Connection, Regulation, and Care Plan Innovation: A Case Study of Four Nursing Homes We describe how connections among nursing home staff impact the care planning process using a complexity science framework. We completed six-month case stu... Colón-Emeric, Cathleen S.,D Lekan-Rutledge,Q Utley...
In addition, Home Health Conditions of Participation have been proposed, which would improve the quality ofhome healthservices for Medicare and Medicaid beneficiaries by strengthening patient rights and improving communication focused on patient well-being. The proposed regulation will modernize home health ...
The CMS final rule that establishes the minimum staffing levels at nursing homes CMS’s calculations of Medicare DSH payments Medicare pay reductions arising from the Home Health Patient-Driven Groupings Model TheLoperdecision has several important implications in the context of ...
In the May 6Federal Register, at pages 25767-25797, the Centers for Medicare & Medicaid Services (CMS) published the Medicare program's proposed regulation entitled "Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015 (Proposed SNF Rule)....
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CMS’s Five-Star Quality Rating System for Part C and D Medicare is laudible concept for using informed consumer choice rather than command-and-control regulation to improve the healthcare market. However, because the Star Rating System is now used to determine bonuses, rebates, and eligibility...
This information is subject to change as federal agencies continue to update and provide advisory guidance on these programs; and as the new regulation is enacted by Congress and the White House. Utilizing the CARES Act funding, states will be required to perform on-site surveys of the nursing...
CMS may need to provide further clarification to ensure the regulation and new statute are in harmony. Changes to Telehealth Services in Medicare These provisions include expanding the list of eligible telehealth services, providing flexibility to providers in waiving copayments, introducing new...
“Front line healthcare providers need to be able to focus on patient care in the most flexible and innovative ways possible. This unprecedented temporary relaxation in regulation will help the healthcare system deal with patient surges by giving it tools and support to create ...
To give just one example, this August, it was reported that “CMS dropped a proposed regulation that would have required Medicare Advantage plans to return overpayments found during chart reviews over industry opposition.” The “industry,” with its deep pockets, has been fighting this prop...