— “The Democratic and Republican leaders of two key congressional committees have agreed on a framework to scrap the problematic Medicare payment formula for physicians and replace it with one that would link physician reimbursement to the quality of care provided, a step that could put an end to the annual “doc fix” debate.” – Kaiser
— “A bill in the House of Representatives aims to create a ‘trusted provider’ status in the Medicare program, which would potentially streamline the reimbursement and claims review processes for some long-term care operators.” – McKnight’s
— “Managed care organizations are set to play a bigger role in how long-term care is provided for people currently eligible for both Medicare and Medicaid, and providers should focus on having the right capabilities in place for them, according to a new report. Released by merchant bank TripleTree, it also identifies technology vendors enabling these capabilities in the long-term and post-acute care settings.” – McKnight’s
— “Skilled nursing facilities account for few of the problematic Medicare claims that are related to beneficiaries who were deceased at the time they supposedly received services, according to a new government report…Home health and hospice providers received even less money from these claims than did SNFs, although more providers were involved — 20 in home health and 32 in hospice, the report states.” – McKnight’s
