Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Skilled Nursing Facility

CMS Extends Comment Period for New Medicare Skilled Nursing Reimbursement System Until August 25, 2017

On May 4, 2017, the Centers for Medicare & Medicaid Services (CMS) published an Advance Notice of Proposed Rulemaking setting out options that CMS is considering to replace the Medicare reimbursement system for skilled nursing facilities … [Read more...] about CMS Extends Comment Period for New Medicare Skilled Nursing Reimbursement System Until August 25, 2017

Reversing Obama Rules, Trump Administration Proposes Allowing Nursing Homes to Require Pre-Dispute Arbitration Clauses as a Condition of Admission

In 2016, the Obama Administration promulgated final regulations that revised and updated the Requirements of Participation, the federal standards of care that nursing facilities must meet in order to be eligible to receive Medicare or Medicaid … [Read more...] about Reversing Obama Rules, Trump Administration Proposes Allowing Nursing Homes to Require Pre-Dispute Arbitration Clauses as a Condition of Admission

CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy

Proposed changes to nursing facility payment under consideration by CMS would reduce financial incentives to provide therapy, and would do so with such force – providing higher reimbursement to skilled nursing facilities (SNFs) that provide … [Read more...] about CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy

Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant

If Medicaid becomes a block grant program, nearly one million nursing home residents who rely on Medicaid could immediately lose coverage for their nursing home care.  In addition, all of the federal standards that govern nursing home care today … [Read more...] about Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant

Nursing Home “Advancing Excellence” Quality Program Ends after a Decade

Advancing Excellence in America’s Nursing Homes, a voluntary program promoted as an effort to improve quality of care in nursing homes, has ended after a decade.  Unfortunately, the Centers for Medicare & Medicaid Services (CMS) will continue the … [Read more...] about Nursing Home “Advancing Excellence” Quality Program Ends after a Decade

Observation Status Impedes Access to End-of-Life Skilled Nursing Facility Care

Mr. P. has been hospitalized after having a heart attack. He also has terminal cancer for which he wants to continue treatment. If Mr. P. is admitted as an inpatient for a total of three days while in the hospital, he can qualify for Medicare Part A … [Read more...] about Observation Status Impedes Access to End-of-Life Skilled Nursing Facility Care

Don’t be Fooled by the Federal Nursing Home Five-Star Quality Rating System

In 2014, The New York Times reported that nursing facilities were gaming the Five-Star Quality Rating System on Nursing Home Compare and that “even nursing homes with a history of poor care rate highly in the areas that rely on self-reported … [Read more...] about Don’t be Fooled by the Federal Nursing Home Five-Star Quality Rating System

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