Proposed Home Health Rule Affirms Medicare Coverage and Payment for Patients Who Will Not Improve and May Need More Care than the Norm Administrative Law Judges and Objective Medicare Appeals Jeopardized By Recent Executive Order Studies Differ … [Read more...] about CMA Alert – ALJ Independence Threatened; Home Health News; Contradictory MA Studies; More
Search Results for: discharge planning
Studies Differ Regarding Traditional Medicare and Medicare Advantage
Researchers studying patients with hip fractures found that patients with Medicare Advantage (MA) plans have shorter stays in skilled nursing facilities (SNFs) and receive less rehabilitation than patients in traditional Medicare, but are, … [Read more...] about Studies Differ Regarding Traditional Medicare and Medicare Advantage
CMA Alert – CMA Alert – Pushing MA at the Expense of Medicare; Observation and Readmissions; SNF Enforcement; More
Tipping the Scales Toward Medicare Advantage (at the Expense of Medicare) Does Observation Status Undercut Claims that Hospital Readmissions Have Been Reduced? MedPAC Says No, Research Says Yes. Another Week, More Health Care Sabotage CMS … [Read more...] about CMA Alert – CMA Alert – Pushing MA at the Expense of Medicare; Observation and Readmissions; SNF Enforcement; More
Does Observation Status Undercut Claims that Hospital Readmissions Have Been Reduced? MedPAC Says No, Research Says Yes.
As required by the Affordable Care Act, the Medicare Hospital Readmissions Reduction Program (HRRP) reduces Medicare payment rates, by up to 3%, to hospitals that readmit patients with certain specified conditions within 30 days.[1] The … [Read more...] about Does Observation Status Undercut Claims that Hospital Readmissions Have Been Reduced? MedPAC Says No, Research Says Yes.
Annotated Bibliography: Observation Status
Abbey, Duane. “Inpatient Versus Outpatient: The Real Issue.” RAC Monitor. 06 March 2014. http://www.racmonitor.com/rac-enews/1618-inpatient-versus-outpatient-the-real-issue.html (site visited September 21, 2016). The author writes … [Read more...] about Annotated Bibliography: Observation Status
CMA Alert – Joint Replacement Model Undermines Care; OTC Hearing Aids Legislation Passed; More
Care is Compromised Under CMS’s Comprehensive Care for Joint Replacement (CJR) Model: A Case In Point Over-the-Counter (OTC) Hearing Aid Act Signed into Law Severe Harm if ACA Cost-Sharing Payments End Care is Compromised Under … [Read more...] about CMA Alert – Joint Replacement Model Undermines Care; OTC Hearing Aids Legislation Passed; More
Stop Calling Inpatients Outpatients: Medicare Created Observation Status – Ask Them to Change It!
This summer, the New York Times article “New Medicare Law to Notify Patients of Loophole in Nursing Home Coverage”* told the story of one of many people who contact the Center for Medicare Advocacy for help with hospital … [Read more...] about Stop Calling Inpatients Outpatients: Medicare Created Observation Status – Ask Them to Change It!
Center Comments on Medicare Reimbursement for Skilled Nursing Facilities
June 20, 2016 Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Ave., S.W. Washington, D.C. … [Read more...] about Center Comments on Medicare Reimbursement for Skilled Nursing Facilities
Reducing Hospital Readmissions by Addressing the Causes
Reports that 20% or more of unplanned hospital readmissions are avoidable has led to considerable interest in policymakers in reducing readmissions.[1] Actively reducing hospital readmissions is seen as a route to lower Medicare spending and … [Read more...] about Reducing Hospital Readmissions by Addressing the Causes
January 2016 – Senate Finance Request for Comments on Chronic Care & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Legislative Update (David Lipschutz) Senate Finance Committee Releases Document for Comment Bipartisan Chronic Care Working Group Policy Options Document (December … [Read more...] about January 2016 – Senate Finance Request for Comments on Chronic Care & Other Issues