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November 10, 2019

Weekly Roundup
November 10, 2019
MEMBERS ONLY CONTENT Login or Join Phase 3 of the revised Medicare and Medicaid requirements of participation for long-term care requires skilled nursing homes (SNFs) to provide “trauma-informed care” (TIC). Whether facilities and practitioners are...

Dipping or Diving: Trauma-Informed Care Expert Has the Answers

Spotlight
November 7, 2019
MEMBERS ONLY CONTENT Login or Join Phase 3 of the revised Medicare and Medicaid requirements of participation for long-term care requires skilled nursing homes (SNFs) to provide “trauma-informed care” (TIC). Whether facilities and practitioners are...

Society Advocacy Helps PALTC Clinicians as CMS Releases Medicare Physician Fee Schedule and Quality Payment Program Final Rules

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners
November 7, 2019
On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) released the CY 2020 Medicare Physician Fee Schedule and Quality Payment Program (QPP) final rules. Below is a summary of some of the policies CMS finalized. Physician Fee...

CMS Holding Some Skilled Nursing Facility Claims

Policy Snapshot
Patient Driven Payment Model (PDPM), Centers for Medicare and Medicaid (CMS), Payment, Practitioners
November 7, 2019
As the Centers for Medicare & Medicaid Services (CMS) has undertaken the implementation of the Patient Driven Payment Model (PDPM), it is holding a limited number of Skilled Nursing Facility (SNF) claims while making further refinements to its...

Bill Correctly for Medicare Telehealth Services

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Practitioners
November 7, 2019
In a recent report , the Office of Inspector General (OIG) determined that the Centers for Medicare & Medicaid Services (CMS) improperly paid practitioners for some telehealth claims associated with services that did not meet Medicare...

Ambulatory Care–Sensitive Conditions Associated With Potentially Avoidable Hospital Admissions

JAMDA
November 7, 2019
Hospitalized nursing home residents have more chronic conditions, higher levels of care needs, and more unplanned admissions compared to non–nursing home residents.1,2 Unplanned admissions are admissions at out-of-hours care—thus, in the evening and...

The Longitudinal Associations of Handgrip Strength and Cognitive Function in Aging Americans

JAMDA
November 6, 2019
Factors that are responsible for age-related neurologic deterioration of noncognitive and cognitive processes may have a shared cause. We sought to examine the temporal, directional associations of handgrip strength and cognitive function in a...

Effects of a Multicomponent Frailty Prevention Program in Prefrail Community-Dwelling Older Persons: A Randomized Controlled Trial

JAMDA
November 6, 2019
To examine the effects of a multicomponent frailty prevention program in community-dwelling older persons with prefrailty.

Evolution of the Nursing Home Industry in States With Different Certificate of Need Policies

JAMDA
November 5, 2019
One of the earliest efforts to curb needless health care spending in the United States was certificate-of-need (CON) programs, which limit and manage the expansion of different health care institutions. CON programs mainly targeted nursing homes and...

State Variability in Assisted Living Residents’ End-of-Life Care Trajectories

JAMDA
November 5, 2019
A growing and increasingly vulnerable population resides in assisted living. States are responsible for regulating assisted living and vary in their requirements. Little is known about how this variability translates to differences in the dying...