The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care Contracting (CKCC) Model Options introduction webinar on Tuesday, November 12, 2019 from 12:00 p.m. - 1:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care Contracting (CKCC) Model Options finance webinar on Friday, November 22, 2019 from 12:00 p.m. - 1:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
AdvancingDialysis.org CMS Kidney Care Choices (KCC) Voluntary Payment ModelAdvancingDialysis.org
This presentation reviews the payment mechanisms, bonus and penalty structure, and the timing of the KCC model's impact on a Physician's group practice. This resource also explains the two core voluntary model designs; the Comprehensive Kidney Care Contracting (CKCC) and the Kidney Care First (KCF).
Ponencia presentada por el Dr. Julio Núñez Villota en el directo online 'EMPULSE: empagliflozina en insuficiencia cardiaca aguda', realizado en la Casa del Corazón el 24/11/2021
this Ppt will be able to tell you about
- Role of INFORMATION TECHNOLOGY IN HOSPITALS
- VARIOUS TRANSACTIONS
- SOFTWARES AVAILABLE
- LIVE EXAMPLES OF HOSPITALS USING SOFTWARES
The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care Contracting (CKCC) Model Options finance webinar on Friday, November 22, 2019 from 12:00 p.m. - 1:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
AdvancingDialysis.org CMS Kidney Care Choices (KCC) Voluntary Payment ModelAdvancingDialysis.org
This presentation reviews the payment mechanisms, bonus and penalty structure, and the timing of the KCC model's impact on a Physician's group practice. This resource also explains the two core voluntary model designs; the Comprehensive Kidney Care Contracting (CKCC) and the Kidney Care First (KCF).
Ponencia presentada por el Dr. Julio Núñez Villota en el directo online 'EMPULSE: empagliflozina en insuficiencia cardiaca aguda', realizado en la Casa del Corazón el 24/11/2021
this Ppt will be able to tell you about
- Role of INFORMATION TECHNOLOGY IN HOSPITALS
- VARIOUS TRANSACTIONS
- SOFTWARES AVAILABLE
- LIVE EXAMPLES OF HOSPITALS USING SOFTWARES
The clinical case study of a patient with advanced COPD who has multiple comorbid conditions and develops sepsis provides the backdrop for two potential clinical pathways—sepsis and post-sepsis syndrome—and explores the natural history and indicators of poor prognosis in both conditions.
Journal Club about the Phase 2 study of Selonsertib in Diabetic Kidney Disease to Our Division on 12/9/19.
Also an intro about the Phase 3 study (MOSAIC) we will be launching before the end of the year
Renal Replacement therapy (Dialytic Management) in AKI - Dr.GawadNephroTube - Dr.Gawad
- Recorded videos of this lecture:
English Language version of this lecture is available at:
https://youtu.be/NN9vyWjIPbE
Arabic Language version of this lecture is available at:
https://youtu.be/i-Qlf31Vd-Y
- Visit our website for more lectures: www.NephroTube.com
- Subscribe to our YouTube channel: www.youtube.com/NephroTube
- Join our facebook group: www.facebook.com/groups/NephroTube
- Like our facebook page: www.facebook.com/NephroTube
- Follow us on twitter: www.twitter.com/NephroTube
FACTORS AFFECTING GREEN SUPPLY CHAIN PRACTICES IN AUTOMOTIVE INDUSTRY IN INDIAIAEME Publication
Green Supply Chain Management (GSCM) has emerged as new management
strategy for automobile organizations to become more environmental friendly, cost
effective and competitive. The study focuses on green supply chain management
practices in Automotive Industry in India. Globally business environment is very
volatile in nature and is featured by uncertainties. Due to rising environmental issues,
awareness on environmental pollution issues combined with industrial development
should be addressed by supply chain management. Therefore Green Supply Chain
Management (GSCM) is an emerging agenda for the industrial organization to
improve their performance on different dimensions such as economic and
environment. GSCM has a parallel development to push green products in context to
the ever growing environmental concerns among the organizations .The objective of
the paper is to explore the factors affecting the Green supply Chain Management in
Automotive Industry in India
Forward-looking cities, companies and institutions have begun to embrace 24/7 carbon-free energy procurement—tracking their energy load temporally, shifting their demand, and purchasing carbon-free energy on an hourly basis to match their usage.
This slide deck provides an introduction to the idea of hourly matching and 24/7 carbon-free energy procurement. It addresses questions such as: What is 24/7 carbon-free energy? Why should a city, company, or other institution pursue it? And how can your jurisdiction begin to explore it?
