NASHP

MARCH 14, 2022

Successful home-based palliative care programs cite an engagement rate of 35%. For length-of-stay estimates, consider using the CMMI Medicare Choices Model of community-based pre-hospice services, with an average length of stay of 99 days. Advance Care Planning. Transitional Care Management.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

NASHP

FEBRUARY 17, 2025

percent increases in five areas of policy : targeted case management, community support services, rehabilitative and community support, behavioral health services, and behavioral health home services. Effective January 1, 2023, MaineCare payment rates were updated for over 115 discrete services, ranging from 6.6 percent to 72.3

Medicaid 52

Medicaid Rehabilitation Hospitals Telemedicine 52

Briggs Healthcare

AUGUST 14, 2023

The three domains of the SPSS for the 2023 fiscal year include: • Survey and Intake Process • Survey and Intake Quality • Noncompliance Resolution On behalf of CMS, we truly appreciate all the endless efforts to improve the health, safety and dignity of all Medicare and Medicaid enrollees. Effective Date: Immediately.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Quality of Care 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

Etactics

DECEMBER 1, 2023

However, Medicare and other insurance cover a variety of different services and supplies, some of which aren’t identified by CPT codes. These codes assist healthcare workers in reporting different medical procedures and services to health insurance programs, such as Medicare and Medicaid. H Codes - Rehabilitative services.

Medicare 52

Medicare Medical Services Medicaid Prevention 52

NASHP

OCTOBER 2, 2023

Additional Considerations Requires budget neutrality (note that budget neutrality calculations for health-related social needs were recently updated ) Typically involves extensive negotiations with the Centers for Medicare & Medicaid Services (CMS). State Example Virginia Medallion 4.0

Medicaid 72

Medicaid Performance improvement Nursing Integration 72

NASHP

OCTOBER 20, 2022

Federal agencies have also prioritized and supported advancing integrated care. For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. Pediatrics. 17] Kretzmann, J. 22] Antonelli, Richard C., Pediatrics.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

MARCH 22, 2024

North Carolina’s comprehensive behavioral health approach included efforts to increase uptake of CoCM through additional training and practice supports and Medicaid rate increases to 120% of Medicare rates for behavioral health providers. An action plan dashboard tracks targets. CMS’s Birth to 5: Watch Me Thrive!

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Home Health Care

MARCH 11, 2025

Also testifying before the committee were Paul Dongilli, CEO of Madonna Rehabilitation Hospitals; Lisa Grabert, a research professor from Marquette University and Eric Carlson, director of long-term services and supports advocacy at Justice in Aging. These are not just policy decisions, Fleece stated.

Home Care 100

Home Care Medicaid Rehabilitation Medicare 100

KHN

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

Medicare 136

Medicare Hospital IT Hospitals Patient Safety 136

KHN

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

Medicare 52

Medicare Hospital IT Hospitals Patient Safety 52

HIT Consultant

OCTOBER 20, 2023

can be attributed to falls, including approximately six percent of Medicare and eight percent of Medicaid expenditures. Falls among older adults also accounted for nearly 12 percent ($29 billion) of spending on home health services, long-term care facilities, and durable medical equipment.

Rehabilitation 105

Rehabilitation Prevention Pharmaceuticals Biotechnology 105

Home Health Care

JANUARY 17, 2022

The end of 2021 brought a handful of key home health policy issues to a temporary conclusion, including the congressionally secured delay to Medicare sequestration. One of the most recent ones is Medicare sequestration. Because it’s again, delaying that 2% Medicare sequestration cut, but also PAYGO requirements as well. [00:01:27]

Integration 105

Integration Home Care Medicare Medicaid 105

Briggs Healthcare

APRIL 5, 2023

On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2024.

Rehabilitation 40

Rehabilitation Nursing Medicare Quality of Care 40

Home Health Care

NOVEMBER 26, 2024

The Centers for Medicare & Medicaid Services (CMS) is proposing new limits on Medicare Advantage (MA) plans regarding prior authorization , utilization management, coverage decisions and the use of artificial intelligence (AI). These proposed changes aim to address the barriers to accessing care identified by CMS.

Medicare 85

Medicare Rehabilitation Quality of Care Accountability 85

Sheppard Health Law

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). The UM committee was established in April 2023 in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).

Medicare 59

Medicare Medicaid Regulations Integration 59

Home Health Care

FEBRUARY 20, 2025

The partnership culminated in the launch of a home-based acute care model for Highmark health plan members. Since its launch in 2020, the model has adapted to offer hospitalized patients an alternative to skilled nursing and rehabilitation facilities after discharge.

Hospitals 109

Hospitals Quality of Care Home Care Nursing 109