Biden Takes On Sagging Safety Net With Plan to Fix Long-Term Care
The proposal to spend $400 billion over eight years faces political challenges and a funding system not designed for the burden it has come to bear. (Source: NYT Health)
Source: NYT Health - April 15, 2021 Category: Consumer Health News Authors: Eduardo Porter Tags: Elder Care Wages and Salaries Labor and Jobs Home Health Care Medicaid Biden, Joseph R Jr Elderly Disabilities Health Insurance and Managed Care Source Type: news

CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2022
Notice of a proposed rule from the Centers for Medicare and Medicaid Services seeking comments on updates to the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year 2022. Among other things, this rule includes proposals to rebase and revise the SNF market basket, suppress the use of the SNF readmission measure for scoring and payment adjustment purposes in the FY 2022 SNF Value-Based Purchasing (VBP) program due to the COVID-19 public health emergency, and update to the diagnosis code mappings used under the Patient-Driven Payment Model (PDPM). Includes rural considerations throughout. Co...
Source: Federal Register updates via the Rural Assistance Center - April 15, 2021 Category: Rural Health Source Type: news

Effort to Keep Arkansas Medicaid Plan Falls Short in House
The effort to keep Arkansas' Medicaid expansion another year faced uncertainty on Tuesday, with the program falling short of the votes needed for its reauthorization in the state Legislature. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - April 14, 2021 Category: American Health Source Type: news

CMS: Medicare Program; FY 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice and Home Health Quality Reporting Program Requirements
Notice of a proposed rule from the Centers for Medicare and Medicaid Services updating the hospice wage index, payment rates, and cap amount for fiscal year 2022. Includes changes to the labor shares of hospice payment rates, updates to the Hospice Quality Reporting Program, and proposes clarifying changes to the election statement addendum that was implemented on October 1, 2020. Among other things, this rule also proposes making permanent selected regulatory blanket waivers issued to Medicare-participating hospice agencies during the COVID-19 public health emergency public and proposes changes to public reporting for the...
Source: Federal Register updates via the Rural Assistance Center - April 14, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 (FY 2022)
Notice of proposed rule from the Centers for Medicare and Medicaid Services updating the FY 2022 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. The proposed rule also updates and clarifies the IPF teaching policy with respect to IPF hospital closures and displaced residents, proposes a technical change to the 2016-based IPF market basket price proxies, and updates quality measures and reporting require...
Source: Federal Register updates via the Rural Assistance Center - April 13, 2021 Category: Rural Health Source Type: news

Feds Let Illinois Extend Postpartum Medicaid Coverage Feds Let Illinois Extend Postpartum Medicaid Coverage
Medical professionals have called on states to institute the yearlong extension, but only Illinois has made the move thus far.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - April 12, 2021 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health News Source Type: news

Kitzhaber on how the Biden administration could move the health care reform ball forward
Kitzhaber, who was known for reforming Medicaid in Oregon, would like to see the model exported. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - April 12, 2021 Category: American Health Authors: Elizabeth Hayes Source Type: news

Kitzhaber on how the Biden administration could move the health care reform ball forward
Kitzhaber, who was known for reforming Medicaid in Oregon, would like to see the model exported. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - April 12, 2021 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

Health insurer with Raleigh base preps to launch NC operations for Medicaid
Health care in North Carolina has been subjected to many changes in the past year, whether it's an ever-changing global pandemic, a multitude of mergers or the recently introduced price transparency rule. This summer, another significant change will come to fruition.   Starting July 1, AmeriHealth Caritas, which has its North Carolina headquarters in Brier Creek, will begin serving North Carolinians with a prepaid health plan (PHP) as the state shifts from a fee for service plan to a Medicaid managed… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - April 12, 2021 Category: Health Management Authors: Trajan Warren Source Type: news

AmeriHealth Caritas NC market president details plans ahead of July 1 launch
AmeriHealth Caritas is one of five North Carolina Medicaid plans, along with Blue Cross and Blue Shield, UnitedHealthcare, WellCare, and Carolina Complete Health. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - April 12, 2021 Category: American Health Authors: Trajan Warren Source Type: news