Webinar - A Physician-Focused Guide to Applying Modifiers Correctly Health Catalyst
This webinar is a review of how to appropriately assign frequently misapplied CPT and HCPCS modifiers. Older modifiers and newly added modifiers, that were effective January 1, 2023, will be covered. This webinar is focused on modifiers that should be used on the professional side. While some of these modifiers can also be used on the facility side, this presentation does not focus on assigning modifiers on the facility side. Stay tuned for part two of this series which will cover a facility-focused guide to applying modifiers correctly.
Ponencia realizada por la Dra. Teresa López-Fernández en el directo online 'Cáncer y riesgo cardiovascular: necesidad de equipos multidisciplinares', del ciclo COH19, celebrado en la Casa del Corazón el 7 de mayo de 2019
Importance of Clinical documentation for accurate ICD-10 coding - Medical CodingVocis
This Medical Billing and Coding presentation includes following:
1: Importance of Clinical documentation for accurate ICD-10 coding
2: What needs to be documented
3: Major Modifications with examples
4: Suggestions for Physicians
Carbon markets 101 introduces the market mechanisms under the Kyoto Protocol and related initiatives. It helps executives and managers understand emerging business issues around carbon trading, emission reduction projects and carbon monitoring.
The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care First (KCF) Model Option introduction webinar on Friday, November 15, 2019 from 12:00 p.m. - 1:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
During this webinar the Direct Contracting Model Options team hosted a webinar on Wednesday, December 11, 2019 from 1:30pm-3:00 p.m. EST entitled, Direct Contracting Overview/Direct Contracting Entity (DCE) Types/Alignment. During this webinar, presenters provided an overview of the Direct Contracting Model Professional and Global Options, including information about the participation and eligibility requirements, Direct Contracting Entity (DCE) types, payment mechanisms, and beneficiary alignment methodology.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The clinical case study of a patient with advanced COPD who has multiple comorbid conditions and develops sepsis provides the backdrop for two potential clinical pathways—sepsis and post-sepsis syndrome—and explores the natural history and indicators of poor prognosis in both conditions.
Journal Club about the Phase 2 study of Selonsertib in Diabetic Kidney Disease to Our Division on 12/9/19.
Also an intro about the Phase 3 study (MOSAIC) we will be launching before the end of the year
Renal Replacement therapy (Dialytic Management) in AKI - Dr.GawadNephroTube - Dr.Gawad
- Recorded videos of this lecture:
English Language version of this lecture is available at:
https://youtu.be/NN9vyWjIPbE
Arabic Language version of this lecture is available at:
https://youtu.be/i-Qlf31Vd-Y
- Visit our website for more lectures: www.NephroTube.com
- Subscribe to our YouTube channel: www.youtube.com/NephroTube
- Join our facebook group: www.facebook.com/groups/NephroTube
- Like our facebook page: www.facebook.com/NephroTube
- Follow us on twitter: www.twitter.com/NephroTube
FACTORS AFFECTING GREEN SUPPLY CHAIN PRACTICES IN AUTOMOTIVE INDUSTRY IN INDIAIAEME Publication
Green Supply Chain Management (GSCM) has emerged as new management
strategy for automobile organizations to become more environmental friendly, cost
effective and competitive. The study focuses on green supply chain management
practices in Automotive Industry in India. Globally business environment is very
volatile in nature and is featured by uncertainties. Due to rising environmental issues,
awareness on environmental pollution issues combined with industrial development
should be addressed by supply chain management. Therefore Green Supply Chain
Management (GSCM) is an emerging agenda for the industrial organization to
improve their performance on different dimensions such as economic and
environment. GSCM has a parallel development to push green products in context to
the ever growing environmental concerns among the organizations .The objective of
the paper is to explore the factors affecting the Green supply Chain Management in
Automotive Industry in India
Forward-looking cities, companies and institutions have begun to embrace 24/7 carbon-free energy procurement—tracking their energy load temporally, shifting their demand, and purchasing carbon-free energy on an hourly basis to match their usage.
This slide deck provides an introduction to the idea of hourly matching and 24/7 carbon-free energy procurement. It addresses questions such as: What is 24/7 carbon-free energy? Why should a city, company, or other institution pursue it? And how can your jurisdiction begin to explore it?
Webinar - A Physician-Focused Guide to Applying Modifiers Correctly Health Catalyst
This webinar is a review of how to appropriately assign frequently misapplied CPT and HCPCS modifiers. Older modifiers and newly added modifiers, that were effective January 1, 2023, will be covered. This webinar is focused on modifiers that should be used on the professional side. While some of these modifiers can also be used on the facility side, this presentation does not focus on assigning modifiers on the facility side. Stay tuned for part two of this series which will cover a facility-focused guide to applying modifiers correctly.
