Newsroom

WHA Information Center (WHAIC) will post articles that are related to data submissions and data use.

CMS Finalizes Transparency Rule on Hospitals, Proposes Similar Rule on Insurers

November 21, 2019

President Donald Trump joined Health and Human Services Secretary Alex Azar, the Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma, and other senior administration and Congressional leaders on Nov. 15 to announce his administration had finalized its proposed rules mandating hospitals make public their privately negotiated payment rates.

Hundreds Gather for WHA Data Collection/Quality Reporting Conference

November 8, 2019

More than 200 hospital and ambulatory surgery center staff from around the state gathered in Wisconsin Dells on Wednesday for an important Data Collection & Quality Reporting Conference. The meeting was a joint effort by the Wisconsin Hospital Association Information Center (WHAIC) and the WHA Quality Improvement and Performance Team.

CMS Finalizes Sweeping Changes Aimed at Reducing Regulatory Burdens

September 26, 2019

The Centers for Medicare & Medicaid Services (CMS) today announced a final rule to relieve burden on healthcare providers by “removing unnecessary, obsolete or excessively burdensome Medicare compliance requirements for healthcare providers and suppliers.” CMS estimates that these proposed changes will collectively save healthcare providers an estimated $843 million in the first year and slightly more in future years.

HICN to MBI Transition Period Ends December 31, 2019

August 23, 2019

Physicians/Providers/Suppliers have 20 weeks until all claims must be submitted with MBIs only. If a beneficiary has not yet received his/her new Medicare card, he/she must contact 1-800-Medicare to update their home address to ensure another card can be mailed to the correct address.

Changes to the Hospital Inpatient Prospective Payment Systems and FY 2020 Rates

May 21, 2019

CMS is proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2020 and to implement certain recent legislation.

CMS is also proposing to make changes relating to Medicare graduate medical education (GME) for teaching hospitals and payments to critical access hospital (CAHs). In addition, we are proposing to provide the market basket update that would apply to the rate of increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis, subject to these limits for FY 2020.

News Alert: MS-DRG Changes Prevalent in IPPS FY 19 Proposed Rule

May 14, 2019

The 2019 Inpatient Prospective Payment System proposed rule covers many Medicare Severity Diagnosis-Related Groups (MS-DRGs) changes, in addition to changes to the Value-Based Purchasing (VBP), Hospital-Acquired Conditions (HACs), and Hospital Readmission Reduction program, as well as the post-acute care transfer policy.

Three Key Statistics on Hospital-Acquired Conditions

January 2, 2019

Hospital acquired conditions continue to cause excess healthcare spending and negatively impact patient care outcomes. Here are the key statistics you need to know about HACs as we head into the 2019 fiscal year.

10 Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare

December 20, 2018

Today, the Centers for Medicare & Medicaid Services (CMS) sent a letter to state Medicaid directors that outlines both existing and new opportunities for states to better serve individuals dually-eligible for Medicare and Medicaid. The letter highlights opportunities to implement new developments with Managed Care, use Medicare data to inform care coordination and program integrity initiatives, and reduce administrative burden for dually-eligible beneficiaries and the providers who serve them.

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