providers) Surveys will first be publicly available with the January 2016 update of Home Heath Compare.  The new Patient Survey Star Ratings will be updated quarterly with each update of Home Health Compare.

To receive updates from CMS related to updates on Home Health Compare, home health agencies can sign up for the Home Health Open Door Forum listserv.  This listserv provides email updates on the Home Health, Hospice, and DME Open Door Forum as well as additional home health quality updates.  The listserv signup is available at:

2016 Home Health Compare Calendar

 * Home health agencies should follow the directions in the Quality of Patient Care Star Ratings Preview Reports to submit a suppression request.  

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OASIS-C2 – Available for Review

Linda Krulish - Wednesday, December 23, 2015

The Centers for Medicare & Medicaid Services (CMS) has posted a new version of the OASIS item set for use starting January 1, 2017.  The newly released version of OASIS, the OASIS-C2, is available for review at the CMS Home Health Quality Initiative website, under the “Downloads” section at

OASIS-C2 changes include new items and formatting changes to increase cross-setting alignment and to support requirements imposed by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014.

We invite and encourage early engagement in facilitating a smooth transition to OASIS-C2. Please consider joining us for the January 20th OASIS Quarterly Teleconference for an overview of new January 2016 Q&As and the latest OASIS updates.


Linda Krulish, President
OASIS Answers, Inc.

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