Ponencia realizada por la Dra. Teresa López-Fernández en el directo online 'Cáncer y riesgo cardiovascular: necesidad de equipos multidisciplinares', del ciclo COH19, celebrado en la Casa del Corazón el 7 de mayo de 2019
Importance of Clinical documentation for accurate ICD-10 coding - Medical CodingVocis
This Medical Billing and Coding presentation includes following:
1: Importance of Clinical documentation for accurate ICD-10 coding
2: What needs to be documented
3: Major Modifications with examples
4: Suggestions for Physicians
Carbon markets 101 introduces the market mechanisms under the Kyoto Protocol and related initiatives. It helps executives and managers understand emerging business issues around carbon trading, emission reduction projects and carbon monitoring.
The Kidney Care Choices (KCC) Model team hosted a Comprehensive Kidney Care First (KCF) Model Option introduction webinar on Friday, November 15, 2019 from 12:00 p.m. - 1:00 p.m. EST.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
During this webinar the Direct Contracting Model Options team hosted a webinar on Wednesday, December 11, 2019 from 1:30pm-3:00 p.m. EST entitled, Direct Contracting Overview/Direct Contracting Entity (DCE) Types/Alignment. During this webinar, presenters provided an overview of the Direct Contracting Model Professional and Global Options, including information about the participation and eligibility requirements, Direct Contracting Entity (DCE) types, payment mechanisms, and beneficiary alignment methodology.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Innovation hosted an Open Door Forum (ODF) to allow dialysis facilities, nephrologists, other Medicare providers of services, suppliers, and other interested parties to ask questions on the revisions to the Request for Application (RFA) for the Comprehensive End Stage Renal Disease (ESRD) Care Initiative that was released on April 15, 2014.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Next Generation ACO Model team hosted an open door forum on Tuesday, March 28, 2017. The Next Generation Model features three payment rule waivers, referred to as benefit enhancements. This open door forum provided an overview of the Model’s three benefit enhancements.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted an introduction webinar about the Oncology Care Model (OCM) on Thursday, February 19, 2015 from 12:00pm – 1:00pm EST. The webinar focused on introducing core concepts of OCM and application instructions. Advance registration was not required.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
During this webinar, a high-level overview of the ACO REACH Model was provided including information on the participation and eligibility requirements, Accountable Care Organization (ACO) types, payment mechanisms, and beneficiary alignment methodology.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
During this webinar the Direct Contracting Model Options team hosted a webinar on Wednesday, December 18, 2019 from 1:30 p.m.- 3:00 p.m. EST. During this webinar, presenters provided information about benefit enhancements for the Direct Contracting Model Options.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This Medicare-Medicaid ACO Model webinar included information on the structure of the Model, Model details including beneficiary attribution, financial methodology and quality measurement options within the Model, and an explanation of data, learning and evaluation. The state-specific development and application process, including instructions for submitting letters of intent were also discussed. This webinar was open to the general public and targeted towards interested states.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted the first of two webinars on November 19 to describe the final rule and respond to questions about the Comprehensive Care for Joint Replacement Model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted a webinar on Monday, March 23, 2015 from 12:00pm to 1:00pm EDT to provide information and answer questions regarding payer participation in the Oncology Care Model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The webinar introduced the Comprehensive Primary Care initiative to the primary care provider community and covered the service delivery model, including the 5 Comprehensive Primary Care functions, and the milestones participating practices will need to achieve in the first year. The process for applying was also discussed, including information about the application itself.
More at: http://innovations.cms.gov/resources/CPCi-Webinar-for-PCPs.html
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted a webinar to discuss various aspects of the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model proposals on Wednesday, August 31, 2016, from noon – 1:00 p.m. EDT.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted an open door forum covering benefit enhancements for the 2017 Next Generation Accountable Care Organization Model. The open door forum was held on Tuesday, April 19 from 4:00pm – 5:30pm EDT.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Value-Based Insurance Design (VBID) Model team hosted a webinar on January 28, 2021 from 4:00-5:00 PM EST. During this webinar, presenters provided a brief review of the recently released Calendar Year (CY) 2022 Requests for Applications (RFAs) for the VBID Model and the Hospice Benefit Component. This session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Next Generation ACO Model team hosted an open door forum on Tuesday, January 31, 2017. During this open door forum Model team members provided an overview of the Model, along with information pertaining to the Letter of Intent (LOI).
