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Policy Snapshot
September 16, 2016

An MLN Matters Special Edition Article on Overview of the Skilled Nursing Facility Value-Based Purchasing Program is available. Learn about value-based incentive payments Skilled Nursing Facilities (SNFs) may receive based on performance of specified quality measures for services beginning October 1, 2018.

Policy Snapshot
September 16, 2016

Wednesday, September 28 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 how the implementation of the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program will affect your Medicare payment. During this call, CMS experts discuss the legislative background, along with the SNF 30-Day Potentially Preventable Readmission measure, performance standards, and scoring...

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...

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...