John Kane - McKnight's Long Term Care News

John Kane

McKnight's Long-Term Care News, May 2019, Page 4, John Kane

CMS leaning on providers to form new PDPM pay rates

The Centers for Medicare & Medicaid Services is relying on data metrics regarding trends or changes in provider behavior, payments and beneficiary care quality as it considers potential adjustments to the Patient Driven Payment Model, an agency leader said Wednesday.

McKnight's Long-Term Care News, May 2019, Page 4, John Kane

CMS combing the data as it narrows PDPM adjustment targets

The Centers for Medicare & Medicaid Services has been monitoring and conducting “very comprehensive data analysis” to identify any trends or changes in provider behavior, payments and beneficiary care quality since implementing the Patient Driven Payment Model, agency leaders said Thursday.

Medicare Advantage organizations are unresponsive to provider questions, long-term professionals say

Medicare Advantage organizations are unresponsive to provider questions, long-term care professionals tell CMS

Several skilled nursing facility workers expressed frustration regarding communications with Medicare Advantage organizations during a public call with government officials Wednesday. Centers for Medicare & Medicaid Services representatives acknowledged that provider frustration in this area has been an ongoing issue, but they said that their hands essentially are tied.

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