Medicare/Medicaid

Nursing home discharges under scrutiny

Residents, ombudsman, associations and consumer advocates are raising their voice about a growing number of allegedly improper evictions and discharges. 

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The secret to reducing hospitalizations: APRNs

A Missouri skilled nursing program reduced unnecessary hospitalizations by nearly 50 percent by using full-time APRNs, according to a CMS report.

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FDA approves, CMS proposes coverage for extensive cancer genomic test

The FoundationOne CDx (F1CDx) is a diagnostic test that can detect gene mutations for cancer, and its potential to help patients has spurred the Centers for Medicare & Medicaid Services to pay for qualifying beneficiaries to be screened. 

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CMS puts 18-mo. hold on certain enforcements, 5-star ratings

The agency has issued a temporary moratorium on the enforcement of eight specific Phase 2 F-Tags, although the new survey process begins this week as scheduled.

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CMS proposes new Immediate Jeopardy policy for SNFs

The draft policy could reduce the likelihood of high civil money penalties against skilled nursing providers for immediate jeopardy deficiences that resulted in no harm or death.
 

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CMS proposes new Immediate Jeopardy policy for nursing homes

The draft policy could reduce the likelihood of high civil money penalties against skilled nursing providers for immediate jeopardy deficiences that resulted in no harm or death.
 

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Immediate jeopardy: True or false?

An immediate jeopardy deficiency can cost providers dearly in finances and reputation. But what if it’s not true? Legal expert Alan C. Horowitz discusses a recent case where the provider challenged CMS over nearly $1 million in fines—and won.

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Medicaid cuts could cause greater care gaps

An analysis of Nusing Home Compare shows cuts to Medicaid could harm the poorest residents and lowest-rated facilities that will have to do more with less. That could cost the government even more. 

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Chronic disease communication lacking

A majority of seniors have multiple chronic conditions—and a majority of Medicare plan members say plans don’t help proactively manage them, a new survey finds.  

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CMS raises reimbursement by 1%, pushes VBP

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

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