Advocacy in Action | Heart Rhythm Society

Advocacy in Action

Advocating for heart rhythm professionals practicing in a rapidly evolving healthcare environment

Advocacy in Action provides monthly updates on new or recent legislative, regulatory, payment, and coverage policy changes, HRS advocacy efforts, and other crucial information that may impact the practice of EP in the U.S.

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HRS Urges CMS to Clarify NCD Shared Decision-Making Requirement for LAAC


June 29, 2023 - The Heart Rhythm Society, the Society for Cardiovascular Angiography and Interventions (SCAI), and the American College of Cardiology (ACC) sent a letter to the Centers for Medicare & Medicaid Services (CMS) regarding misinterpretation of the National Coverage Determination (NCD) shared decision-making requirement for percutaneous left atrial appendage closure (LAAC).

The Beat Episode 9: Understanding the Evolution of the Centers for Medicare & Medicaid Services Now Available on Demand


June 15, 2023 - On June 15th, the HRS Health Policy and Regulatory Affairs Committee, in collaboration with the Digital Education Committee, presented a live webinar (Episode 9) of The Beat, Understanding the Evolution of the Centers for Medicare & Medicaid Services. The episode, moderated by Sandeep A Saha, MD, MS, FHRS and David J. Slotwiner, MD, FHRS, examines the expanding federal health insurance benefits, beginning with the introduction of Medicare and Medicaid in 1965, and the federal structure for administering these programs and their associated policies.

MedPAC and MACPAC Release June Reports to Congress

Legislative Updates

June 29, 2023 - The Medicare Payment Advisory Commission (MedPAC) has released its June 2023 report to the Congress on Medicare and the Health Care Delivery System. On June 15th, the Medicaid and CHIP Payment and Access Commission (MACPAC) also released its June 2023 report, which includes a chapter on payment policy for safety net hospitals, recommending the creation of automatic adjustments to disproportionate share hospital (DSH) payments.

CMS New Technology Proposed Rule Aims to Improve Access to Device Innovations

Regulatory Updates

June 29, 2023 - On June 22nd, CMS released its long-awaited proposed procedural notice that outlines a new voluntary, expedited Medicare coverage pathway for certain FDA-designated Breakthrough Devices. Under the Transitional Coverage for Emerging Technologies (TCET), manufacturers would be able to address any evidence gaps through fit-for-purpose studies, where the study design, analysis plan, and data are appropriate for the question the study aims to answer.

CMS Releases 2021 Quality Payment Program (QPP) Experience Report

Regulatory Updates

June 29, 2023 - CMS recently released its most recent QPP Experience Report, reflecting data on clinician eligibility, participation, and performance related to the 2021 performance year of the Merit-Based Incentive Payment System (MIPS) and Qualifying Advanced Payment Model Participants (QPs). An accompanying QPP Public Use File (PUF) includes more detailed information related to individual clinicians who received a 2021 MIPS final score.

2022 MIPS Final Score Preview Period

Regulatory Updates

June 29, 2023 - Physicians who were eligible to participate in the MIPS program in 2022 can now access a preview of their performance scores before CMS releases final performance scores and associated 2024 payment adjustment amounts in August.

COVID-19 Public Health Emergency Ends

Regulatory Updates

May 31, 2023 - The COVID-19 public health emergency (PHE) officially expired on May 11th. The end of the PHE will see the private sector begin to assume much of the responsibility for vaccine and treatment distribution. 

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