Prospective Payment System of MIPPA

MEDICARE IMPROVEMENTS FOR PATIENTS & PROVIDERS ACT OF 2008 (MIPPA)

CMS developed the ESRD QIP to be the nation’s first pay-for-performance (also known as "value-based purchasing") quality incentive program as mandated by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) section 153(c). This first-of-its-kind program provides the ESRD community with the opportunity to enhance the overall quality of care that ESRD patients receive as they battle this devastating disease.

ESRD QIP Rules and Regulations

CMS issued its final rule for the first year of the ESRD QIP, 2012, in December 2010. More information about the ESRD QIP final rule is available in the "Related Links" section, below.

CMS issued its final rules for the second and third years of the ESRD QIP, 2013 and 2014, in November 2011, and the fourth year of the QIP, 2015, in November 2012. More information about the ESRD QIP final rules for 2013, 2014, and 2015 are available in the "Related Links" section, below.

ESRD QIP Operational Updates

  • ESRD 2013 QIP Data (12-17-12)

In December 2012, CMS issued data that reflects the performance of U.S. dialysis facilities under the ESRD QIP for Payment Year 2013. To access this data, review the ZIP file available in the "Downloads" section, below. Information for dialysis patients is also available on the Dialysis Facility Compare website.

  • ESRD QIP Special Open Door Forum: Payment Year 2015 Proposed Rule (7-19-12)

On July 19, 2012, CMS will host a special Open Door Forum teleconference about the policy proposals CMS has made for the Payment Year 2015 ESRD QIP (see above). An invitation to the Forum, including call-in instructions, is available in the "Downloads" section, below. Also available below is a copy of the slides that accompany CMS’ remarks during the call.

  • ESRD QIP Preview Period (7-15-12 through 8-15-12)

From July 15 through August 15, 2012, dialysis facilities were able to preview their ESRD QIP Performance Score Reports and submit clarification questions about their scores. During this time, facilities reviewed the data CMS used to determine whether payment reductions would apply to the facility in 2013. More information about the preview period was part of CMS’ June 21 Open Door Forum (see below).

  • ESRD QIP Special Open Door Forum: Reviewing Your Facility’s PY 13 Performance Data (6-21-12)

On June 21, 2012, CMS hosted a special Open Door Forum teleconference about the steps dialysis facilities need to take to review the data CMS will use to evaluate their QIP performance in payment year 2013 (see above). An invitation to the Forum, including call-in instructions, is available in the "Downloads" section, below. Also available below is a copy of the slides that accompanied CMS’ remarks during the call.

 

2013 and 2014 Final Rule: ESRD QIP Special Open Door Forum (2-2-12)

On February 2, 2012, CMS hosted an Open Door Forum on the final rule for the ESRD Quality Incentive Program (ESRD QIP) for program years 2013 and 2014. The ODF provided an overview of changes to the ESRD QIP for PYs 2013/2014 and addressed the quality measures, scoring methodology, and payment implications of these changes. The slides CMS presented at the ESRD QIP Open Door Forum are available in the "Downloads" section, below.

http://www.cms.govhttp://www.cms.gov/Medicare/End-Stage-Renal-Disease/ESRDQualityImproveInit/

Downloads

 

Related Links

 

 

 

 

Last updated on: February 26, 2013