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Policy Snapshot
September 9, 2016

This week, AMDA-The Society for Post-Acute and Long-Term Care Medicine submitted comments to the Centers for Medicare & Medicaid Services (CMS) on their proposed rule entitled Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of...

Policy Snapshot
September 9, 2016

In a recent letter to the Office of Management and Budget (OMB), which had solicited public comments on Medicare Outpatient Observation Notice, the Observation Stays Coalition focused on the importance of passing the Improving Access to Medicare Coverage Act of 2015 (HR 1571/S 843), which would count all time (inpatient or observation) spent in the hospital towards the required three day stay.

The Observation Stays Coalition is a group of over 20 national...

Policy Snapshot
September 9, 2016

A new Advance Care Planning Fact Sheet is available. Learn about:

  • Beneficiary eligibility
  • Provider and location eligibility
  • Diagnosis requirements
  • ...
Policy Snapshot
September 9, 2016

The updated Skilled Nursing Facility (SNF) 30-Day Potentially Preventable Readmission (PPR) Measure estimates the risk-standardized rate of unexpected PPRs within 30 days for people with Fee-For-Service Medicare who were inpatients at Prospective Payment System, critical access, or psychiatric hospitals. See the...

Policy Snapshot
September 9, 2016

On Thursday, September 8, Andrew Slavitt, Acting Administrator of the Centers for Medicare & Medicaid Services (CMS), announced in a blog posting that the agency heard concerns expressed by the American Medical Association and other physician organizations about the proposed start date for performance reporting by physicians under the new payment systems created by the Medicare Access and CHIP Reauthorization Act of 2015, or MACRA. In a draft regulation issued last April, CMS proposed to require physicians to begin reporting under the Merit-based Incentive Payment System (MIPS) or...

Weekly Roundup
September 9, 2016

Spotlight: UTI Study Presents Opportunity to be on Cutting Edge

HPA: CMS Announces Plans to Eliminate MIPS Penalties; SNF 30-Day Potentially Preventable Readmission Measure — Updated; Advance Care Planning Fact Sheet from CMS; Observation Stays Coalition Pushes the Improving Access To Medicare Coverage Act Of 2015 in Recent Letter to OMB; Society Submits Comments on CY 2017 Physician Fee Schedule

JAMDA
September 7, 2016

To date, the major dilemma concerning frailty is the lack of a standardized language regarding its operationalization. Considering the demographic challenge that the world is facing, standardization of frailty identification is indeed the first step in tackling the burdensome consequences of frailty. To demonstrate this diversity in frailty assessment, the available frailty instruments have been linked to the International Classification of Functioning, Disability, and Health (ICF): a standardized and hierarchically coded language developed by World Health Organization regarding health...

Policy Snapshot
September 2, 2016

On August 25, the Centers for Medicare & Medicaid Services (CMS) announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization (ACO) Model that show physicians, hospitals, and health care providers participating in ACOs continue to make significant improvements in the quality of care for Medicare beneficiaries, while achieving cost savings. Collectively, Medicare ACOs have generated more than $1.29 billion in total Medicare savings since 2012.

In 2015, Medicare ACOs had combined total program savings of $466...

Policy Snapshot
September 2, 2016

Wednesday, September 14 from 1:30 to 3 pm ET

To register or for more information, visit MLN Connects Event Registration. Space may be limited, register early.

Learn about the reporting requirements for the new Skilled Nursing Facility (SNF) Quality Reporting Program (QRP), effective October 1, 2016. The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT...

Policy Snapshot
September 2, 2016

Thursday, September 15 from 1:30 to 3 pm ET

To register or for more information, visit MLN Connects Event Registration. Space may be limited, register early.

This call focuses on effective care transitions between long-term and acute care settings, highlighting transitions that involve residents with dementia. This is critical for residents with dementia, as care transitions can cause heightened anxiety and aggression. Communication should be optimized, as care transitions...