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
During this webinar the Primary Care First Model Options team provided an introduction to the Primary Care First Model that is geared towards payers, presented and answered questions live on topics related to payer partnership, including the Primary Care First payer alignment framework, benefits of multi-payer partnership, and the payer solicitation elements and selection process.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
On Tuesday, April 9 from 2:00 p.m. - 3:00 p.m. EDT the Medicare Advantage Value-Based Insurance Design Model team provided an overview of the model’s main goals and guiding principles, provided a brief review of Medicare Advantage and the Medicare Hospice Benefit, introduced the key model design considerations, and provided a general timeline for the coming months.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Direct Contracting Model Options team hosted a webinar on January 15, 2020 to provide an overview of the Direct Contracting Model's payment methodology. During the session, the Direct Contracting model team presented key aspects of the Direct Contracting financial model, such as its risk-sharing options and risk mitigation strategies, as well as its capitation and other advanced payment alternatives. The forum also provided an opportunity for potential applicants to ask the team questions regarding these topics and other topics related to the model application.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
In order to help ETC Model Participants prepare for the ETC Model, CMS conducted an introductory webinar on Wednesday, December 9, 2020 from 1 p.m. to 2 p.m. The webinar provided an overview of the ETC Model, including:
Participant selection
The Home Dialysis Payment Adjustment
The Performance Payment Adjustment
The ETC Model timeline, including the timing of payment adjustments
Information about how to communicate with CMS about the ETC Model
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Diabetes Prevention Program (MDPP) Model Expansion Medicare Learning Network (MLN) Call was held from 1:30 p.m. – 3:00 p.m. EST on November 30, 2016. During this call, CMS experts provided a high-level overview of the finalized policies in the CY 2017 Medicare Physician Fee Schedule (PFS) final rule (the CY 2017 Medicare PFS final rule includes the expansion of the MDPP Model beginning January 1, 2018), reviewed the steps necessary for enrollment into Medicare as an MDDPP supplier, and answered some of the audiences most pressing questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Similar to Webinar: Comprehensive Kidney Care Contracting (CKCC) Model Options - Introduction (20)
The Medicare Advantage Value-Based Insurance Design (VBID) Model team at the Center for Medicare and Medicaid Innovation (CMMI) and national leaders participated in a discussion around pathways for addressing food and nutritional insecurity at webinar event of our Health Equity Incubation Program on Thursday, March 31, 2022, from 3:00-4:30 PM ET.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted an office hours session on Tuesday, April 5, 2022 from 3:00-4:00 PM ET to discuss the Medicare Advantage Value-Based Insurance Design (VBID) Model and its Hospice Benefit Component. Attendees received an overview of the Model and the CY 2023 application process, and had an opportunity for questions and answers with the Model team.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The ACO REACH Model Team will hosted a health equity webinar on Tuesday, April 5, 2022 from 4:00 - 5:00 p.m. EDT. The ACO REACH Model team highlighted Health Equity provisions added to the ACO REACH Model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This webinar focuses on the new financial policies featured in the ACO REACH webinar. For more information on the financial methodology for the ACO REACH Model that will be transitioned from the Global and Professional Direct Contracting (GPDC) Model, please refer to prior released financial webinars available on the GPDC Model webpage.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center will host a webinar on Thursday, March 10, 2022 from 3:00-4:00 PM ET. During this webinar, presenters will provide a brief review of the recently released Calendar Year (CY) 2023 Requests for Applications (RFAs) for the VBID Model and the Hospice Benefit Component as well as the payment design related to the Hospice Benefit Component of the VBID Model. This session will also offer attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This webinar provided an overview of the Model and the Part D Sponsor application process, as well as included a Q&A session for interested Part D sponsors.
- - -
CMS Innovation Center:
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy:
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted a webinar on Wednesday, March 2, 2022 at 3pm – 4pm ET, during which presenters shared updates on the Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model, the Kidney Care Choices (KCC) Model, and the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. This event was available to the first 1,000 registrants. Presentation materials will be available on the respective model webpages following the session.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Advantage Value-Based Insurance Design (VBID) Model Team hosted an office hours session on Thursday February 3rd, 2022 on the Hospice Benefit Component to provide technical and operational support to interested stakeholders. During this office hours session, presenters answered questions submitted in advance to the VBID Mailbox and offered attendees an opportunity to ask additional questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Has your organization prioritized addressing health inequities? How can a Center for Medicare and Medicaid Innovation (CMMI) Model factor into your organization’s health equity strategy? How can you structure your plan’s benefits to have the greatest impact on underserved communities? What partnership opportunities are available with CMMI?
These are important questions CMMI plans to answer in a new webinar series focused on health equity! CMMI is sponsoring a series of webinars for current and potential Medicare Advantage Organization (MAO) participants in the Value-Based Insurance Design (VBID) Model.
