CMS’s Regulatory Delay: What’s In, What’s Out, and Why Nursing Homes Could ‘Substantially’ Reduce Costs

Skilled nursing facilities could see relief from regulatory burdens if a proposed rule from the Centers for Medicare & Medicaid Services (CMS) takes effect, and according to the agency, it could lead to millions in savings. Specifically, the rule would overhaul multiple requirements and delay the implementation of regulations related to the Quality Assurance and […]

Verma: CMS ‘Doubling Down’ on Nursing Home Safety Oversight

The Centers for Medicare & Medicaid Services (CMS) this week issued yet another new proposal aimed at overhauling federal oversight of nursing homes, and the agency’s chief reaffirmed her dedication to the issue. “The Trump administration is empowering residents and their caregivers with information about nursing home safety and quality, and we’re doubling down on […]

CMS Finalizes Reversal of Arbitration Ban in Nursing Homes, Proposes Partial Phase 3 RoP Delay

The federal government on Tuesday finalized a rule that allows skilled nursing operators to use arbitration agreements with their residents, while also proposing a new rule to reduce paperwork burdens that would delay certain aspects of the Requirements of Participation. The Centers for Medicare & Medicaid Services (CMS) struck something of a compromise with the […]

Proposed Mandatory Payment Model for Dialysis Could Have Skilled Nursing Promise

The federal government on Wednesday unveiled a new proposed payment model for certain kidney-related conditions, and several providers in the space say it could have serious potential for skilled nursing operators. Under the proposed End-Stage Renal Disease (ESRD) Treatment Choices (ETC) model, Medicare would expand coverage of care for kidney diseases and offer financial incentives […]

As PDPM Looms, Providers Must Balance Desire to Boost Payments with Audit Dangers

Under the Patient-Driven Payment Model (PDPM), reimbursement for Medicare Part A patients in skilled nursing facilities will be driven by patient condition, rather than by therapy minutes provided to that patient. It’s a change that the industry has hailed as an opportunity to receive financial credit for the care that they’re already providing, but they […]

Bill Would Bring New Quality Measures to Skilled Nursing Value-Based Purchasing Program

A bipartisan pair of U.S. representatives late last week submitted legislation that would potentially bring new quality measures to the federal Value-Based Purchasing (VBP) program. HR 3406, introduced in the House of Representatives last Friday, would empower the Centers for Medicare & Medicaid Services (CMS) to roll out up to 10 additional metrics for inclusion […]

How Skilled Nursing Facilities Can Win Under the New Five-Star System

The federal government hit skilled nursing facilities with a flurry of changes to its quality rating system earlier this year, but by diving into their own data, SNFs can pinpoint how to do better — while making the best use of their limited resources. Some key steps include scrutinizing a facility’s Certification and Survey Provider […]

OIG Calls on CMS to Crack Down on Abuse in Nursing Homes, Other Settings

The federal government’s top health care watchdog on Wednesday released a new report accusing the Centers for Medicare & Medicaid Services (CMS) of not doing enough to monitor and punish elder abuse in nursing homes and other settings. The Department of Health and Human Services (HHS) determined that CMS could perform detailed analyses of diagnosis […]

CMS ‘Just Getting Started’ on Nursing Home Oversight Amid ‘Secret’ List Controversy

The federal government on Wednesday again defended its work to regulate and punish underperforming nursing homes, as the controversy surrounding a “secret” list of troubled skilled nursing facilities entered its third day. Centers for Medicare & Medicaid Services (CMS) chief medical officer Kate Goodrich confirmed a Tuesday report that the agency will soon begin releasing […]

CMS Could Release Monthly List of Special Focus Candidates After Senators’ Report

Federal officials could soon begin releasing a previously undisclosed list of underperforming nursing homes targeted for potential inclusion in the Special Focus Facility program, SNN has learned. The Centers for Medicare & Medicaid Services’ (CMS) roster of “candidates” for Special Focus Facility status became public on Monday, when a bipartisan pair of senators released the […]

Senators Release ‘Secret’ List of Troubled Nursing Homes Considered for Special Focus

A bipartisan pair of U.S. senators on Monday released a previously undisclosed list of more than 400 nursing homes under consideration for placement on the federal government’s roster of properties with serious quality issues. The list, furnished by the Centers for Medicare & Medicaid Services (CMS), consists of “candidates” for the Special Focus Facilities (SFF) […]

Full Medicare Part A Funding Will Run Out in 2026, Two-Thirds of SNFs in the Red by 2040

The trust fund that supports Medicare Part A coverage will run out of money to cover full benefits in just seven years, the federal government announced on Monday, with potentially devastating long-term effects for the majority of nursing home operators. The Hospital Insurance (HI) Trust Fund, which directly supports Medicare Part A benefits — including […]

CMS Shares Strategies for Successful Collaborations Between ACOs, Nursing Homes

The federal government released a breakdown of strategies that accountable care organizations (ACOs) have used to successfully partner with skilled nursing facilities — a move that could indicate policymakers’ continued support of the care models. The Centers for Medicare & Medicaid Services (CMS) recently released a care coordination toolkit for ACOs that drew from focus […]

GAO: CMS Must Strengthen State-Level Oversight of Skilled Nursing Facilities

For at least 15 years, the Centers for Medicare & Medicaid Services (CMS) failed to deal with gaps in the federal oversight of nursing home abuse investigations in Oregon, the U.S. Government Accountability Office (GAO) determined in a management report released on Monday — and officials want a review of state-level rules nationwide. CMS oversees […]

CMS Finalizes Expanded Medicare Advantage Telehealth Coverage

The Centers for Medicare & Medicaid Services (CMS) on Friday finalized new guidance that will allow Medicare Advantage plans to expand coverage of telehealth services. Beginning in plan year 2020, Medicare Advantage providers can include telehealth services as part of their basic benefits to enrollees, moving remote doctor visits from an optional add-on to a […]