CMS: Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program
Notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2022. Among other things, this proposed rule would update the cost-to-charge ratio (CCR) ceiling and urban/rural average CCRs for FY 2022 and make revisions and updates to quality measures and reporting requirements under the IRF quality reporting program. Comments are due by June 7, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 12, 2021 Category: Rural Health Source Type: news

HHS Marks Black Maternal Health Week by Announcing Measures to Improve Maternal Health Outcomes
To mark Black Maternal Health Week, the U.S. Department of Health and Human Services (HHS) announced actions to expand access to healthcare coverage and preventative care in rural areas to improve maternal health outcomes. HHS Secretary Xavier Becerra announced a Notice of Funding Opportunity for the Rural Maternity and Obstetrics Management Strategies (RMOMS) program and highlighted Illinois as the first state to provide full Medicaid benefit coverage for mothers during the first year after delivery. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - April 12, 2021 Category: Rural Health Source Type: news

Six companies picked to take part in Ohio's Medicaid overhaul
The Ohio Department of Medicaid announced procurement awards Friday for the six managed care organizations (MCOs) that will implement the vision for its next-generation $20 billion program. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - April 9, 2021 Category: American Health Authors: Jacob Fisher Source Type: news

Six companies picked to take part in Ohio's Medicaid overhaul
The Ohio Department of Medicaid announced procurement awards Friday for the six managed care organizations (MCOs) that will implement the vision for its next-generation $20 billion program. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - April 9, 2021 Category: Biotechnology Authors: Jacob Fisher Source Type: news

Kentucky ’s largest Medicaid provider gets new CEO
The company's total membership in Kentucky is about half a million people. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - April 9, 2021 Category: Health Management Authors: Chris Larson Source Type: news

Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2022
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services seeking comments on updates to the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year 2022. Among other things, this rule includes proposals to rebase and revise the SNF market basket, suppress the use of the SNF readmission measure for scoring and payment adjustment purposes in the FY 2022 SNF Value-Based Purchasing (VBP) program due to the COVID-19 public health emergency, and update to the diagnosis code mappings used under the Patient-Driven Payment Model (PDPM). Includes rural consideration...
Source: Federal Register updates via the Rural Assistance Center - April 9, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice and Home Health Quality Reporting Program Requirements
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services updating the hospice wage index, payment rates, and cap amount for fiscal year 2022. Includes changes to the labor shares of hospice payment rates, updates to the Hospice Quality Reporting Program, and proposes clarifying changes to the election statement addendum that was implemented on October 1, 2020. Among other things, this rule also proposes making permanent selected regulatory blanket waivers issued to Medicare-participating hospice agencies during the COVID-19 public health emergency public and proposes changes to public r...
Source: Federal Register updates via the Rural Assistance Center - April 9, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare Advantage Chronic Care Improvement Program (CCIP) Attestations; 2) Medicare Beneficiary Experiences with Care Survey (MBECS) System; 3) Program Integrity II; 4) Medicare Registration Application; and 5) Organ Procurement Organization/Histocompatibility Laboratory Cost Report. Comments are due by June 8, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 9, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2022. Among other things, this proposed rule would update the cost-to-charge ratio (CCR) ceiling and urban/rural average CCRs for FY 2022 and make revisions and updates to quality measures and reporting requirements under the IRF quality reporting program. Comments are due by June 7, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 8, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 (FY 2022)
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services updating the FY 2022 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. The proposed rule also updates and clarifies the IPF teaching policy with respect to IPF hospital closures and displaced residents, proposes a technical change to the 2016-based IPF market basket price proxies, and updates quality measures and r...
Source: Federal Register updates via the Rural Assistance Center - April 8, 2021 Category: Rural Health Source Type: news

Now rescinded, Trump-era ‘public charge’ policy may still harm immigrants’ health
The Trump administration ’s expansion of the “public charge” rule — a move that sought to disqualify immigrants who used social programs like Medicaid from obtaining legal residency in the U.S. — led to widespread disenrollment from these programs and left scores of children in California without access to health care in the midst of the COVID-19 pandemic.  What ’s more, say the authors of anew report from theUCLA Latino Policy and Politics Initiative, the fear and confusion that the now-rescinded Trump-era policy sowed in the state will likely have a chilling long-term effect,...
Source: UCLA Newsroom: Health Sciences - April 7, 2021 Category: Universities & Medical Training Source Type: news

