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Medicare/Medicaid

CMS releases home health agency rules

January 9, 2017  |  Pamela Tabar, Editor-in-Chief
news

Home health agencies that receive Medicare or Medicaid funds must now comply with a new set of rules designed to close the gaps in care documentation.

Medicaid Qualified Income Trust a trying process

January 3, 2017  |  Kathleen Mears
blog

Resident blogger Kathleen Mears details her lengthy—and frustrating—journey of setting up a Qualified Income Trust (QIT/Miller trust) to meet Ohio’s changing Medicaid eligibility requirements.

CMS issues final rule for cardiac bundled payments

December 27, 2016  |  Pamela Tabar, Editor-in-Chief
news

CMS released its latest episodic care models Tuesday, including the 90-day bundles for heart and bypass patients.

CMS offers compliance guidelines to HCBS settings on wandering

December 22, 2016  |  Pamela Tabar, Editor-in-Chief
news

The Centers for Medicare and Medicaid Services has released compliance guideline fact sheet for home- and community-based providers who care for people who exhibit wandering or exit-seeking.

Medicare Part B outpatient drug payment cancelled

December 22, 2016  |  Nicole Stempak, Senior Editor
news

The Centers for Medicare and Medicaid Services will not move forward with a mandatory five-year Medicare initiative that would have tested new ways to pay for outpatient drugs under Medicare Part B.

CMS to test new ACO model for dual-eligibles

December 18, 2016  |  Pamela Tabar, Editor-in-Chief
news

The pilot will let accountable care organizations manage the Medicaid claims for beneficiaries who receive both Medicare and Medicaid benefits.

LTC industry: Get back to basics ahead of Trump Adminstration

December 12, 2016  |  Nicole Stempak, Senior Editor
article

There may be regulatory changes ahead for the long-term care industry under a Trump Administration and Republican-led Congress, but Cynthia Morton says the best thing long-term care facilities can do is to keep doing what they've always done: take care of...

GOP, Trump regime met with optimism

December 9, 2016  |  Robert Gatty
article

AHCA/NCAL anticipates—and looks forward to—expected regulatory relief and repeal under the new Republican-led White House and Congress.

Home health pushes for more thought on CMS pre-claim policy

December 1, 2016  |  Pamela Tabar, Editor-in-Chief
news

A coalition of home health providers is encouraging Congress to give Medicare more time to iron out its home health pre-claim policy before pilots begin.

Medicare crunch time with Trump administration, Part II

December 1, 2016  |  Robert Gatty
article

Contributor Robert Gatty ponders whether sweeping reforms are ahead as President-elect Donald Trump fills out his Cabinet and Republicans retain majority in Congress. 

AHCA ‘excited’ about Trump’s HHS, CMS appointments

November 29, 2016  |  Robert Gatty
news

The American Health Care Association (AHCA) is looking forward to working with President-elect Donald Trump’s nominees and possible changes to the long-term/post-acute care industry, a vice president said in a call with reporters.

Trump names new CMS administrator

November 29, 2016  |  Nicole Stempak, Senior Editor
news

President-elect Donald Trump has nominated Seema Verma, Indiana-based health policy consultant, to serve as Administrator of the Centers for Medicare and Medicaid Services. Verma worked with Vice President-elect Mike Pence on state health care reform.

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