Tag: payment

CMS proposes canceling cardiac bundled payments and changes to CJR model

Editor’s note: Part of this post has been republished with permission from the author, Reg’s blog. Last week, CMS announced a proposed rule to reduce the number of mandatory geographic areas participating in the Center for Medicare and Medicaid Innovation’s (Innovation Center) Comprehensive Care for Joint Replacement (CJR) model from 67 to 34. In addition, […]

2018 hospice final rule increases payments by $180 million

by: Josh Poltilove The following is from Home Health Line. For more news and information on home health and hospice, visit homehealthline.decisionhealth.com. Medicare’s hospice payments, adjusted for inflation and other factors, will rise an estimated 1% in 2018, according to the final hospice payment rule posted Aug. 1.  That’s a $180 million increase.  By comparison, […]

CMS releases proposed PPS rule: New home health payment model to begin in 2019

by: Josh Poltilove The following is from Home Health Line. For more news and information on home health and hospice, visit homehealthline.decisionhealth.com. In the short term, CMS plans to reduce home health agencies’ payments by 0.4% next year. In the long term, CMS plans to drastically redesign the way agencies are paid beginning in 2019. […]

CMS releases interpretive guidelines, F-Tags for new survey process and penalty updates

The Centers for Medicare & Medicaid Services (CMS) has released revised interpretive guidelines to clarify existing requirements and provide guidance for Phase 2 of the new survey process, which includes requirements such as antibiotic stewardship, facility assessment, and QAPI. Along with a revised Appendix PP, CMS also published two documents to help providers understand revisions […]

In the end, even the middle class would feel GOP cuts to nursing home care

By Jordan Rau, Kaiser Health News ORANGE, Va. — Alice Jacobs, 90, once owned a factory and horses. She raised four children and buried two husbands. But years in an assisted living facility drained her savings, and now she relies on Medicaid to pay for her care at Dogwood Village, a nonprofit, county-owned nursing home […]

CMS proposes quality program updates to ease clinician burdens

Proposed rule aims to simplify reporting requirements and offer support for doctors and clinicians in 2018 On Tuesday, June 20, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would make changes in the second year of the Quality Payment Program as required by the Medicare Access and CHIP Reauthorization Act of […]

MedPAC’s June report is in: Summary here

The Medicare Payment Advisory Commission (MedPAC) published their June Report to the Congress: Medicare and the Health Care Delivery System, in which they evaluate several Medicare payment issues in order to make recommendations to Congress. Issues addressed include: Implementation of a unified payment system for post-acute care. Given the overlap among PAC settings (skilled nursing […]

CMS welcomes feedback on proposed case-mix rule, extends comment deadline

The Centers for Medicare & Medicaid Services (CMS) has extended the comment deadline for the advance notice of proposed revisions to case-mix methodology rule from June 26, 2017 to August 25, 2017. The advance notice of proposed rulemaking, titled “Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology,” was published […]