UPMC Health Plan, Partner4Work training program focuses on underserved communities
UPMC Health Plan, Partner4Work and Health IT Pittsburgh are partnering on a new program that will train people in underserved communities for jobs in UPMC Health Plan ’s customer service. The eight-week training program will bring three cohorts of five candidates each to virtual instruction and training for the jobs, which include call center, sales and database management skills. The candidates are being recruited through Medicaid via Partner4Work. The progra m is funded by Health IT Pittsburgh,… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - April 7, 2021 Category: American Health Authors: Paul J. Gough Source Type: news

Breast cancer incidence to increase by 2040, but not mortality
Breast cancer incidence will likely grow over the next two decades in the U.S....Read more on AuntMinnie.comRelated Reading: Falling lung cancer rates drive cancer decline in U.S. Cancer caused 4M years of lost life in U.S. New treatments lead to drop in lung cancer deaths Medicaid expansion under ACA linked to fewer cancer deaths Cancer deaths decline in the U.S. (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - April 7, 2021 Category: Radiology Source Type: news

Ohio selects insurer for child-focused Medicaid managed care plan
Slated to launch in January 2022, the specialized managed care program is part of a major overhaul of Ohio's Medicaid system. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - April 7, 2021 Category: Biotechnology Authors: Jacob Fisher Source Type: news

Here's who won the contract for Ohio's new child-focused Medicaid program
Slated to launch in January 2022, the specialized managed care program is part of a major overhaul of Ohio's Medicaid system. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - April 7, 2021 Category: Pharmaceuticals Authors: Jacob Fisher Source Type: news

Sick Kids on Medicaid Need Easy Access to Out-of-State Hospitals Sick Kids on Medicaid Need Easy Access to Out-of-State Hospitals
Many state Medicaid programs pay out-of-state providers much less than in-state facilities, often making it hard for families with medically complex children to get the care they seek.Kaiser Health News (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - April 5, 2021 Category: Intensive Care Tags: Pediatrics News Source Type: news

OIG Report Indicates Fraudulent Upcoding at Hospitals is More Prevalent than Expected, Recommends More CMS Oversight and Auditing of Medicare Spending
Oddly, as upcoding severity levels have risen, reported higher-severity inpatient hospital stays have dropped, OIG reported Medicare upcoding fraud is a growing problem for the federal Centers for Medicare and Medicaid Services (CMS). Now, a report from the US Department of Health and Human Services (HHS) Office of Inspector General (OIG) suggests that the practice […] The post OIG Report Indicates Fraudulent Upcoding at Hospitals is More Prevalent than Expected, Recommends More CMS Oversight and Auditing of Medicare Spending appeared first on Dark Daily. (Source: Dark Daily)
Source: Dark Daily - April 5, 2021 Category: Laboratory Medicine Authors: Jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Laboratory Testing Management & Operations AI AI in pathology laboratory Source Type: news

USC study projects significant savings from potential Alzheimer's disease treatment
(University of Southern California) USC study forecasts disease-modifying treatments for Alzheimer's disease would help Medicaid avoid paying $186 billion from 2021-2040. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - April 5, 2021 Category: International Medicine & Public Health Source Type: news

Acquisition of medicaid at the time of injury: an opportunity for sustainable insurance coverage - Jaramillo JD, Arnow K, Trickey AW, Dickerson K, Wagner TH, Harris AHS, Tran LD, Bereknyei S, Morris AM, Spain DA, Knowlton LM.
INTRODUCTION: Uninsured trauma patients are at higher risk of mortality, limited access to postdischarge resources and catastrophic health expenditure. Hospital Presumptive Eligibility (HPE), enacted with the 2014 Affordable Care Act, enables uninsured pat... (Source: SafetyLit)
Source: SafetyLit - April 4, 2021 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Business groups urge Republicans to implement Medicaid expansion
St. Louis and Kansas City business groups are pressing state lawmakers to fully implement Medicaid expansion, which voters approved last year. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - April 1, 2021 Category: Pharmaceuticals Authors: Jacob Kirn Source Type: news

Business groups urge Republicans to implement Medicaid expansion
St. Louis and Kansas City business groups are pressing state lawmakers to fully implement Medicaid expansion, which voters approved last year. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - April 1, 2021 Category: Biotechnology Authors: Jacob Kirn Source Type: news

