WHA was pleased to welcome Oluyemisi Aderomilehin, health insurance specialist and professional relationship lead, Region V, Centers for Medicare & Medicaid Services (CMS) to the WHA offices for a face-to-face meeting November 17. As the Region V professional relations liaison with health care provider associations, she acts as a link to WHA and other associations as a problem solver on specific issues. Additionally, she works on Medicare issues for Region V. Most of her work is with MACRA/Quality Payment Program (QPP) and the new Medicare card. Aderomilehin shares information on these initiatives with Region V provider associations and produces and presents webinars on the QPP.
Although more of an informal meet and greet, WHA staff did talk with Aderomilehin about some specific issues affecting Wisconsin’s health care environment:
- QualityNet: WHA staff discussed recurring problems hospitals have with QualityNet, which is the portal hospitals use for submitting quality measures and obtaining assistance with questions related to the CMS reporting and pay-for-performance programs. The specific issues discussed with Aderomilehin included poor response from the QualityNet help desk, issue tickets that expire before being resolved and the lack of resolution to known problems. The submission of electronic quality measures is especially problematic. One of the common known problems discussed involves data for the electronic quality measures being assigned to the wrong hospital if a single person within a multiple hospital system is responsible for entering data for more than one hospital. The QualityNet vendor has known about this problem for over a year and it is still unresolved. Hospitals also continue to be frustrated with the inability to efficiently load large files and get accurate reports confirming the receipt of their data.
- Health Insurance Exchange: WHA staff pointed out that in the past, CMS Region V has been very engaged in health insurance exchange enrollment, outreach and education but this year has been mostly silent. Staff also asked about CMS reviewing other issues, such as network adequacy.
- Nursing Home Survey Process: WHA noted Wisconsin is an outlier in the numbers of citations issued to nursing homes by CMS. Aderomilehin provided contact information for the chiefs of survey and certification both at Region V and at central CMS. WHA will follow up with these individuals on this issue.
Overall, the team felt it was a very productive introductory meeting, and Aderomilehin has already responded on the QualityNet issue. WHA looks forward to working with her in the future on issues of concern to Wisconsin hospitals and health systems.