Physicians' Resources

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

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Policy Snapshot
April 25, 2019

On October 1, the new Patient Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Centers for Medicare & Medicaid Services (CMS) and the Society have a variety of resources to help you prepare:

Policy Snapshot
April 25, 2019

On April 19, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1718-P) for Fiscal Year (FY) 2020 that updates the Medicare payment rates and the quality programs for skilled nursing facilities (SNFs). This proposed rule is part of CMS’ continuing efforts to strengthen the Medicare program by better aligning payment rates for SNFs with the costs of providing care and increasing transparency so that patients are able to make informed choices.  Additionally, effective October 1, 2019, CMS will begin using a new case-mix model, the Patient...

Policy Snapshot
April 25, 2019

This week, Department of Health and Human Services (HHS) Secretary Alex Azar and Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma announced the CMS Primary Cares Initiative, a new set of payment models with a goal to transform primary care to deliver better value for patients throughout the health care system.

The CMS Primary Cares Initiative will provide primary care practices and other providers with five new payment model options under two paths: Primary Care First (PCF) and Direct Contracting (DC). The five payment model options are:

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Policy Snapshot
April 25, 2019

Addressing interoperability and e-prescribing issues has been one of the Societies advocacy goals over the last several years. As part of those efforts, last week several Society leaders and staff participated in a daylong strategy meeting to address challenges around e-prescribing and medication management. The National Council on Prescription Drug Programs (NCPDP) held the meeting with representatives from electronic health record (EHRs) vendors from both acute and post-acute care, facilities, pharmacies, and clinicians to discuss challenges with the unique PALTC workflow for e-...

Policy Snapshot
April 18, 2019

The Centers for Medicare & Medicaid Services (CMS) is holding a webinar on Wednesday, April 24, from 2 to 3 PM ET. The purpose of the webinar is to provide an overview of the Merit-based Incentive Payment System (MIPS) Alternative Payment Models (APMs) in the Quality Payment Program (QPP), including:

  • MIPS APMs in 2019
  • APM scoring standard and MIPS performance category requirements
  • APM information in the QPP Participation Status Tool
  • Additional resources and how to learn more

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Policy Snapshot
April 18, 2019

This week, Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS), posted a blog about CMS’ efforts to ensure quality and safety in nursing homes. The administrator noted that CMS will be undertaking a comprehensive review of regulations, guidelines, internal structures, and processes related to safety and quality. “We have demonstrated our commitment to this path by developing a five-part plan to ensure the care provided in America’s nursing homes is of the highest...

Spotlight
June 23, 2017

MEMBERS ONLY CONTENT

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Helping patients make wise choices about their care has always been a passion for Society members such as David...

Spotlight
April 16, 2019

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The AMDA On-The-Go podcast on deprescribing, recorded live at the Society’s annual conference in Atlanta, GA, last month, started with laughter and fun as host Wayne Saltsman, MD, PhD, CMD, and guest Daniel Haimowitz, MD, CMD, joked about using an applause sign to trigger audience response. However, the conversation...

Policy Snapshot
April 11, 2019

The data submission period for the 2018 Merit-based Incentive Payment System (MIPS) closed on April 2. If you submitted data through the Quality Payment Program (QPP) website, you can review your preliminary performance feedback data. Your final score and feedback will be available in July. Between now and June 30, your score could change based on:

  • Special status scoring considerations
  • All-cause readmission measure for the quality performance category
  • ...