NASHP

OCTOBER 2, 2023

To address the housing needs of Medicaid beneficiaries, states can leverage a variety of Medicaid authorities, including through the state plan, a variety of waivers, and managed care arrangements, to cover housing-related services under state Medicaid programs.

Medicaid 72

Medicaid Performance improvement Nursing Integration 72

Healthcare It News

MARCH 29, 2022

With a shortage of physicians to address the growing need for care, a lack of providers who accept Medicaid, and access issues due to transportation or office hour challenges, healthcare organizations are looking to technology to help bridge the gap. Addressing the increasing need for behavioral health services is a nationwide challenge.

Rehabilitation 181

Rehabilitation Nursing Accountability Medicaid 181

Briggs Healthcare

MARCH 28, 2024

On March 27, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare payment policies and rates under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2025.

Rehabilitation 40

Rehabilitation Medicare Medicaid 40

Home Health Care

MAY 29, 2024

What’s more, MA home health patients generally have worse functional outcomes compared to traditional Medicare patients, partly because they often receive fewer visits, according to a 2024 study from the Department of Rehabilitation Medicine at University of Washington. Similar MA grievances can be heard from beyond home health care as well.

Medicare 107

Medicare Rehabilitation Medicaid Accountable Care 107

Home Health Care

NOVEMBER 19, 2023

The Centers for Medicare & Medicaid Services (CMS) released its improper payment report last week. Those sectors were skilled nursing facilities, outpatient hospitals, inpatient rehabilitation facilities and hospice. It was another win for the home health industry, which has become less of a culprit in the reports over the years.

Rehabilitation 105

Rehabilitation Medicare Medicaid Nursing 105

Briggs Healthcare

MARCH 16, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, March 2023, Consolidated June 2020 to March 2023 document so that all IRF providers have the benefit of the clarifications (..)

Rehabilitation 40

Rehabilitation Medicaid Medicare Healthcare 40

Briggs Healthcare

APRIL 5, 2023

The FY 2024 Inpatient Rehabilitation Facility Prospective Payment System proposed rule (CMS-1781-P) can be downloaded from the Federal Register at [link]. In addition, CMS is proposing three measure removals and is proposing one public reporting policy. This Fact Sheet discusses the provisions of the proposed rule.

Rehabilitation 40

Rehabilitation Medicare Regulations Medicaid 40

Briggs Healthcare

APRIL 26, 2022

EVENT REGISTRATION OPEN for the Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Updated Guidance Virtual Training Program. and the LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) 5.0 for providers in the IRF and LTCH settings.

Rehabilitation 80

Rehabilitation Medicaid Medicare Hospitals 80

Briggs Healthcare

MARCH 7, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Rehabilitation 75

Rehabilitation Medicaid Medicare Hospitals 75

Briggs Healthcare

MAY 27, 2022

TRAINING MATERIALS AVAILABLE: The Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Updated Guidance Virtual Training Program – Prerecorded Training Videos. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. and the LTCH CARE Data Set (LCDS 5.0) for providers in the IRF and LTCH settings.

Rehabilitation 81

Rehabilitation Medicaid Medicare Hospitals 81

Briggs Healthcare

SEPTEMBER 16, 2021

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, September 2021, Consolidated June 2020 to September 2021 document so that all IRF providers have the benefit of the clarifications to existing guidance.

Rehabilitation 40

Rehabilitation Medicaid Medicare Healthcare 40

Briggs Healthcare

JULY 28, 2022

The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1767-F) on July 27, 2022 that updates Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2023.

Rehabilitation 75

Rehabilitation Medicare Medicaid Healthcare 75

Home Health Care

AUGUST 19, 2024

The LTM Group, based in Dayton, Ohio, provides home health, personal care, hospice, and rehabilitation services through multiple locations. An opportunity lies in the continued improvement of reimbursement rates from state Medicaid programs as well,” Dombi said. This calls for staff that is currently in short supply.

Rehabilitation 88

Rehabilitation Home Care Medicare Prevention 88

Home Health Care

NOVEMBER 14, 2022

Centers for Medicare & Medicaid Services (CMS) announced the update on Monday. Care Compare – the all-in-one search tool for consumers seeking home health, hospice and other Medicare-reimbursed health care services – will now include new information on providers’ relationships with doctors and clinicians.

