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Caring for the Ages
August 1, 2019

On a recent call with the Centers for Medicare & Medicaid Services (CMS), one of the CMS officials asked the leadership of AMDA — The Society for Post-Acute and Long-Term Care Medicine a very broad question: What pains post-acute and long-term care (PALTC) clinicians the most? What are they most concerned about? Without skipping a beat, Society’s leaders answered with their own question: Well, how much time do you have?

Caring for the Ages
August 1, 2019

CareMore Health, a network of integrated medical clinics that serves 150,000 patients across the United States, has long faced the usual challenges of getting patients to appointments. The neediest patients, such as elders and those with chronic conditions, often didn’t show up on time or at all.

Weekly Roundup
August 1, 2019

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The Executive Committee reviewed the results of the general membership survey regarding resolution E18, which called for expanding Society general (voting) membership to doctorally prepared non-physicians. After extensive data gathering and discussion, no consensus emerged among the membership for an expansion of voting...

Health Policy
August 1, 2019

On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2020. Also released was CMS’ proposed policies for the 2020 performance year of the Quality Payment Program (QPP). The Society will continue to review the rules and submit comments in September.

Here are some highlights of the PFS:

CY 2020 PFS Conversion...

Health Policy
August 1, 2019

On July 30, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for FY 2020 Medicare payment rates and quality programs for Skilled Nursing Facilities (SNFs). CMS projects aggregate payments to SNFs will increase by $851 million, or 2.4%, for FY 2020 compared to FY 2019. This estimated increase is attributable to a 2.8% market basket increase factor with a 0.4 percentage point reduction for the multifactor productivity adjustment.

The final rule also includes:

  • Payment policy
  • Sub-regulatory process for ICD-10 code revisions
  • ...
JAMDA
August 1, 2019

Reimbursement in skilled nursing facilities (SNFs) is driven by the number of minutes a patient receives rehabilitation. Physical therapists' (PTs) clinical decisions in evaluation and appropriate treatment of patients drive the dosing of rehabilitation services. Many times these 2 dynamics clash. The purpose of this study was to determine how PTs in SNFs viewed their ethical work environment, what primary issues drove their views, and what potential solutions were identified for the issues.

JAMDA
August 1, 2019

In the Netherlands, the use of continuous deep sedation at the end of life has sharply increased from 8.2% of all deaths in 2005 to 12.3% in 2010 to 18.3 % in 2015. We describe its clinical characteristics in 2015 and compare it with 2010 and 2005.

Spotlight
July 30, 2019

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Anyone who has met Charles Crecelius, MD, PhD, CMD, or had the opportunity to see him speak very likely has laughed as well as learned. That unique ability to simultaneously educate, enlighten, and entertain is part of the reason he was named the Society’s 2019 Medical...

Health Policy
July 25, 2019

Last week representatives from the Government Accountability Office (GAO) testified publicly to the Senate Special Committee on Aging about their Improved Oversight Needed to Better Protect Residents from Abuse report. The report noted that “while abuse in nursing homes is often underreported, we found that abuse citations more than doubled from 2013-2017. We also found that gaps in CMS’s [the Centers for Medicare & Medicaid Services] oversight make it harder to protect residents. Oversight is critical in addressing and preventing...

Health Policy
July 25, 2019

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...