Palliative care payment model is on the not-so-distant horizon, advocates believe
By
Diane Eastabrook
Jun 28, 2021
Palliative care advocates are gaining confidence the Center for Medicare and Medicaid Innovation (CMMI) will give the go-ahead for a demonstration payment model covering community-based palliative care.
CMS announces Alzheimer’s drug coverage policy, but ‘the devil is in the details,’ experts say
By
Kimberly Bonvissuto
Jun 01, 2023
A Thursday announcement by the Centers for Medicare & Medicaid Services regarding coverage of Alzheimer’s drugs is being met with skepticism by some industry advocates who say that “the devil is in...
Members of Congress call on CMS to collaborate in addressing nursing home workforce challenges
By
Kathleen Steele Gaivin
Sep 14, 2022
A bipartisan group of members of the House of Representatives is looking to the Centers for Medicare & Medicaid Services to work with them to resolve workforce shortages experienced by nursing homes across...
Erickson Senior Living’s MA plan earns top recognition from CMS for fourth year in a row
By
Kathleen Steele Gaivin
Oct 19, 2023
Erickson Advantage, Erickson Senior Living’s resident-only Medicare Advantage plan, has earned five stars from the Centers for Medicare & Medicaid Services for the fourth consecutive year.
CMS: Older adults dominate HCBS participant numbers but not spending or time
By
Lois A. Bowers
Nov 14, 2016
Older adults and/or people with disabilities account for the majority of recipients of home- and community-based services funded through Medicaid Section 1915(c) waivers, although the average dollar amount...
Power seat elevation on power wheelchairs now covered as DME in ‘landmark’ CMS decision
By
Lois A. Bowers
May 16, 2023
For the first time ever, power seat elevation on power wheelchairs will be covered as durable medical equipment through the Medicare program, according to a benefit category determination and national...
Skilled nursing occupancy increases are beginning to slow: NIC report
By
Kathleen Steele Gaivin
Nov 12, 2021
Although skilled nursing occupancy increased for seven consecutive, NIC MAP data reported a slowdown in August in its November skilled nursing monthly report.
Home care lauds new legislation that would create national long-term care insurance plan
By
Diane Eastabrook
Jul 02, 2021
A new bill before Congress would help seniors pay for long-term care at home. On Thursday, Rep. Thomas Suozzi (D-NY) introduced the Well-Being Insurance for Seniors to be at Home (WISH) Act.
CMS reports $5.9 billion decrease in improper home health payments
By
Joe Jancsurak
Nov 19, 2020
Home health changes resulted in a $5.9 billion decrease in estimated improper payments from fiscal year 2016 to fiscal year 2020, the Centers for Medicare & Medicaid Services announced.
More news for Monday, Nov. 7
By
Kimberly Bonvissuto
Nov 07, 2022
HUD opens 5th round of COVID supplemental payments, reduces reimbursements for senior housing … Front Porch expands memory care programs to meet increasing demand … Active adult data now available...