Tag: prospective payment system

CMS announces initiative to transform primary care

On April 14, 2016, the Centers for Medicare & Medicaid Services (CMS)  announced its largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The effort, the Comprehensive Primary Care Plus (CPC+) model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which […]

Calling all long-term care experts

Do you have a lot of professional insight and a half hour to spare? Share your expertise with HCPro in a focus group dedicated to identifying the training topics and formats that best suit the needs of long-term care organizations and staff. To show our gratitude, we will give you a FREE HCPro long-term care […]

CMS celebrates 50th anniversary of Medicare and Medicaid

This summer will mark the 50th anniversary of the enactment of Amendments to the Social Security Act that established the Medicare and Medicaid programs. Over the next 50 days, the Centers for Medicare & Medicaid Services will recognize the impact these two programs have had in transforming our nation’s health care system. By sharing daily […]

Senate Finance Committee holds hearing on Medicare appeals system

On April 28, 2015, The Senate Finance Committee held a hearing about the Medicare appeal problems, focusing on the immense backlog at the ALJ level.  The committee members considered ways to fix problems at the center of the appeals backlog. However, the current proposals don’t work; they would further restrict access to meaningful reviews. Current […]

Reform needed for Medicare’s payments to SNFs

In a report produced jointly by the Medicare Payment Advisory Commission and the Urban Institute, MedPAC is urging CMS to adopt an alternative design for payment accuracy within Medicare’s system. Between 2006 and 2014, payment accuracy has steadily decreased. The deficiencies in Medicare’s payment system for skilled nursing facilities have driven CMS to make many […]

We need your help—take our brief survey today!

ACOs have been making bigger and bigger splashes along the healthcare continuum, and we want to know where you stand on CMS’ evolving program. Click here to take our brief survey. Feel free to reach out to Associate Editor Delaney Rebernik at drebernik@hcpro.com with any additional feedback.  

Upcoming webcast! SNF Therapy Contracts: Implementing a Shared Risk Arrangement to Reduce Citation Risk,Tuesday, March 10, 2015

Upcoming webcast! SNF Therapy Contracts: Implementing a Shared Risk Arrangement to Reduce Citation Risk. Tuesday, March 10, 2015: 1:00 p.m.–2:30 p.m. (ET) The use of contracted therapists in your SNF immediately increases your citation and criminal risk in terms of billing and liability. In this 90-minute webcast, expert Reginald M. Hislop III, PhD, discusses how to […]

SNF PPS final rule announced by CMS

CMS’ final rule for fiscal year (FY) 2015, released July 31, delivers good news to skilled nursing facilities (SNFs).  SNF reimbursements will increase by $750 million next year under the final payment rule announced Thursday by the Centers for Medicare & Medicaid Services. The final rule confirms the 2% payment increase put forward in a proposed […]

SNFs and Rehab facilities should receive same payments

Skilled nursing facilities and inpatient rehabilitation facilities should receive the same payments for treating certain conditions, the Medicare Payment Advisory Commission recommended in its latest report to Congress. MedPAC has long shown support for equalizing IRF and SNF payments, and the group provided an in-depth consideration of the potential policy in the report released Friday. […]