NP/PA's Resources

Your home for news, products, stories, and more specific to nurse practitioners and physician assistants practicing in post-acute and long-term care settings. 

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Health Policy
June 15, 2018

The Centers for Medicare & Medicaid Services (CMS) is tracking the progress of the National Partnership to Improve Dementia Care in Nursing Homes by reviewing publicly reported measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who receive antipsychotic medication, excluding residents diagnosed with schizophrenia, Huntington's disease, or Tourette’s syndrome. In the...

Health Policy
June 15, 2018

At its Annual House of Delegates (HoD) meeting, the American Medical Association (AMA) passed policy to develop post-acute/long-term care (PALTC)-specific alternative payment models (APMs). Rajeev Kumar, MD, CMD, the Society’s delegate to the AMA, brought the resolution forward and testified, asking for the AMA to advocate for a PA-only type model within the Advanced Bundled Payment for Care Initiative (BPCI). Rather than adopting that policy, the AMA Council on Medical Service recommended that AMA work with interested specialty societies to develop PALTC-specific APMs. The exact language...

Spotlight
June 13, 2018

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Adverse drug events [ADEs] are not only a tremendous financial drain, but they also can alter a person’s life. Patients need advocates, and clinicians should take on this role and do everything they can to keep people safe, says Donna Lisi, PharmD, BCPS, BCPP, BCGP...

Health Policy
June 7, 2018

AMDA-The Society for Post-Acute and Long-Term Care Medicine has been a very active participant within the American Medical Association’s (AMA) House of Delegates (HoD) for many years. The upcoming meeting on June 10-13 in Chicago, Illinois will once again consider two resolutions from the Society – Enabling Attending Physicians to Waive the Three Midnight Rule for Patients Receiving Care Within Downside Risk Sharing...

Spotlight
June 8, 2018

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Dr. Billy Dodd wore many hats—physician, Society founder, leader, teacher, mentor, innovator, speaker, and—of course—jazz pianist. “While I never knew Billy Dodd well, I do remember his great performances on the piano during several annual meetings,” says Paul Katz, MD, CMD,...

Health Policy
June 1, 2018

The Physician and Other Supplier Public Use File (PUF) contains summarized information on Part B services and procedures furnished to Medicare beneficiaries by physicians and other healthcare professionals. The 2016 dataset includes:

  • Information on utilization, payment, and submitted charges organized by National Provider Identifier, Healthcare Common Procedure Coding System code, and
  • ...
Health Policy
June 1, 2018

Congressmen Joe Courtney (D-CT), Glenn 'GT' Thompson (R-PA) and Senators Sherrod Brown (D-OH), Susan Collins (R-ME), Bill Nelson (D-FL) and Shelley Moore Capito (R-WV) have co-sponsored legislation to fix an arbitrary Medicare policy that excludes coverage of skilled nursing care. Under current Medicare policy, a beneficiary must have an “inpatient” hospital stay of at least three days for Medicare to cover skilled nursing care. Patients who receive hospital care on “observation status” do not qualify for this benefit, even if their hospital stay lasts longer than three days. These...

Health Policy
June 1, 2018

The Centers for Medicare & Medicaid Services (CMS) recently released a request for information (RFI) asking for input on direct provider contracting (DPC) between payers and primary care or multi-specialty groups to inform potential testing of a DPC model within the Medicare fee-for-service (FFS) program (Medicare Parts A and B), Medicare Advantage program (Medicare Part C), and Medicaid.

The Society submitted a response to the request that noted “direct provider contracting model could be a viable payment model for PALTC clinicians and afford opportunities to incentivize...

Health Policy
June 1, 2018

This week the Society took a significant step forwarding to addressing one its key strategic objectives by applying for the Centers for Medicare & Medicaid Services (CMS) MACRA quality measure funding opportunity. Earlier this year CMS issued the Funding Opportunity to provide technical and funding assistance in the form of cooperative agreements to entities to develop, improve, update, or expand...

Weekly Roundup
June 1, 2018

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It really is no surprise that Society member Dheeraj Mahajan, MD, FACP, CMD, is a 2018 Choosing Wisely® Champion. He has long been committed to quality improvement and seeking opportunities to maximizing care for post-acute and long-term care (PALTC) patients everywhere.

The Choosing Wisely®...