Rehabilitation 87

Rehabilitation Medicare Nursing Doctors 87

Briggs Healthcare

MARCH 23, 2022

PEPPER is developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF® Health Quality Institute and CGS. Target areas are determined by the Centers for Medicare & Medicaid Services (CMS). Have you accessed your PEPPER?

Medicare 102

Medicare Rehabilitation Medicaid Hospitals 102

Briggs Healthcare

AUGUST 19, 2022

Also named in the Superseding Indictment were two nursing facilities operating in Western Pennsylvania, Comprehensive Healthcare Management Services, LLC d/b/a Brighton Rehabilitation and Wellness Center and Mt. Lebanon Rehabilitation and Wellness Center. Lebanon Operations, LLC d/b/a Mt.

Nursing 74

Nursing Rehabilitation Medicaid Medicare 74

Briggs Healthcare

NOVEMBER 3, 2021

The corresponding CMS Fact Sheet provides these statements: “Today, the Centers for Medicare & Medicaid Services (CMS) acted to improve home health care for older adults and people with disabilities through a final rule that would accelerate the shift from paying for Medicare home health services based on volume to a system that pays for value.

Rehabilitation 75

Rehabilitation Physical Therapy Medicare Nursing 75

Home Health Care

AUGUST 30, 2021

Centers for Medicare and Medicaid Services (CMS). The organization also provides intensive home-based rehabilitation and skilled nursing services through in-person and virtual visits. CommonSpirit Health is a participant in the Medicare Shared Savings Program (MSSP), which began back in 2012 after being designed by the U.S.

Medicare 111

Medicare Rehabilitation Home Care Accountable Care 111

NASHP

APRIL 15, 2022

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports April 15, 2022 / by Allie Atkeson. Driven by challenges facing individuals with complex care needs, states are increasingly working to address the physical, behavioral, and social needs of their Medicaid beneficiaries. Download the report (PDF).

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

Home Health Care

OCTOBER 18, 2024

This includes denying access to nursing homes, inpatient rehabilitation facilities and long-term acute care hospitals. The report illustrates how insurers use unregulated algorithms and technologies to increase prior authorization denials. In doing so, they profit at the expense of older adults and the providers caring for them.

Rehabilitation 105

Rehabilitation Regulations Medicare Hospitals 105

Briggs Healthcare

JULY 21, 2022

POST-EVENT TRAINING MATERIALS AVAILABLE for the Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Updated Guidance Virtual Training Program. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. and the LTCH CARE Data Set (LCDS) 5.0 for providers in IRF and LTCH settings.

Rehabilitation 75

Rehabilitation Medicaid Medicare Hospitals 75

Bill Of Health

FEBRUARY 6, 2024

Code § 1396n and apply for § 1115 waivers identified as supportive of substance use prevention or treatment and care transitions for incarcerated persons.

Rehabilitation 122

Rehabilitation Care Transition Prevention Medicaid 122

Home Health Care

SEPTEMBER 15, 2021

While it had a non-medical home care division prior to Wednesday’s news, the bulk of GrandCare’s business has historically been in skilled home health care, with a particular focus on orthopedic rehabilitation. “We Most home health agencies are generalists, but we specifically cover orthopedic rehabilitation.

Home Care 85

Home Care Rehabilitation Medicaid Medicare 85

HIT Consultant

OCTOBER 20, 2023

can be attributed to falls, including approximately six percent of Medicare and eight percent of Medicaid expenditures. As a therapeutic tool, patients perform appropriate rehabilitative movements while AI/ML-enabled affixed motion sensors instantly and accurately “feedback” the movements using graphics and numerical display of information.

Rehabilitation 105

Rehabilitation Pharmaceuticals Prevention Biotechnology 105

Home Health Care

DECEMBER 5, 2023

Centers for Medicare & Medicaid Services’ (CMS) CY 2024 final home health rule deal with the Home Health Value-Based Purchasing (HHVBP) model. The four settings included in the legislation were home health agencies, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs) and long-term care hospitals.

