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Policy Snapshot
November 1, 2019

Last week the Society, along with the American Medical Association and many other national and state medical societies, sent a letter to Alex Azar, secretary of the Department of Health and Human Services (HHS) concerning language in a recent executive order entitled, “Protecting and Improving Medicare for our Nation’s Seniors.” The letter noted the groups’ concern with language related to the supervision and reimbursement of nonphysician professionals.

“We are highly concerned this language requires the Secretary of Health and Human Services to propose a regulation to eliminate or...

Policy Snapshot
November 1, 2019

Staffing data from July 1-September 30 must be submitted no later than 45 days from the end of the quarter. The final submission deadline for this quarter is November. Only data successfully submitted by the deadline is considered timely and used on the Nursing Home Compare website and in the five-star rating calculations. Once a facility uploads its data file, it needs to check the final Validation Report, which can be accessed in the Certification and Survey Provider Enhanced Reporting (CASPER) folder, to verify that the data was successfully submitted.

It may take up to 24 hours...

Policy Snapshot
November 1, 2019

The Centers for Medicare & Medicaid Services (CMS) posted six Continuing Medical Education (CME) modules on the Merit-based Incentive Payment System (MIPS). Access them by logging into the Medicare Learning Network Learning Management System. Modules include:

  • Quality Payment Program (QPP) 2019 Overview: Information on the origin and objectives of the program, MIPS, and Advanced Alternative Payment Models
  • QPP MIPS: Participation
  • ...
Policy Snapshot
November 1, 2019

The QPP website has been updated to include 2019 Alternative Payment Model (APM) Incentive Payment details. Clinicians and surrogates can now log in to the QPP website using...

JAMDA
November 1, 2019

The relationship between physical frailty and regional gray matter volume in the brain was investigated among community-dwelling older Japanese people.

Caring for the Ages
November 1, 2019

Participants in AMDA — The Society for Post-Acute and Long-Term Care Medicine’s Q&A webinar on Medicare’s Patient Driven Payment Model (PDPM) had a chance to ask three experts — Steven Buslovich, MD, MS; Rajeev Kumar, MD, FACP, CMD; and Walter Lin, MD, MBA — about some of the things keeping them up at night.

Caring for the Ages
November 1, 2019

I recently read a quote that resonated with me: “Here are the real silos: structural pushes and pulls by one group working towards its aims will, in effect, conflict with another group” (BMJ 2016;354:5199). The author was speaking of the conflict between generalists and specialists, but I was immediately reminded of the conflicts that can exist between acute care and chronic care when communication breaks down.

Caring for the Ages
November 1, 2019

There are many how-to books on caring for aging adults, but sometimes a book shows up that allows us to indulge our inner adult child. New York City–based cartoonist/author Roz Chast’s Can’t We Talk About Something More Pleasant? (New York: Bloomsbury USA, 2014) is a graphic novel memoir of the last three years of her parents’ lives as they (and she) declined in mind and function (New Yorker, Mar. 2, 2014, http://bit.ly/2qfroku). And she is a most unlikely superhero.

Caring for the Ages
November 1, 2019

The Windy City is calling! Registration for AMDA — The Society for Post-Acute and Long-Term Care Medicine’s 2020 Annual Conference, set for April 2–5 in Chicago, opens on December 2. Take advantage of early bird registration by December 19 and save.

Caring for the Ages
November 1, 2019

In the United States alone, an estimated three in 10 individuals fear the possibility of living with advanced dementia, according to one study. Planning whether to discontinue assistance with eating and drinking in the late stages of disease may alleviate some of this concern, but ethical issues for and against doing so must be considered.