The first webinar in the series provided an overview of the Model’s Health Equity Incubation Sessions effort, articulated a business case for MAOs to leverage VBID Model Components to address health inequities in their member populations, and provided specific guidance and clarification on the full extent of health equity focused flexibilities that fall under the Model’s waiver authority.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMMI, in partnership with Million Hearts® at the Centers for Disease Control and Prevention (CDC), will sponsor a webinar entitled Value-Based Insurance Design, Opportunities to Improve Medication Adherence for Cardiovascular Disease Prevention on October 21, 2021 from 3:00-4:00 PM ET. The webinar will present evidence-based high impact strategies for MAOs to improve care and outcomes for beneficiaries with cardiovascular disease (CVD), including underserved populations.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
As part of a broader partnership, CMMI, the Office of the Assistant Secretary for Health (OASH) and the Administration for Community Living (ACL) are jointly sponsoring a webinar titled, Unleashing the Capabilities of MAOs to Deliver Health Innovation for Older Adults in Underserved Settings on October 7 from 2:30-4:00 PM ET to highlight the emerging, numerous opportunities for MAOs to support beneficiaries in more fully meeting their care needs and goals through novel approaches and services enabled by technology.
The webinar will provide an overview of the data supporting these opportunities and will include a panel of three speakers from payer organizations, each of whom will provide an overview of their experience and results in innovating in the use of technology to address unmet enrollee health needs. Panelists include Mona Siddiqui MD, MPH, Senior Vice President for Enterprise Clinical Strategy and Quality at Humana, who will discuss Humana’s approach to the use of data and predictive modeling to proactively engage and provide care for the highest risk and most vulnerable populations; John Wiecha, Medical Director, Senior Products Division at Point32Health, representing the newly combined organizations of Harvard Pilgrim Health Care and Tufts Health Plan will provide an overview of a recent pilot project to improve dementia care through a digital caregiver support program; and Caesar A. DeLeo, MD, MHSA Vice President & Executive Medical Director Strategic Initiatives, Highmark Health Enterprise Clinical Organization, Highmark BCBS who will discuss Highmark’s experience with telemedicine to approach substance use disorders during the pandemic and results from a five-year data driven program addressing appropriate opiate prescribing through profiling and academic detailing.
The webinar offers attendees the opportunity to gain a better understanding of the evidence and potential of several technology-enabled services in improving access, quality and outcomes of care, including, importantly, for underserved populations and will provide MAOs with insights more broadly on the challenges and solutions in design, implementation and evaluation of innovative and technology-enabled service. MAOs that are considering such innovations who may wish to target the use of technology-enabled and/or other services based on chronic illness and/or Low-Income Subsidy (LIS) status through the VBID Model are encouraged to attend.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The ET3 Model and Medicaid: Opportunities for Alignment webinar provided background on the ET3 Model, discussed the benefits for states of aligning coverage and payment policies with ET3, and explored considerations for states seeking to implement new Medicaid services that align with the ET3 Model. This webinar was intended for state Medicaid agencies, ET3 Model Participants, and other stakeholders interested in learning more about optional Medicaid alignment with the ET3 Model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMS announced an Office Hour event for potential applicants to ask questions ahead of the PCF application deadline.
The PCF Model Team was available to answer questions on key topics including eligibility, payment design and attribution, and more.
You may also refer to the materials from the two PCF webinars held in March: Introduction to PCF and Ready, Set, Apply.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Wednesday, March 17, 2021 from 4:00 - 5:00 PM EDT. During this webinar, presenters provided a preview of the Calendar Year 2022 payment design related to the Hospice Benefit Component of the VBID Model. The session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Part D Senior Savings Model and Part D Payment Modernization Model teams hosted a webinar on Tuesday, March 23, 2021 from 1:00 to 2:00 PM EDT. During this webinar, presenters provided an overview of the two Models and the Calendar Year (CY) 2022 application process. The session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMS hosted a virtual office hour session on April 13, 2021 from 4:00-5:00 PM EDT. During this office hour, presenters provided a review of the Calendar Year 2022 payment design and payment rates related to the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model. This session also offered attendees an opportunity to ask follow-up questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Emergency Triage, Treat, and Transport (ET3) Model Medical Triage Line Notice of Funding Opportunity (NOFO) webinar provided an overview of the application process and NOFO requirements for implementing 911 medical triage lines. This webinar was intended for those interested in learning more about the ET3 Model’s Notice of Funding Opportunity, which was released March 12.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Primary Care First Model (PCF) Options team provided an overview of the PCF payer partnership. Participants were able to learn about current PCF Model participants, benefits to payer partnership, the framework against which payer proposal alignment will be evaluated, and the payer solicitation process and timeline.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Primary Care First Model Options team provided an overview of the Model, including goals, eligibility to participate in the second cohort, payment design and attribution, and data sharing. Model staff answered your questions about these topics.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Community Health Access and Rural Transformation (CHART) Model team hosted an overview webinar on Tuesday, August 18, 2020 from 1:00 - 2:30 PM EDT. Attendees had the opportunity to hear an overview of the CHART Model, including its objectives, eligible participants and their roles, payment options, and timeline.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
More from Centers for Medicare & Medicaid Services (CMS) (20)
Up the Ratios Bylaws - a Comprehensive Process of Our Organizationuptheratios
Up the Ratios is a non-profit organization dedicated to bridging the gap in STEM education for underprivileged students by providing free, high-quality learning opportunities in robotics and other STEM fields. Our mission is to empower the next generation of innovators, thinkers, and problem-solvers by offering a range of educational programs that foster curiosity, creativity, and critical thinking.
