The Centers for Medicare & Medicaid Services should beef up its fraud-fighting efforts with a risk-based antifraud strategy for Medicare and Medicaid, the Government Accountability Office said in December.
Readmissions project brings 17% drop in hospitalizations
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Dec 06, 2017
A Centers for Medicare & Medicaid Services program created to reduce hospital readmissions among nursing home residents has shown positive results after three years, the agency announced.
CMS withdraws proposal to aid same-sex spouses in LTC
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Nov 06, 2017
The Centers for Medicare & Medicaid Services withdrew a proposed rule in October originally aimed at ensuring rights for married same-sex couples in long-term care facilities.
SNF networks show worth
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Oct 06, 2017
Hospitals that used a network of preferred skilled nursing facility partners reduced their readmission rates four times faster than hospitals that didn’t, a study in the September issue of Health...
MedPAC mulls bigger role for hospital discharge planners
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Oct 06, 2017
Hospital discharge planners may get more flexibility in placing nursing home residents under ideas being considered by the Medicare Payment Advisory Commission.
Court drops backlog order
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Sep 06, 2017
The Department of Health and Human Services will have another shot at explaining why it believes a four-year timeline for clearing the current Medicare appeals backlog is “impossible,” thanks...
Hospices earning high scores on newly released ratings
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Sep 06, 2017
Hospice providers are showing impressive scores on the Centers for Medicare & Medicaid Services’ new Hospice Compare website — but those high grades have led some to question the site’s efficacy.
MedPAC calls for payment reforms to come even earlier
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James M. Berklan
Jul 06, 2017
Federal lawmakers’ advisory panel for Medicare made it official in its report to Congress in June: It recommends implementation of a unified post-acute payment system beginning in 2021 — three...
The Government Accountability Office recently issued a pair of reports within days of one another critical of how the Medicaid program gathers data and screens its provider participants.
BCPI ups quality: analysis
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James M. Berklan
Mar 05, 2017
A recent analysis shines a positive light on value-based care models such as federal hip and knee replacement bundled payment programs.