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JAMDA
August 24, 2016

The objectives of this study were to cross-culturally adapt and validate the FRAIL scale in Mexican community-dwelling adults.

JAMDA
August 24, 2016

Today's long-term care and postacute providers are no longer focused on the number of visits per day but instead on the effectiveness of care. With the shift of the Center for Medicare and Medicaid Services (CMS) away from volume-based reimbursement accelerated through the introduction of Medicare Access and Children's Hospital Insurance Plan (CHIP) Reauthorization Act, providers will increasingly be measured on their value. In fact, the law creates 2 different quality-driven payment pathways for physicians: alternative payment models and the merit-based incentive payment system.

Clinical Alerts
August 23, 2016

On August 23, 2016, the Centers for Disease Control and Prevention (CDC) released a report on sepsis that will focus on preventing infections that lead to sepsis and the importance of sepsis early recognition. The report will be release as part of CDC’s Vital Signs series, which focuses on critical public health issues. This monthly report CDC will include a scientific publication (MMWR), a 4-page plain language graphic fact sheet, website, media release, and social media tools. For more information, click here.

JAMDA
August 20, 2016

Usual gait speed (UGS) is recognized as a good indicator of a variety of health conditions as well as a predictor of future disability and mortality. There is evidence that UGS increases with physical activity. Muscle function and body composition changes may mediate these changes. However, we do not know exactly which of these factors contribute to the effect of physical activity on gait speed or the magnitude of their contribution.

Policy Snapshot
August 19, 2016

As a result of the passage of Medicare Access and CHIP Reauthorization Act (MACRA), the Centers for Medicare & Medicaid Services (CMS) is now required to establish and use classification code sets: care episode and patient condition groups and codes, and patient relationship categories and codes. CMS recently issued request for feedback to addresses the patient relationship categories...

Policy Snapshot
August 19, 2016

On August 10, the Centers for Medicare & Medicaid Services (CMS) updated the popular Nursing Home Compare Five-Star Quality Ratings to incorporate new measures. These new measures look at successful discharges, emergency visits, and re-hospitalizations. Nursing homes receive four different star ratings on the Nursing Home Compare website (each ranging from 1 to 5 stars): one for each of the components – health inspections, staffing, and quality measures – and one for an overall rating, which is...

Policy Snapshot
August 19, 2016

The public has until September 1 to comment on the revised Medicare Outpatient Observation Notice (MOON) under the Paperwork Reduction Act (PRA). The information collection requirements are not effective until approved under a valid Office of Management and Budget (OMB) control number. We expect PRA approval around the time the implementing regulations, part of the FY 2017 Inpatient Prospective Payment System final rule, are effective. Hospitals and critical access hospitals should begin using the MOON no later than 90 calendar days from the date of final PRA approval by OMB. View the...

Policy Snapshot
August 19, 2016

Open Payments 2015 data was published on June 30; however, you can still review and dispute it. Check your data every year, even if you think nothing was reported about you. If drug or device companies submitted new data from previous years, you can dispute it in the Open Payments system until the end of the year. You can also nominate staff to act on your behalf. If you need help or have any questions, contact the CMS Open Payments Help Desk at ...

Policy Snapshot
August 19, 2016

The Programs of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program that provides comprehensive medical and social services that enable older adults to live in the community instead of a nursing home or other care facility. More than 34,000 older adults are currently enrolled in about 100 PACE organizations in 31 states, and enrollment in PACE has increased by over 60 percent since 2011.

On August 11, the Centers for Medicare & Medicaid Services proposed a rule to update and modernize the PACE program, including:

  • Strengthening protections
  • ...
Spotlight
August 19, 2016

“As with all of the Society’s clinical practice guidelines (CPGs), the COPD (Chronic Obstructive Pulmonary Disease) Management CPG focuses on optimizing care, avoiding readmissions, and preventing problems that occur in transitions. We highlight interventions shown to reduce avoidable, negative outcomes that trigger transfers,” says Barney Spivack, MD, CMD, FACP, National Medical Director, Medicare Case and Condition Management, for Optum. Dr. Spivack was instrumental in efforts to revise and update the COPD CPG, which was released earlier this year