The New York Times is writing about the ACA's Hospital Readmissions Reduction Program and the question of whether or not this is causing increased mortality among older patients. This should be of increased interest to nursing facilities since the refusal of readmission after a nursing home sends a resident to the hospital and subsequent death of the resident when returned to the facility may increase scrutiny of the nursing home rather than the correctness of a hospital refusing … [Read more...] about Hospital Re-Admissions and the Elderly
Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
Today the Centers for Medicare & Medicaid Services (CMS), in order to promote Medicaid and Medicare program efficiency, transparency, and burden reduction, proposed new rules that revise the applicable conditions of participation (CoPs) for providers and conditions for coverage (CfCs). The link of this rule will be republished in the Federal Register on Sept. 20. According to the fact sheet summary excerpt: This proposed rule would reform Medicare regulations that are identified as … [Read more...] about Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
Multiple Bipartisan Healthcare Bills Head to Congress
The series of bipartisan healthcare bills are being considered expedited rules that require two-third votes for approval. One bill H.R. 3635, amends title XVIII (Medicare) of the Social Security Act to revise the process by which Medicare administrative contractors (MACs) issue and reconsider local coverage determinations (LCDs) that: (1) are new, (2) restrict or substantively revise existing LCDs, or (3) are otherwise specified in regulation. According to reports, it would provide … [Read more...] about Multiple Bipartisan Healthcare Bills Head to Congress
In The News: 5 Healthcare Legal Battles That Could Head To The Supreme Court
Changes to the healthcare market nationwide could manifest if these 5 lawsuits make it to the highest court in the nation. According to news reports, there are several significant pieces of healthcare legislation that could result from multiple major healthcare cases going through the federal courts. The consequential healthcare cases include: Texas vs Alex Azar - Re: ACA is unlawful and the Court should enjoin its operation. Therefore, Plaintiffs seek declaratory and injunctive relief … [Read more...] about In The News: 5 Healthcare Legal Battles That Could Head To The Supreme Court
CMS Introduction to the Hospice Quality Reporting Program (HQRP)
The Hospice Quality Reporting Program (HQRP), mandated by the Affordable Care Act of 2010 directs the Secretary to establish quality reporting requirements for hospice programs. A new CMS webinar was scheduled to explain the basics of the Hospice Quality Reporting Program (HQRP). According to the National Hospice and Palliative Care Organization (NHPCO) reported that the HQRP Requirements are as follows: Hospices are required to comply with requirements for two HQRP program components that … [Read more...] about CMS Introduction to the Hospice Quality Reporting Program (HQRP)
High-Tech Healthcare and Telemedicine are the Fastest Growing Initiatives in Healthcare
Patient care and value is at the forefront of many healthcare discussions in the industry. Physicians and nurses providing comfort, companionship, connection and support is considered to be just as important as providing actual medicinal treatments. Better care in relation to providing tele-medicine and high tech care in the healthcare system are the top of growing initiatives that put the patient first especially in nursing homes and hospice and palliative care facilities. According to … [Read more...] about High-Tech Healthcare and Telemedicine are the Fastest Growing Initiatives in Healthcare
Notification Requirements in Response to an Emergency or Disaster
Provider Letter 18-16 - This Long-Term Care regulatory provider letter is to inform a Home and Community Support Services Agency (HCSSA or agency) of notification requirements for temporary agency changes in response to an emergency or disaster. The letter details provider responsibilities regarding initial or renewal application changes due to an emergency or disaster, temporarily relocation of a place of business as a result of an emergency or disaster, providing services to clients who … [Read more...] about Notification Requirements in Response to an Emergency or Disaster
$8.6 Million in State Flexibility Grants Awarded by CMS to 30 States For Obamacare
The $8.6 million in State Flexibility Grants announced by the Centers for Medicare & Medicaid Services (CMS) that would be allocated to 30 states and the District of Columbia comes with the Trump Administration' approval despite recent attempts to disassemble the ACA. The funding from Obamacare, which is part of $250 million for State Rate Review Grants provided by the Patient Protection and Affordable Care Act (PPACA) to improve the process for how States review proposed health … [Read more...] about $8.6 Million in State Flexibility Grants Awarded by CMS to 30 States For Obamacare
Amazon, Tech Giants Try To Fix Broken Healthcare System
According to reports, a group of traditional tech giants, including Alphabet, Amazon, IBM, Microsoft, and Salesforce, proposed a similar set of standards and pledged to make products (including selling medical supplies directly to hospitals and clinics) that support them to help the healthcare industry. The group wants to build tools for the health community around a set of common standards for exchanging health information electronically, called "FHIR." FHIR offers healthcare providers and … [Read more...] about Amazon, Tech Giants Try To Fix Broken Healthcare System
CMS Proposes Improvements in Managing the Medicaid program in Partnership with States
The Medicaid Review Process and Approval times are at the forefront of CMS effort to "implement changes resulting in faster processing of state requests to make program or benefit changes to their Medicaid program through the state plan amendment (SPA) and section 1915 waiver review process. According to reports, SPAs allow states to change their Medicaid program policies or operational approaches, while 1915 waivers let states develop home and community-based services for individuals who … [Read more...] about CMS Proposes Improvements in Managing the Medicaid program in Partnership with States
