Publications

Members only publications are marked with a lock icon:
Filter By
Policy Snapshot
April 11, 2019

The data submission period for the 2018 Merit-based Incentive Payment System (MIPS) closed on April 2. If you submitted data through the Quality Payment Program (QPP) website, you can review your preliminary performance feedback data. Your final score and feedback will be available in July. Between now and June 30, your score could change based on:

  • Special status scoring considerations
  • All-cause readmission measure for the quality performance category
  • ...
Policy Snapshot
April 4, 2019

The Centers for Medicare & Medicaid Services (CMS) introduced new Medicare Part D opioid safety policies to reduce prescription opioid misuse while preserving medically necessary access to these medications. It’s important to note that these new policies are not “one size fits all,” and are deliberately tailored to address distinct populations of Medicare Part D prescription opioid users. These interventions do not apply to residents of long-term care facilities; beneficiaries in hospice, palliative, or end-of-life care; and beneficiaries being treated for active cancer-related pain....

Policy Snapshot
April 4, 2019

AMDA is hosting a webinar, Patient Driven Payment Model (PDPM): An Opportunity for PALTC Clinician, on Thursday, April 18, 2019, 6:00 - 7:30 PM ET. As always, this webinar is free to members.

This session will discuss the details of PDPM, which will take effect on October 1, 2019, and impact the way skilled nursing facilities are reimbursed for the first time in 20 years. In addition to focusing on the regulatory details of the new model, this webinar will provide guidance to post-acute and long-term care clinicians on how they can become an integral resource to their facilities....

Policy Snapshot
April 4, 2019

This week, the Healthcare Payment Learning and Action Network (HCP LAN) announced that the Roadmap for Driving High Performance in Alternative Payment Models is now live and available for use. This roadmap lets you explore this interactive, web-based tool, which is full of promising practices and strategies to help payers, providers, and others accelerate the design and implementation of successful Alternative Payment Models (APMs).  

You can view the  roadmap by following...

Policy Snapshot
March 28, 2019

On Tuesday, April 2, the House Education & Labor Subcommittee on Health, Employment, Labor, and Pensions will hold a hearing, Examining Surprise Billing: Protecting Patients from Financial Pain. Surprise billing has become an issue Congress is trying to tackle this session and legislation is being introduced to help address it, especially for those in the post-acute and long-term care setting.

Reps. Joe Courtney (D-CT) and Glenn ‘GT’ Thompson (R-PA), and Sen. Sherrod Brown (D-OH) reintroduced bipartisan, bicameral legislation to fix an arbitrary Medicare policy that excludes...

Policy Snapshot
March 28, 2019

On October 1, the new Patient-Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Centers for Medicare & Medicaid Services (CMS) has resources to help you prepare.

The Society has scheduled a webinar for Thursday, April 18, on this important topic: Patient-Driven Payment Model (PDPM): An Opportunity for PALTC Clinicians. Go here for additional details.

For more information:

  • ...
Policy Snapshot
March 14, 2019

Reps. Joe Courtney (D-CT) and Glenn ‘GT’ Thompson (R-PA), and Sen. Sherrod Brown (D-OH) reintroduced bipartisan, bicameral legislation to fix an arbitrary Medicare policy that excludes coverage of skilled nursing care for certain patients, resulting in exorbitant and unexpected out-of-pocket costs. The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682 & S. 753) would ensure Medicare covers doctor-recommended post-acute care by counting the time spent under “observation status” toward the requisite three-day hospital stay for coverage of skilled nursing care....