At Up the Ratios, we believe that every student, regardless of their socio-economic background, should have access to the tools and knowledge needed to succeed in today's technology-driven world. To achieve this, we host a variety of free classes, workshops, summer camps, and live lectures tailored to students from underserved communities. Our programs are designed to be engaging and hands-on, allowing students to explore the exciting world of robotics and STEM through practical, real-world applications.
Our free classes cover fundamental concepts in robotics, coding, and engineering, providing students with a strong foundation in these critical areas. Through our interactive workshops, students can dive deeper into specific topics, working on projects that challenge them to apply what they've learned and think creatively. Our summer camps offer an immersive experience where students can collaborate on larger projects, develop their teamwork skills, and gain confidence in their abilities.
In addition to our local programs, Up the Ratios is committed to making a global impact. We take donations of new and gently used robotics parts, which we then distribute to students and educational institutions in other countries. These donations help ensure that young learners worldwide have the resources they need to explore and excel in STEM fields. By supporting education in this way, we aim to nurture a global community of future leaders and innovators.
Our live lectures feature guest speakers from various STEM disciplines, including engineers, scientists, and industry professionals who share their knowledge and experiences with our students. These lectures provide valuable insights into potential career paths and inspire students to pursue their passions in STEM.
Up the Ratios relies on the generosity of donors and volunteers to continue our work. Contributions of time, expertise, and financial support are crucial to sustaining our programs and expanding our reach. Whether you're an individual passionate about education, a professional in the STEM field, or a company looking to give back to the community, there are many ways to get involved and make a difference.
We are proud of the positive impact we've had on the lives of countless students, many of whom have gone on to pursue higher education and careers in STEM. By providing these young minds with the tools and opportunities they need to succeed, we are not only changing their futures but also contributing to the advancement of technology and innovation on a broader scale.
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
2. Kidney Care Choices (KCC) Builds on
Comprehensive ESRD Care (CEC) Model
2
Comprehensive ESRD Care (CEC) Model
• CEC Model began in October 2015 and will
run through December 31, 2020.
• Accountable Care Organizations (ACOs)
formed by dialysis facilities, nephrologists, and
other Medicare providers and suppliers work
together with the goal to improve outcomes
and reduce per capita expenditures for aligned
ESRD beneficiaries.
• Results for the Model showed lower spending
relative to benchmark group and
improvements on some utilization and quality
measures.
Kidney Care Choices (KCC) Model
• The KCC Model will begin in 2020 and will run
through 2023 with the option for CMMI to
extend the Model for one or two additional
years.
• Single set of providers and suppliers
responsible for patient’s care from CKD Stages
4,5 through dialysis, transplantation, or end of
life care.
3. KCC Model Will Improve on CEC
Goals of KCC:
• Later and better starts on dialysis for beneficiaries with CKD.
• Better coordination of care for beneficiaries with CKD and ESRD to reduce total cost of care.
• More beneficiaries receiving kidney transplants and staying off of dialysis for longer.
• Offering different financial risk options for nephrologists and other providers and suppliers to take on
financial accountability.
KCC will include:
• Beneficiaries across the full spectrum of kidney disease including CKD Stages 4, 5 and ESRD, as well as
beneficiaries who receive kidney transplants.
• Nephrologist payment reforms.
• Additional Medicare benefit enhancements.