Rehabilitation 101

Rehabilitation Medicare Quality of Care Patient Experience 101

HIT Consultant

NOVEMBER 16, 2022

What You Should Know: – Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients. This collaboration will help accelerate physical rehabilitation by improving patient engagement and care plan completion.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Medicare 52

Briggs Healthcare

MAY 30, 2023

acute care hospital, long-term acute care hospital [LTAC], skilled nursing facility [SNF], inpatient rehabilitation facility [IRF]) to their home (e.g., acute care hospital, long-term acute care hospital [LTAC], skilled nursing facility [SNF], inpatient rehabilitation facility [IRF]) to their home (e.g.,

Medicaid 40

Medicaid Rehabilitation Quality Improvement Quality of Care 40

Briggs Healthcare

JUNE 1, 2022

Psychiatric and Rehabilitation hospitals will report once annually and only include the data for the previous week.: • Short term • Long term • Critical access hospital • Children’s• Distinct part psychiatric hospital • Medicaid only short term • Medicaid only children’s • Medicaid only long-term hospitals.

Hospitals 52

Hospitals Rehabilitation Medicaid Healthcare 52

Home Health Care

JUNE 18, 2024

As of June, there are more than 331 hospitals and 136 health systems across 37 states delivering hospital-at-home care through the Centers for Medicare & Medicaid Services’ (CMS) Acute Hospital Care at Home waiver. Health systems are also delivering that level of care outside of the waiver program, through other payment mechanisms.

Home Care 105

Home Care Nursing Hospitals Rehabilitation 105

Home Health Care

AUGUST 18, 2023

Post-acute care includes services delivered by skilled nursing facilities (SNFs) and home health agencies, in addition to long-term care hospitals (LTCHs) and inpatient rehabilitation facilities (IRFs). MA trends in the U.S. MA enrollment is estimated to reach approximately 61% by 2032.

Medicare 88

Medicare Rehabilitation Medicaid Nursing 88

KHN

FEBRUARY 8, 2022

The law also excuses hospitals that focus on rehabilitation, long-term care, children, psychiatry, or veterans. Academic medical centers say the reason nearly half of them are penalized each year is that they are more diligent in finding and reporting infections. Exempted from the evaluation are around 2,000 hospitals.

Medicare 136

Medicare Hospital IT Hospitals Patient Safety 136

Home Health Care

APRIL 7, 2022

In addition to receiving skilled nursing or rehabilitation services from their home health provider, for example, a patient could potentially receive meals, non-emergency transportation, remote patient monitoring and more. There are Medicaid, Medicare and also private-pay dollars.

Home Care 81

Home Care Medicare Rehabilitation Nursing 81

Briggs Healthcare

MAY 10, 2022

The Centers for Medicare & Medicaid Services (CMS) is providing a virtual training program that will review the updated guidance for the IRF-PAI 4.0 Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. and the LCDS 5.0 for providers in the IRF and LTCH settings. Part 1 of the Virtual Training Program is now available.

Rehabilitation 40

Rehabilitation Hospitals Medicaid Medicare 40

NASHP

MARCH 28, 2022

State Medicaid-funded long-term services and supports (LTSS) systems are not well-positioned to compete for this shrinking pool of workers. Responsible for 43 percent of all LTSS expenditures , state Medicaid programs have a major role to play in responding to this crisis. These funds must be spent before March 31, 2024.

Nursing 98

Nursing Medicaid Home Care Rehabilitation 98

Healthcare ECONOMIST

JANUARY 14, 2022

Before the merger, NYULH consisted of a multispecialty academic acute care hospital (450 beds) and a specialized orthopedic, rheumatic, and neurologic treatment and rehabilitation hospital (190 beds). Lutheran Medical Center (450 beds)was a teaching hospital located near preexisting NYULH outpatient sites.

Hospitals 75

Hospitals Rehabilitation Accountability Quality Improvement 75

Home Health Care

JULY 15, 2022

Centers for Medicare & Medicaid Services (CMS), along with the Assistant Secretary for Planning and Evaluation (ASPE), were charged with developing a universal, site-neutral payment model for post-acute care (PAC) settings as part of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014.

Hospitals 79

Hospitals Rehabilitation Medicare Medicaid 79

Sheppard Health Law

SEPTEMBER 6, 2022

In response to the COVID-19 Public Health Emergency (the “PHE”), the Centers for Medicare and Medicaid Services (“CMS”) issued numerous “blanket waivers” to increase access to medical services, and ease the regulatory burden on providers across the health care industry.

Rehabilitation 52

Rehabilitation Medicare Nursing Medicaid 52