PALTmed and LTC ACO have launched the Value-Based Care (VBC) Joint Alliance. This collaboration aims to help long-term care and assisted living providers engage in Medicare’s value-based care programs, enhancing care quality, maximizing shared savings opportunities, and increasing provider participation in...
Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr., and CMS Administrator Dr. Mehmet Oz recently met with industry leaders to discuss their pledge to streamline and improve the prior authorization processes for Medicare Advantage, Medicaid Managed Care, Health Insurance Marketplace®, and comm...
The Centers for Medicare & Medicaid Services (CMS) has identified a fraud scheme targeting Medicare providers and suppliers. Scammers are impersonating CMS and sending fax requests for medical records and documentation, falsely claiming to be part of a Medicare audit.
The Improving Access to Medicare Coverage Act has been reintroduced by Rep. Joe Courtney (D-CT) as H.R. 3954 in the House. The bipartisan legislation aims to correct a longstanding issue in Medicare policy that impacts thousands of beneficiaries each year.
The Office of Inspector General (OIG) recently launched an official evaluation into how nursing homes engage their medical directors. The evaluation will focus on the accuracy of reported work hours and the fulfillment of required duties. The initiative follows concerns about the validity and utility of da...
Just 10 minutes of personalized engagement a day can have a profound positive effect on people living with dementia, according to the results of a new study that included a pilot of the program by a senior living and care provider. The results were published in the August 2025 issue of JAMDA, the Journal o...
The Post-Acute and Long-Term Care Medical Association (PALTmed) recently urged the Centers for Medicare & Medicaid Services to develop and fund initiatives giving post-acute care settings interoperable health information technology (IT) tools.
The Office of Inspector General has announced it will take a magnifying glass to how nursing homes employ and pay medical directors, as well as keep track of the work performed. The added scrutiny — and attempts to ensure greater transparency — is something post-acute care physicians say they welcome, as ...
CMS opened the Doctors and Clinicians Preview Period on Tuesday, May 27, 2025. This gives clinicians and groups the ability to review their 2023 Quality Payment Program (QPP) performance information before it’s publicly reported on the profile pages of clinicians and groups on the Medicare.gov compare tool...