3
4. Overview of the KCC Model Options
4
Payment Options Overview Participants
Kidney Care First
(KCF) Option
Based on the Primary Care First (PCF) Model – nephrology practices will
be eligible to receive bonus payments for effective management of
beneficiaries
Nephrologists/nephrology
practices only
CKCC Graduated
Option
Based on existing CEC Model One-Sided Risk Track – allowing certain
participants to begin under a lower-reward one-sided model and
incrementally phase in risk and additional potential reward Must include nephrologists
and nephrology practices;
may also include transplant
providers, dialysis facilities,
and other kidney care
providers on an optional
basis
CKCC Professional
Option
Based on the Professional Population-Based Payment option of the Direct
Contracting Model – with 50% of shared savings or shared losses in the
total cost of care for Part A and B services
CKCC Global Option
Based on the Global Population-Based Payment option of the Direct
Contracting Model – with risk for 100% of the total cost of care for all Part
A and B services for aligned beneficiaries
Focus
For
Today
5. • The Model will run from approximately March 1, 2020 through December 31, 2023, with
the option for CMS to extend the Model for one or two additional years.
• Selected providers and suppliers will begin Model participation in 2020 with a focus
on building necessary care relationships and infrastructure.
• Payment adjustments will begin in 2021.
• CMS released the Request for Applications in October 2019 and applications are due
January 22, 2020.
KCC Model Timeline and Next Steps
5
More information will be available at the KCC Model website. Sign
up via email and follow CMS on Twitter (@CMSinnovates).
7. Legal Structure of the CKCC Options
7
Legal Entity & Contracting Requirements
1. Receiving and distributing shared
savings payments or payments received
from CMS under the KCC Model’s
alternative payment mechanisms.
2. Collecting and repaying shared losses, if
applicable.
3. Establishing reporting mechanisms and
ensuring KCC participant compliance
with program requirements, including but
not limited to reporting on quality
measures.
4. Securing a financial guarantee, if
applicable.
KCEs must include: at least one nephrologist or nephrology group
practice, and at least one transplant provider.
Nephrologists
and Nephrology
Practices
Transplant
Providers
Dialysis
Facilities Other
Kidney Contracting Entities (KCEs)
8. Kidney Contracting Entity (KCE) Participant Eligibility
Be a Medicare-enrolled provider or supplier by a date specified by CMS.
Be located in no more than four core-based statistical areas (CBSAs), with permissible inclusion of
some rural counties.
Have agreements in place with the KCE participants that satisfy the requirements of the KCC
Model Participation Agreement.
Use 2015 Edition Certified EHR Technology, including secure messaging, transition of care
document exchange and standards-based APIs to eliminate the use of faxes for health information
exchange, and connect to their regional health information exchange (HIE).
8
KCEs participating in a CKCC option of the KCC Model must meet all of the following
requirements for the duration of their participation in the model:
9. KCE Governing Structure Requirements
• Decision-making must be KCE participant-driven, and KCE participants have at least 75% control of the
governing body
• Nephrologists or representatives of nephrology practices must be 30% of the governing body membership
• Members of the governing body must place their fiduciary duty to the KCE before the interests of any
participants, individuals or entities and act consistently with this fiduciary duty
• The government body must include at least one member who is an employee or executive of a transplant
provider
• Must ensure representation of patient interests by including an independent Medicare beneficiary with CKD or
ESRD as a member and a trained /or experienced non-affiliated, independent consumer advocate on the
governing body, without a conflict of interest.
9
The KCE governing body must be structured as follows:
11. Beneficiary Alignment Basics
• Beneficiaries are aligned to a KCE based on nephrologist visits.
• This alignment method prioritizes the nephrologist relationship as the most important one for
beneficiaries with advanced CKD or ESRD.
• CMS believes this protects the continuity of care from treating a beneficiary with CKD 4 or 5
with the same nephrologist who would then be treating them if they progress to ESRD.
• Alignment will be based on beneficiary claims.
11
Alignment for CKD Stage 4 & 5 and ESRD Beneficiaries:
• When an aligned beneficiary receives a kidney transplant, they will remain aligned to the KCE for
three years from the month of transplant, while the transplant is viable.
• If the transplant fails, the beneficiary may become aligned as a CKD or ESRD beneficiary.
Alignment for Transplant Beneficiaries:
12. Beneficiary Eligibility Criteria
12
To be eligible for alignment and remain aligned for a performance year, all beneficiaries must:
• Have late stage CKD (stage 4 or 5), ESRD
or be a transplant recipient previously
aligned
• Be enrolled in Medicare A and B and NOT in
a Medicare Advantage plan, cost plan, or
other Medicare managed care plan
• Reside in the United States
• Have a plurality of their Monthly Capitation
Payments (MCP) billed in the KCE's market
area (ESRD beneficiaries only)
• Have a plurality of their CKD care in the
KCE’s market (CKD beneficiaries only)
• NOT have Acute Kidney Injury (AKI)
• NOT have already been aligned to a
Medicare program/demonstration/model
involving shared savings at the date of
alignment
• Must NOT have Medicare as a secondary
payer.
