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Health Policy
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...

Health Policy
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

...

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...

JAMDA
April 16, 2019

Patient characteristics such as gender and severity of dementia are associated with neuropsychiatric symptoms (NPS) in dementia but insufficiently explain differences in the prevalence of NPS between dementia care units, thereby suggesting environmental influences.1 Physical environmental factors such as perception of privacy, temperature, and number of residents per unit, as well as psychosocial environmental factors such as higher perception of staffing levels, have been associated with NPS.2–4 However, the associations between NPS and job characteristics of nurses, such as job demands,...

JAMDA
April 15, 2019

Although it has been suggested that living alone is a “social risk factor” for adverse health outcomes, poor social network may confound the association. This study aimed to examine whether the interactive effects of living alone and poor social network contribute to adverse health outcomes.

JAMDA
April 13, 2019

Early diagnosis of cognitive impairment is increasingly emphasized in the literature to facilitate timely preventive interventions. Although bedside cognitive tests such as the Montreal Cognitive Assessment (MoCA) are widely used for such early diagnostic purposes, they may not have comparable performance to a full neuropsychological battery (FNB) in diagnosing early cognitive impairment. This study investigated whether a small subset of neuropsychological tests can be added on to MoCA to match its performance to that of the FNB in discriminating mild cognitive impairment and dementia (MCI...

Health Policy
April 11, 2019

National Healthcare Decisions Day educates the public and providers about the importance of Advance Care Planning (ACP). For example, did you know that ACP services can be billed to the Medicare Physician Fee Schedule?

For more information:

Health Policy
April 11, 2019

A study, Assessing First Visits By Physicians To Medicare Patients Discharged To Skilled Nursing Facilities, published in the April edition of Health Affairs, examined the timeliness of the first visit after discharge from an acute care facility. The authors from the University of Pennsylvania found that while the majority of patients were seen either by a physician or an advanced practitioner within the first four days, some patients were not seen, which affected outcomes and mortality.

While...

Health Policy
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
  • ...