Citing a nearly 700% increase in confirmed nursing home cases over a three-week period from mid-December 2021 through January 4th, Governor Ned Lamont issued an Executive Order (EO) Wednesday evening requiring nursing home visitors and primary and … [Read more...] about CT Governor Issues Executive Order Requiring Nursing Home Visitors Have Vaccine and Booster or Proof of Negative COVID Test – CT Long Term Care Ombudsman Expresses Support and Offers Assistance if Needed
Archives for January 2022
Center for Medicare Advocacy Special Report | The Role of AI-Powered Decision-Making Technology in Medicare Coverage Determinations
Artificial intelligence (AI)-powered decision-making tools that are used in health care utilization management (UM) are increasingly used by providers and plans to automate the medical review and prior authorization processes, direct post-acute care, … [Read more...] about Center for Medicare Advocacy Special Report | The Role of AI-Powered Decision-Making Technology in Medicare Coverage Determinations
CMA Alert | January 13, 2022
CMS Releases Proposed 2023 Rule for Medicare Advantage and Part D PlansOn January 6, 2022, CMS released CY 2023 Medicare Advantage and Part D Proposed Rule (CMS-4192-P) and an accompanying Press Release describing the overall rule, and a separate … [Read more...] about CMA Alert | January 13, 2022
CMS Releases Proposed 2023 Rule for Medicare Advantage and Part D Plans
On January 6, 2022, CMS released CY 2023 Medicare Advantage and Part D Proposed Rule (CMS-4192-P) and an accompanying Press Release describing the overall rule, and a separate Press Release focusing on Part D prescription drug costs. The … [Read more...] about CMS Releases Proposed 2023 Rule for Medicare Advantage and Part D Plans
CMS Again Revises Visitation Guidance in Nursing Facilities
In March 2020, at the beginning of the coronavirus pandemic, the Centers for Medicare & Medicaid Services (CMS) barred visitors from nursing facilities. Since then, it has issued multiple revisions to its guidance. On November 12, … [Read more...] about CMS Again Revises Visitation Guidance in Nursing Facilities
Jimmo Update: CMS Reminds Providers and Contractors of Medicare Coverage to Maintain or Slow Decline
Skilled nursing care and skilled therapy services for beneficiaries who need skilled care to maintain function or to prevent or slow decline is covered by Medicare. That is the message of reminders issued by the Centers for Medicare & Medicaid … [Read more...] about Jimmo Update: CMS Reminds Providers and Contractors of Medicare Coverage to Maintain or Slow Decline
CMS to Post Nursing Home Staff Turnover and Weekend Staffing Level Information on Care Compare
This month, the Centers for Medicare & Medicaid Services (CMS) will begin posting nursing staff turnover information and weekend staffing levels on the federal website Care Compare.[1] Specifically, CMS will post:Staff Turnover: “The … [Read more...] about CMS to Post Nursing Home Staff Turnover and Weekend Staffing Level Information on Care Compare
Issue Brief – January 2022 – Home Health Survey Report and Other Issues
FEDERAL UPDATE Medicare and Build Back BetterDuring the last Alliance webinar in November 2021, we discussed the legislative package Congress was debating called the Build Back Better Act (BBB) that was to be passed through the … [Read more...] about Issue Brief – January 2022 – Home Health Survey Report and Other Issues
CMA Alert | January 6, 2022
Study Published in Health Affairs Finds that Medicare Advantage Quality Bonus Program Has Not Improved QualityHealth Affairs recently published a research article titled “The Medicare Advantage Quality Bonus Program Has Not Improved Plan Quality” … [Read more...] about CMA Alert | January 6, 2022
CMS Reports Record Enrollment in 2022 Affordable Care Act Health Plans
By mid-December, with a month left in the open enrollment period, enrollment for health coverage through Healthcare.gov and state-based marketplaces had already reached a record high. According to the Centers for Medicare & Medicaid Services … [Read more...] about CMS Reports Record Enrollment in 2022 Affordable Care Act Health Plans