• Be aged 18 and above and NOT deceased
13. Beneficiary Alignment Timeline
• KCEs will receive a list at the start of the year with the beneficiaries whose care they will
be accountable for based on visits in the past year.
• Newly eligible beneficiaries will then be added to a KCE’s alignment list quarterly.
• Beneficiary eligibility will be considered on a monthly basis, but will be updated quarterly
with the updated alignment list.
• Alignment will be as prospective as is feasible, but a final retrospective reconciliation will
occur after each performance year.
• Beneficiaries will be removed on an annual basis during reconciliation for eligibility
purposes, such as not receiving care from a KCE nephrologist, or receiving the majority
of care outside of the market area.
13
14. Minimum Number of Aligned Beneficiaries
14
A KCE is required to have a minimum of 1,000 beneficiaries
with late stage CKD and 350 beneficiaries with ESRD
estimated aligned throughout the life of the Model based on a
defined look-back period prior to the start of the performance
year.
15. Beneficiary Alignment Summary Table
15
Beneficiaries with CKD Beneficiaries with ESRD
Beneficiaries who Receive
Kidney Transplants
Aligning KCE
Participant
Nephrologist Nephrologist N/A – Must have been previously
aligned by virtue of CKD or ESRD
Criteria for Alignment
Diagnosis of CKD Stage 4 or 5;
2 or more Evaluation &
Management (E&M) visits within
a 6 month period with a KCE
nephrologist
Diagnosis of ESRD; 2 or more
Monthly Capitation Payment
(MCP) visits within a 3 month
period with a KCE nephrologist
Being previously aligned to the KCE as
a CKD or ESRD beneficiary and
receiving a kidney transplant
Criteria for
De-Alignment
Beneficiaries no longer meet the
criteria for alignment; receiving the
majority of E&M visits from a non-KCE
nephrologist, from a different KCE
nephrologist in the market area, or
outside the KCE market area
Beneficiaries no longer meet the
criteria for alignment; receiving the
majority of MCP visits from a non-
KCE nephrologist, from a different
KCE nephrologist in the market area,
or outside the KCE market area
Beneficiaries no longer meet the
criteria for alignment; kidney transplant
failure (the beneficiary may be aligned
as a CKD or ESRD beneficiary
post-transplant failure if the applicable
requirements for alignment are met)
17. KDE Benefit Enhancement
• Waives requirement that KDE be performed by a physician, physician assistant, nurse
practitioner, or clinical nurse specialist to allow qualified clinicians to bill for the benefit who are not
otherwise allowed
• Extends eligibility for KDE from just Stage IV CKD patients to beneficiaries with CKD Stage V and
those in the first 6 months of ESRD
• Allows the topic of delaying initiation of dialysis to be covered “as applicable” rather than
mandated, as it will not be relevant to beneficiaries with ESRD.
• Allow the required outcomes assessment be conducted during a subsequent evaluation and
management visit with the nephrologist instead of within one of the six KDE sessions.
17
Medicare currently covers up to six 1-hour sessions of kidney disease education (KDE)
services for beneficiaries with Stage IV CKD. The KCC model will be waiving certain KDE
requirements as education is a crucial component to increasing rates of transplants,
implementing successful home dialysis, and delaying the onset of ESRD. The following
requirements will be waived:
18. Other Benefit Enhancements for KCEs
Telehealth
18
3-Day SNF Rule
Waiver
Post-Discharge
Home Visit Home Health
• Waives requirement that
beneficiaries be located
in rural area for
telemedicine to be
furnished
• Assists beneficiaries
dialyzing at home,
potentially lowering risk
for infection for
immunocompromised
persons and older adults
• Under current SNF 3-
Day rule, beneficiaries
must complete a 3-day
stay at an inpatient
facility prior to being
eligible for coverage of a
SNF admission.
• KCC aims to avoid
potentially unnecessary
hospital stays when a
beneficiary only needs a
SNF level of care.
• Allows auxiliary
personnel to furnish in-
home services after a
discharge from a
hospital under the
general supervision
(rather than direct
supervision) of the
physician or non-
physician practitioner
• Waives the “confined to
his home” requirement
for utilizing home health
services.
19. For More Information on CKCC
• Sign up for our KCC listserv
• Visit the website at https://innovation.cms.gov/initiatives/kidney-care-choices-kcc-model/
• Apply at the RFA Online portal at https://app1.innovation.cms.gov/KCC/
• Follow us on Twitter at @CMSinnovates
• For any questions, please email the KCC Model team: KCF-CKCC-CMMI@cms.hhs.gov
19