Supreme Court Allows Harmful “Public Charge” Immigration Rule to Continue – For Now Accountable Care Organizations and Observation Status Medicare SNF Payment Model Creates Changes in Care and Admissions – What about Facility Assessments? … [Read more...] about CMA Alert – January 30, 2020
Archives for January 2020
Study Finds Nursing Home Compare Data about Patient Falls with Major Injuries Underreported and “Highly Inaccurate”
In the first “national-level assessment of how nursing homes self-report major injury fall rates, which are used by CMS for quality measurement and public reporting,” researchers “found substantial underreporting on the specific Minimum Data Set … [Read more...] about Study Finds Nursing Home Compare Data about Patient Falls with Major Injuries Underreported and “Highly Inaccurate”
Medicare SNF Payment Model Creates Changes in Care and Admissions – What about Facility Assessments?
The new Medicare reimbursement system for skilled nursing facilities (SNFs) – the Patient-Driven Payment Model (PDPM) – fundamentally changes the financial incentives for facilities. With PDPM, Medicare now pays lower rates for residents needing … [Read more...] about Medicare SNF Payment Model Creates Changes in Care and Admissions – What about Facility Assessments?
Accountable Care Organizations and Observation Status
One of the ongoing problems that Medicare beneficiaries face is so-called “outpatient” hospital observation status. When a hospital classifies a patient as an outpatient, rather than as an inpatient, the result is that the patient is ineligible for … [Read more...] about Accountable Care Organizations and Observation Status
Supreme Court Allows Harmful “Public Charge” Immigration Rule to Continue – For Now
On January 27, 2020, the U.S. Supreme Court in 5-4 vote allowed the Trump administration’s “public charge” immigration rule to go into effect while litigation over the policy continues in the lower courts. The Center joins many partner organizations … [Read more...] about Supreme Court Allows Harmful “Public Charge” Immigration Rule to Continue – For Now
Support Medically Necessary Oral Health Care in Medicare
For the past few years, a coalition of beneficiary advocates, disease organizations, industry groups, oral health and medical health professionals has been advocating for medically necessary oral health care to be covered by Medicare, as authorized … [Read more...] about Support Medically Necessary Oral Health Care in Medicare
Incorrect Implementation of the Jimmo V. Sebelius Settlement in a Skilled Nursing Facility: A Case Study
January 2020Download this Case StudyI. Background - The Jimmo SettlementIn 2013, a U.S. District Court approved the settlement agreement in Jimmo v. Sebelius,[1] requiring the Centers for Medicare & Medicaid Services (CMS) to confirm … [Read more...] about Incorrect Implementation of the Jimmo V. Sebelius Settlement in a Skilled Nursing Facility: A Case Study
CMA Alert – January 23, 2020
House Committees Work to Address Problems Coordinating COBRA and Medicare Enrollment Center Opposes Harmful “Public Charge” Rule Update on ACA-Repeal Lawsuit Study Finds Differences In Post-Hospital Care Settings and Mortality Rates for … [Read more...] about CMA Alert – January 23, 2020
House Committees Work to Address Problems Coordinating COBRA and Medicare Enrollment
On January 21, 2020, the Chairmen and Ranking Members of the House Ways & Means, Energy & Commerce, and Education & Labor Committees sent a letter to the Secretaries of Health and Human Services (HHS) and Department of Labor (DOL) asking … [Read more...] about House Committees Work to Address Problems Coordinating COBRA and Medicare Enrollment
New Opioid Treatment Program Benefit in Part B
Starting January 1, 2020 Medicare Part B began covering a new Opioid Treatment Program (OTP) benefit. The Centers for Medicare & Medicaid Services (CMS) pay OTPs through bundled payments for opioid use disorder (OUD) treatment services in an … [Read more...] about New Opioid Treatment Program Benefit in Part B