CMS

CMS proposes Medicare ACO overhaul to prod more risk-taking

CMS proposes Medicare ACO overhaul to prod more risk-taking

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"Pathways to Success" is predicted to save the Medicare program $2.2 billion over 10 years.

Providers view telehealth move from Medicare as 'sea change' for the field

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The Centers for Medicare & Medicaid Services' move to start paying for virtual visits, beyond rural areas of the country, is being lauded by advocates in the field.

Rural provider hopes lifted: Medicare to pay for virtual doctor visits

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Physicians can receive Medicare payments for using telecommunications such as audio or video with patients, according to new guidelines from the Centers for Medicare & Medicaid Services.

CMS hosts Data Element Library webinar Wednesday

The Centers for Medicare & Medicaid Services will hold a webinar on the newly launched Data Element Library at 1 p.m. ET Wednesday.

CMS wrongly allowed nursing homes $18 million in medical equipment, investigators say

CMS wrongly allowed nursing homes $18 million in medical equipment, investigators say

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The Centers for Medicare & Medicaid Services did not detect $18.4 million in inappropriate claims for durable medical equipment in skilled nursing facilities, despite having systems intended to catch bad claims, a government watchdog agency said last week.

Report: CMS hospital star ratings wrong for two years

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The Centers for Medicare & Medicaid Services has miscalculated hospital star ratings for two years, according to a startling report published by Modern Healthcare Friday.

Political grandstanding hurting long-term care again

Political grandstanding hurting long-term care again

It is regrettable that 17 state attorneys general are grandstanding by demanding that federal officials impose stricter nursing home regulation and sanctions. Their letter shows no real understanding of skilled nursing care or its challenges.

Senator calls for more opioid control in Medicare, Medicaid

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U.S. Senator Pat Toomey (D-PA), this week criticized the limitations of a new Medicare and Medicaid opioid prescription-monitoring program set to start next year.

It's not just you: Everything's hard about Phase 2 Requirements of Participation

It's not just you: Everything's hard about Phase 2 Requirements of Participation

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An interesting phenomena occurred Tuesday when we asked providers for the toughest part of complying with Phase 2 provisions of the Requirements of Participation.

Providers rewarded for sticking with it

Providers rewarded for sticking with it

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One could excuse long-term care providers if they're walking around looking over their shoulders right now. I can personally identify with that.

BREAKING NEWS: CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification system

BREAKING NEWS: CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification system

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In a flurry of activity late Friday, the Centers for Medicare & Medicaid Services announced an $850 million pay raise for skilled nursing facilities for fiscal 2019 that comes along with major simplifications to a previously pitched resident classification system.

Is it the docs' turn to get stoned?

Is it the docs' turn to get stoned?

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The Centers for Medicare & Medicaid Services brought out its equivalent of a brass band and confetti machine Tuesday to tout a new provider payment strategy. One could almost hear strains of "Happy Days Are Here Again" in the background.

CMS developing direct-pay model to test on seniors, others

CMS developing direct-pay model to test on seniors, others

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The Centers for Medicare & Medicaid Services has announced it is exploring a direct-provider contracting model. It is the first payment reform initiative to result from the agency innovation center's broad request for ideas on improving patient-centered care.

Members of Congress ratchet up pressure on nursing homes

Members of Congress ratchet up pressure on nursing homes

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Four influential Republican Congressmen sent a letter to federal regulators Tuesday, requesting sweeping answers about the agency's oversight of nursing homes.

CMS proposes regulatory cuts for states with high Medicaid Advantage rates

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The Centers for Medicare & Medicaid Services on Thursday issued a notice of proposed rulemaking that would ease some regulatory requirements for states offering Medicaid Advantage programs.

CMS allots $30M for new quality measures

CMS allots $30M for new quality measures

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The Centers for Medicare & Medicaid Services is asking skilled nursing facilities and other providers to help develop better quality measures — and the agency is earmarking $30 million to sweeten the deal.

Senate Democrats ask HHS to restore some nursing home regulations

Senate Democrats ask HHS to restore some nursing home regulations

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A group of Democratic senators is asking the Department of Health and Human Services to reverse its stance on rolling back nursing home regulations.

CMS proposes Medicare Advantage and Part D updates, including 1.84% payment increase

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The Centers for Medicare & Medicaid Services has issued Medicare Advantage and Part D updates that include an average payment increase of 1.84% and policy changes that include new supplemental benefits for services that improve health and quality of life.

Veterans Affairs plans to borrow from the CMS fraud-prevention playbook

Veterans Affairs plans to borrow from the CMS fraud-prevention playbook

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The Centers for Medicare & Medicaid Services will share its best fraud prevention tactics used against nursing homes and other providers with the U.S. Department of Veterans Affairs, the agencies said Tuesday in announcing a joint effort to sniff out waste and abuse.

The boss at CMS has some nice things to say about regulations

The boss at CMS has some nice things to say about regulations

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It appears there may be some good news ahead, courtesy of the boss at the Centers for Medicare & Medicaid Services.

Government shutdown could put chokehold on public health

Government shutdown could put chokehold on public health

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It remains unclear how a government shutdown would affect the Centers for Medicare & Medicaid Services if Congress can't agree on a bill to send the president by midnight.

SNFs can prosper after CMS' bundled pay postponement

SNFs can prosper after CMS' bundled pay postponement

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Skilled nursing providers should capitalize on the opportunities presented by the Centers for Medicare & Medicaid Services' plans to roll out more voluntary payment initiatives, according to observers.

CMS targets improper SNF discharges

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A new Centers for Medicare & Medicaid Services initiative will attempt to reverse a controversial trend of evicting residents who can no longer pay from the nation's skilled nursing facilities.

Therapy caps back on as Congress delays action

Therapy caps back on as Congress delays action

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Therapy caps are back on for now, even though Congress may still be prepared to eliminate them in 2018.

CMS waives some requirements for wildfire-impacted SNFs

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Agency offers blanket waiver in Southern California

Five-Star is anything but frozen

Five-Star is anything but frozen

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The day after Thanksgiving, CMS further defined its intensions with the Five-Star Quality Rating System; more specifically how the new survey process and derivative data will be used in its calculation of the Health Inspection domain. Here's what that means — and doesn't mean.

Only one quality measure for SNFs under new CMS proposal

Only one quality measure for SNFs under new CMS proposal

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The Centers for Medicare & Medicaid Services unveiled a shorter-than-usual list of potential Medicare quality measures last week, with only one aimed at skilled nursing providers.

CMS Hospice Compare site plagued with wrong information

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The Centers for Medicare & Medicaid Services' recently launched Hospice Compare website may be giving users incorrect location information for hospice providers, the agency said on Tuesday.

CMS gives providers a mug with a gift card

CMS gives providers a mug with a gift card

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Never have Rolling Stones' lyrics come faster into my head than when I saw the Centers for Medicare & Medicaid Services would give an 18-month enforcement delay for certain Phase 2 regulations.