Indiana's Medicaid Expansion -- Designed by Pence and Verma -- Panned in Federal Report Indiana's Medicaid Expansion -- Designed by Pence and Verma -- Panned in Federal Report
Indiana's program seeks to give expansion enrollees'skin in the game,'requiring that they pay small monthly premiums and manage health savings accounts.Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - April 1, 2021 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Biden Proposes The Biggest Medicaid Home-Based Long-Term Care Expansion In History, But ….
President Biden has proposed a major expansion of Medicaid's home-based long-term care program. But it still falls short of resolving the nation's elder care challenge. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - April 1, 2021 Category: Pharmaceuticals Authors: Howard Gleckman, Senior Contributor Tags: Personal Finance /personal-finance Money /money Retirement /retirement Innovation /innovation Healthcare /healthcare Decision Maker Content decisionmaker Editors' Pick editors-pick investing personalfinance Source Type: news

Arkansas Lawmakers Approve Overhaul of Medicaid Expansion
Arkansas lawmakers give final approval to Gov. Asa Hutchinson's plan to overhaul the state's Medicaid expansion by encouraging work by recipients rather than requiring it. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - March 31, 2021 Category: American Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) National Implementation of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and 2) Hospice Facility Cost Report Form. Comments are due by June 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 31, 2021 Category: Rural Health Source Type: news

Missouri voters passed Medicaid expansion. Now state Republicans may not pay for it
The state will still have to provide an additional 230,000 Missourians with Medicaid coverage, but it may have it do it without any... (Source: Reuters: Health)
Source: Reuters: Health - March 30, 2021 Category: Consumer Health News Source Type: news

CMS: Medicare, Medicaid, and CLIA Programs; Clinical Laboratory Improvement Amendments of 1988 Exemption of Permit-Holding Laboratories in the State of New York
Notice from the Centers for Medicare and Medicaid Services (CMS) announcing that laboratories located in and licensed by the State of New York that possess a valid permit under the New York State Public Health Law are exempt from the requirements of the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for a period of 6 years. This exemption is effective March 26, 2021, to March 26, 2027. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 30, 2021 Category: Rural Health Source Type: news

Cityblock Health Gets $192 Million Funding Boost To Turbocharge Care For Low-Income Patients
The digital health unicorn is taking on the Medicaid market and betting its community-based model can keep members healthier while lowering costs. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - March 29, 2021 Category: Pharmaceuticals Authors: Katie Jennings, Forbes Staff Tags: Healthcare /healthcare Innovation /innovation Venture Capital /venture-capital Leadership /leadership Diversity, Equity & Inclusion /diversity-equity-inclusion Editors' Pick editors-pick Decision Maker Content decisionmaker Source Type: news

Public Inspection: CMS: Medicare, Medicaid, and Clinical Laboratory Improvement Amendments Programs: Exemption of Permit-Holding Laboratories in New York
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing that laboratories located in and licensed by the State of New York that possess a valid permit under the New York State Public Health Law are exempt from the requirements of the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for a period of 6 years. This exemption is effective March 26, 2021, to March 26, 2027. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 29, 2021 Category: Rural Health Source Type: news

CMS: CLIA Program; Announcement of the Re-Approval of the College of American Pathologists (CAP) as an Accreditation Organization Under the Clinical Laboratory Improvement Amendments of 1988
Notice from the Centers for Medicare and Medicaid Services (CMS) approving the College of American Pathologists (CAP) as an accreditation organization for clinical laboratories under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) program. The approval is effective March 27, 2021, until March 26, 2027. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 29, 2021 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs; Application From the Joint Commission for Continued Approval of Its Hospice Accreditation Program
Notice from the Centers for Medicare and Medicaid Services (CMS) approving the Joint Commission for continued recognition as a national accrediting organization for hospices that wish to participate in the Medicare or Medicaid programs. The approval is effective June 18, 2021, through June 18, 2025. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 29, 2021 Category: Rural Health Source Type: news

'Changed hearts and minds': Biden's funding offer shifts Medicaid expansion debate
“It’s the stimulus funds that are really the motivation. I think it has really changed some hearts and minds in the Legislature," one... (Source: Reuters: Health)
Source: Reuters: Health - March 28, 2021 Category: Consumer Health News Source Type: news

