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Bye-bye, CMMI?

September 20, 2017  |  Pamela Tabar, Editor-in-Chief

CMS Administrator Seema Verma has announced the dawn of big changes at the Center for Medicare and Medicaid Innovation (CMMI). What will happen to all the bundled payment projects?

CMS raises reimbursement by 1%, pushes VBP

August 4, 2017  |  Pamela Tabar, Editor-in-Chief

With the Value-Based Purchasing program due to begin in 2019, CMS is pushing SNFs to get on board with performance baselines now.

House passes AHCA bill by 4 votes

May 4, 2017  |  Pamela Tabar, Editor-in-Chief

The promise of $8 billion for high-risk and pre-existing conditions pushed the bill in the GOP's favor. The bill now moves on to the Senate, where the margins for passage are predicted to be tougher.

Leading the charge to Argentum 2018

May 2, 2017  |  Nicole Stempak, Senior Editor

Senior care leaders convened at the annual Argentum Senior Living Executive Conference in Nashville to reflect on the past year...

BPCI Model 3: Bonanza or boondoggle?

October 6, 2016  |  Kevin R. McMahon

There’s an argument to be made for being an early adopter with Bundled Payments for Care Improvement (BPCI) Model 3, but there are also questions about how much participants will ultimately save.

Medicare proposes changes to primary care payment

July 13, 2016  |  Nicole Stempak, Senior Editor

The Centers for Medicare and Medicaid Services has proposed changes to the Physician Fee Schedule to change how Medicare pays for primary care with an emphasis on care management and behavioral health.

MedPAC launches plan for new payment system

June 30, 2016  |  Robert Gatty

The Medicare Payment Advisory Commission (MedPAC) submits it recommendations to Congress for how to establish a unified, cross-setting post-acute care payment system. The plan would redistribute payments among types of stays, making profits more uniform and...

Unified PAC payment feasible, MedPAC says

June 25, 2016  |  Nicole Stempak, Senior Editor

The Medicare Payment Advisory Commission (MedPAC) has issued its annual report on refinements to Medicare payment systems and on issues affecting the medicare program

Innovation program to reduce nursing home hospitalizations

April 8, 2016  |  Nicole Stempak, Senior Editor

The Center for Innovation has invested more than $30 million for Indiana University’s project to reduce avoidable hospitalizations for nursing home residents by providing higher levels of care on site.

Proposed legislation aimed at comorbidity among Medicare beneficiaries

April 4, 2016  |  Robert Gatty

A U.S. Senate Working Group has outlined priorities for improving Medicare delivery to beneficiaries with multiple, complex chronic illnesses while reducing healthcare expenditures. 

New CMS initiative to improve care for nursing home residents

March 25, 2016  |  Nicole Stempak, Senior Editor

The Centers for Medicare & Medicaid Services (CMS) will test a new payment model for nursing facilities and practitioners to further reduce avoidable hospitalizations and lower Medicare and Medicaid spending while improving patient care.

CMS releases v1.13 of the RAI User's Manual

October 2, 2015  |  Lisa Hohlbein, RN, RAC-MT, CDP, CADDCT

The newly released RAI includes ICD-10 coding information and other clarifications.


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