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Nursing Home Compare Refresh

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practice Management, Practitioners, Quality
May 2, 2019
The April 2019 Nursing Home Compare refresh is available, including quality measure results based on Skilled Nursing Facility (SNF) Quality Reporting Program data. Visit the Nursing Home Compare website to view the data. For more information, visit...

IRF, LTCH, and SNF Quality Reporting Programs: Submission Deadline May 15

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practice Management, Practitioners, Quality
May 2, 2019
The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs for the fourth quarter of 2018 is May 15. For more information: IRF Quality...

Upcoming Centers for Medicare & Medicaid Services (CMS) Webinars

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Quality Payment Program (QPP), Practice Management, Practitioners
May 2, 2019
CMS Primary Cares Initiative: Direct Contracting Model Webinar — May 7 The CMS Primary Cares Initiative is a new set of payment models that will transform primary care to deliver better value for patients throughout the health care system. Direct...

Society Participates in NCPDP Strategy Meeting on e-Prescribing in PALTC

Policy Snapshot
Practice Management, Electronic Health Records (EHR), Health Information Technology (HIT), Practitioners
April 25, 2019
Addressing interoperability and e-prescribing issues has been one of the Societies advocacy goals over the last several years. As part of those efforts, last week several Society leaders and staff participated in a daylong strategy meeting to...

New Payment Models Introduced with Goal of Delivering Value-Based Transformation in Primary Care

Policy Snapshot
Alternative Payment Models (APM), Practice Management, Practitioners
April 25, 2019
This week, Department of Health and Human Services (HHS) Secretary Alex Azar and Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma announced the CMS Primary Cares Initiative, a new set of payment models with a goal to...

Proposed Fiscal Year 2020 Payment and Policy Changes for Medicare Skilled Nursing Facilities

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Practice Management, Practitioners
April 25, 2019
On April 19, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1718-P) for Fiscal Year (FY) 2020 that updates the Medicare payment rates and the quality programs for skilled nursing facilities (SNFs). This...

SNF PPS Patient Driven Payment Model: Get Ready for Implementation on October 1

Policy Snapshot
Practice Management, Practitioners
April 25, 2019
On October 1, the new Patient Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Centers for Medicare & Medicaid Services (CMS) and the...

2019 MIPS Group Participation

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Practitioners
April 25, 2019
The Centers for Medicare & Medicaid Services (CMS) posted a Merit-based Incentive Payment System (MIPS) 2019 Group Participation Guide covering the following topics: Eligibility and participation Group registration for CMS Web Interface and...

CMS Administrator Focuses on Safety and Quality in Nursing Homes

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Federal Regulations, Practitioners
April 18, 2019
This week, Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS), posted a blog about CMS’ efforts to ensure quality and safety in nursing homes. The administrator noted that CMS will be undertaking a comprehensive...

CMS Releases ACO Care Coordination Toolkit

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Accountable Care Organization (ACO), Medicare Access and CHIP Re-authorization Act (MACRA), Practice Management, Practitioners
April 18, 2019
The Centers for Medicare & Medicaid Services (CMS) released a public Accountable Care Organization (ACO) Care Coordination Toolkit and a series of case studies that highlight the work of ACOs and End-Stage Renal Disease Care (ESRD) Seamless Care...