Spotlight on Policy: Amid COVID-19 CMS Holds Physicians Harmless From Up to 9% of MIPs Penalties
Earlier this year, the Centers for Medicare& Medicaid Services announced it will hold physicians harmless from up to 9% Merit-Based Incentive Payment System (MIPS) penalties due to the significant disruptions of the COVID-19 public health emergency on physician practices ’ performance in 2020. Your MIPS eligibility status is specific to each practice you’re associated with. AMDA – The Society for Post-Acute and Long-Term Care Medicine advocated for this automatic relief from MIPS penalties and applauds CMS for ensuring PALTC clinicians will not be unduly penal ized during the pandemic. (Source: Caring for the Ages)
Source: Caring for the Ages - March 27, 2021 Category: Health Management Source Type: news

You Can ’t Always Get What You Want: Appealing CMS Enforcement Actions
Many of the country ’s 15,400 skilled nursing facilities live in almost mortal fear of a survey that results in enforcement actions by the Centers for Medicare& Medicaid Services. When surveyors determine that noncompliance exists, CMS has a veritable quiver of arrows at its disposal to target the allegedly offending SNF. CMS is authorized by the statute (the Social Security Act) and its implementing regulations at 42 CFR Part 498 to impose one or more “sanctions” (euphemistically referred to as “remedies” but more accurately described as “enforcement actions”) when a SNF is no...
Source: Caring for the Ages - March 27, 2021 Category: Health Management Authors: Alan C. Horowitz Source Type: news

AMDA Establishes Behavioral Health Council
When the Centers for Medicare& Medicaid Services describes the mission of nursing homes, it notes that “each resident must receive and the facility must provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being” (42 CFR § 483.40). The majority of residents living in post-acute and long-term care communiti es have one or more psychiatric diagnoses, and all are by definition contending with a major life transition. (Source: Caring for the Ages)
Source: Caring for the Ages - March 27, 2021 Category: Health Management Authors: Richard Juman, Lea Watson Source Type: news

Public Inspection: Clinical Laboratory Improvement Amendments Program: Re-Approval of the College of American Pathologists as an Accreditation Organization under the Clinical Laboratory Improvement Amendments
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) approving the College of American Pathologists (CAP) as an accreditation organization for clinical laboratories under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) program. The approval is effective March 27, 2021 until March 26, 2027. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 26, 2021 Category: Rural Health Source Type: news

McKesson Approved as QCDR for 2021 MIPS Program Year
IRVING, Texas, March 25, 2021 — For the fifth consecutive year, McKesson has received approval from The Centers for Medicare& Medicaid Services (CMS) to participate in the Merit-based Incentive Payment System (MIPS) as a Qualified Clinical Data Registry (QCDR). As a CMS-approved QCDR, Practice Insi... (Source: McKesson News)
Source: McKesson News - March 25, 2021 Category: Information Technology Source Type: news

Public Inspection: CMS: Medicare and Medicaid Programs: Application from the Joint Commission for Continued Approval of its Hospice Accreditation Program
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) approving the Joint Commission for continued recognition as a national accrediting organization for hospices that wish to participate in the Medicare or Medicaid programs. The approval is effective June 18, 2021, through June 18, 2025. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 25, 2021 Category: Rural Health Source Type: news

CMS: Privacy Act of 1974; Matching Program
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comments on the re-establishment of a matching program between CMS and the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) titled "Verification of Eligibility for Minimum Essential Coverage Under the Patient Protection and Affordable Care Act Through a Veterans Health Administration Plan." This program will provide CMS with VHA data which CMS and state-based administering entities will use to determine individuals' eligibility for financial assistance in paying for private health insurance coverage and to determine t...
Source: Federal Register updates via the Rural Assistance Center - March 25, 2021 Category: Rural Health Source Type: news

States Receive $12.7 Billion for Alternatives to Long-Term Care Homes
WEDNESDAY, March 24, 2021 -- As part of its COVID-19 relief law, the U.S. government will give states about $12.7 billion in Medicaid funding for home- and community-based care alternatives to long-term care homes. This is the first new federal... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - March 24, 2021 Category: Pharmaceuticals Source Type: news