Recent Activity
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SNF Quality Reporting Program Deadline – May 15
This year, SNFs can access a new SNF QRP Provider Threshold Report in the CASPER system that shows, by measure, whether the SNF is sufficiently reporting data. Just because an MDS has been submitted for admission or discharge ...
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CMS Opens Door for Additional States to Pursue Dual Integration Models
The two models for additional testing include a: Capitated Model, through which CMS, the state, and health plans (called Medicare-Medicaid Plans or MMPs) enter into three-way contracts to provide the full array of Medicare and Medicaid services for enrollees (e.g., Illinois Medicare-Medicaid Alignment Initiative ...
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Hospice and Skilled Nursing Proposed Payment Updates
Hospice Payment Update The proposed payment update for FY 2020 is 2.7% based on the estimated inpatient hospital market basket update of 3.2% minus the multifactor productivity adjustment estimated at 0.5%. CMS indicates this to be a $540 million increase in payments. However, that is a simplistic overview ...
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CMS Finalizes Chronically Ill Benefits, DSNP Integration, and Telehealth policies for MA
As it relates to Medicare Advantage (MA) plans offering supplemental benefits, CMS made two key changes in the final Call Letter. The first was to include a larger rate increase to MA plans than originally proposed – now 2.53%, an increase of nearly 1%. This “modest” increase, as it ...
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Registration and Reporting Required for ALL Service Coordination Positions Using HUD Funds
In early April, HUD sent out over TRACS a message to all multifamily housing providers stating that “If your property employs or contracts a social service staff person to support the needs of elderly or disabled residents, you MUST report.” HUD’s Standards for Success is the new performance reporting ...