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    Medicare spending on hospice care increased by 52% between 2007 and 2015, from $10.4 billion to $15.8 billion, researchers find. The growth was driven primarily by an...

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Independence at Home Demo Continues Success
For the second performance year, Independence at Home participants saved Medicare more than $10 million – an average of $1,010 per beneficiary – while...
IMPACT Act: Quality Reporting Programs
CMS is soliciting for public comment on a collection of standardized assessment-based data items developed under the Improving Medicare Post-Acute Care Transformation...
Pre-Claim Demonstration
CMS is implementing a three-year Medicare pre-claim review demonstration for home health services in the states of Illinois, Florida, and Texas beginning in 2016, and in...
States Should Strengthen Access To Home and Community-Based Service, Says CMS
CMS and states are taking important steps to support increased access to high-quality home and community based care. These steps are helping to remedy a longstanding...
Reality Of Caring For Chronic Patient In Their Home Requires Policy Changes
A recent study from the University of Michigan sites the difficulties of care in the home for Americans whose preference is not going to a nursing home. More older...
Home Health Moratoria Extended, Expanded in Six States
The Centers for Medicare & Medicaid Services has announced an extension and statewide expansion of its fraud-fighting, temporary provider enrollment moratoria...
$40 Million Fraudulent Home Health Scheme Sentencing
Three Miami residents were recently sentenced for their role in the largest Medicare fraud scheme loss prosecuted in the Southern District of Florida in 2015. Jorge...
Hospice 2017 Payment and Policy Final Rule
This final rule updates the hospice wage index, payment rates, and cap amount for FY 2017. In addition, this rule finalizes changes to the hospice quality reporting...
Skilled Nursing Facilities 2017 Payment and Policy Final Rule
The policies in the final rule continue to shift Medicare payments from volume to value. CMS projects that aggregate payments to SNFs will increase in FY 2017 by $920...
A Deep Dive Into The New Cardiac Bundled Payment Model
CMS just announced a new payment model that would bundle payment to acute care hospitals for heart attack and cardiac bypass surgery services. Under the new cardiac...
Providers Still Oppose ‘Pre-Claim Review’
“There is no legal authority for the proposed pre-claim review demonstration program,” insists the National Association for Home Care & Hospice (NAHC) in...
Readmission Rates Dropping; CMS Analysis
Readmission rates decline almost 2 percent across all conditions, MedPAC says. Preventable readmissions declined not just for those covered by the readmission reduction...
Readmission Risks After Surgical Procedures
Older adults are at increased risk for adverse events after surgical procedures. Loss of independence (LOI), defined as a decline in function or mobility, increased care...
Rehab Hospitals Adverse Events 29%, OIG
An estimated 29 percent of Medicare beneficiaries experienced adverse or temporary harm events during their rehabilitation hospital stays, resulting in temporary harm;...
Trends In Nursing Home Patient Populations
The diversity in age and ethnicity over recent decades in the long-term care population is growing according to new research published in JAMDA: The Journal of...
Champions of Change: Primary Care Caring for Older Adults
We share a case study on caring for older adults in a value-based model. Key takeaways from the perspective of primary care office help stakeholders to better understand...
End-of-Life Medicare Spending And The Cost Of Care Insights
Of the 2.6 million people who died in the U.S. in 2014, 2.1 million, or eight out of 10, were people on Medicare, making Medicare the largest insurer of medical...
Health Spending Projected To Rise 5.8% Annually
Total health care spending growth is expected to average 5.8 percent annually over 2015-2025, according to data released last week by the Centers for Medicare &...
CMS Timeline for 2012 LSC Education, Compliance
CMS has adopted by regulation the 2012 edition of the National Fire Protection Association (NFPA) 101 – Life Safety Code (LSC) and 2012 edition of the NFPA 99...
Readmission Insights Tied To Patient’s Socio-Demographic Status
Many post-acute care organizations are asking CMS to account for differences in patient populations. CMS is shaping a framework intended to allow better comparisons of...
2017 Physician Fee Schedule Proposal Increases Care Management Beyond Office Walls
CMS proposed changes to the Physician Fee Schedule transforms how Medicare pays for primary care through a new focus on care management, coordination and behavioral...
Bill To Make Independence At Home Permanent
Legislation to convert the popular Independence at Home Demonstration into a permanent program was introduced by Sens. Edward Markey (D-MA), John Cornyn (R-TX), Michael...
Pre-Claim Review Guidances Provide Demo Details
CMS has released guidance documents spelling out how it will implement its new Pre-claim Review Demonstration for Home Health Services in the five selected...
$180 Million Cut in 2017 Medicare HHA, CMS Proposes
Home health agencies would see a 1 percent overall reduction in Medicare PPS rates in CY 2017, or $180 million in decreased payments, if regulations proposed by the...
Home Health Value-Based Purchasing Model Insights
The savings impacts related to the 2017 HHVBP Model are estimated at a total projected 5-year gross savings of $378 million, according to the proposal, “assuming a...

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