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Chronic Care Condition Population Data
An estimated 25.9 percent of adults have been treated for two or more chronic conditions accounting for an estimated 57.0 percent of all health care expenditures,...
Quality Measures Development The IMPACT Act
Congressional approval of H.R. 4994, the IMPACT Act in October 2014, mandates the development and implementation of a standardized post-acute care assessment tool, and...
Medicare Hospice Payment Reform Proposed
President Obama’s proposed budget for HHS also includes a “Reform Medicare Hospice Payments” proposal. It would reduce market basket updates for...
Proposed Budget Resurrects Home Health Agency Copay & Post-Acute Cuts
A Medicare home health copayment and reductions in payments for post-acute care providers are among the proposals resurrected from past Obama administration budgets that...
DME Prior Authorization
The Centers for Medicare & Medicaid Services (CMS) issued a final rule that would establish a prior authorization process for certain durable medical equipment,...
Chronic Care Working Group Baseline Objectives
Last year, the United States Senate Committee on Finance (Committee) took its first step in an important initiative to improve care for the millions of Americans...
Value-Based Purchasing Skilled Nursing Facilities Model
The Improving Medicare Post-Acute Care Transformation Act of 2014 (P.L. 113-185) (IMPACT Act), enacted on October 6, 2014, requires the implementation of a quality...
The "Care Tool" - IMPACT Act
CMS recently sent Congress a report on key findings from the Post Acute Care Payment Reform Demonstration, as required by the Deficit Reduction Act of 2005. The report...
Bundled Payments For Care Improvement
The Centers for Medicare & Medicaid Service (CMS) announced that over 2,100 acute care hospitals, skilled nursing facilities, physician group practices, long-term...
Home Health Agency “Introductory” Visits To Patients
The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services, the primary enforcer of fraud and abuse prohibitions, posted Advisory Opinion...
Medicare Care Choices Model Framework For Hospice
Through the Medicare Care Choices Model, the Centers for Medicare & Medicaid Services (CMS) will provide a new option for Medicare beneficiaries to receive...
Community-Based Services: Paramedics New Role
Community paramedicine (CP) is a new and evolving model of community-based health care in which paramedics function outside their customary emergency response and...
Pace Model Expansions
Expected to be signed into law shortly is the PACE Innovation Act (HR3243), which passed the House last October 2015, and the Senate back in August. The legislation...
New Discharge Planning Framework Under The IMPACT Act
CMS’s proposed rules revise the discharge planning requirements that hospitals, including long-term care hospitals and inpatient rehabilitation facilities,...
Home Health Agency Value-Based (HHVPB) Model Background
Beginning January 1, 2016, CMS will implement the HHVBP model among all HHAs in nine states representing each geographic area in the nation. All Medicare-certified home...
IMPACT Act – Cross-Setting Standardization For Skin Integrity
The IMPACT Act requires collection of data across eight domains. In keeping with the requirements of the IMPACT Act, measures for the other domains will be addressed...
IMPACT Act – Cross-Setting Quality Measure For Medication Reconciliation
CMS has contracted with Abt Associates and RTI International to develop a cross-setting Post-Acute Care measure for the quality measure domain – medication...
IMPACT Act –Preventable Readmission Measures For Post-Acute Providers
CMS has contracted with RTI International and Abt Associates to develop potentially preventable readmission measures, in alignment with the Improving Post-Acute Care...
IMPACT Act: Discharge Planning Requirements For Home Health Agencies
Last November 2015, the Centers for Medicare and Medicaid Services (CMS) published proposed regulations governing discharge planning by home health agencies in the...
MedPAC Meeting – Payments For Integrated Post-Acute Payments Are Moving Away From Fee-For-Service
The Medicare Payment Advisory Commission (MedPAC) staff reported on the congressional advisory panel’s ongoing development of a unified post-acute payment system...
The IMPACT Act Unifies Payment System For Post-Acute Providers
Congressional approval of H.R. 4994, the IMPACT Act in October 2014, mandates the development and implementation of a standardized post-acute care assessment tool, and...
What Is The Definition Of Patient Centered-Care?
A panel of eldercare experts, organized by the American Geriatrics Society, released its definition for person-centered care. The updated definition stresses the...
The IMPACT Act Standardized Patient Assessment Data
Section 2(a) of the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act) requires post-acute providers to submit standardized patient...
Comprehensive Care For Joint Replacement Model Background
The Comprehensive Care for Joint Replacement (CJR) Model – set to begin on April 1, 2016 – will test bundled payment and quality measurement for hip and knee...
The IMPACT Act Quality Measure Domains
HHAs, Skilled Nursing Facilities (SNFs), Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care Hospitals (LTCHs) have different quality measure domains. All...

Think Tank Summit 2017

March 5-7, 2017
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A 360-Degree View Across the Continuum

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