On July 4, President Donald Trump signed into law H.R. 1, the One Big Beautiful Bill Act (OBBA). Go here to get an overview of its key implications for the post-acute and long-term care (PALTC) settings.
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.
Medicaid is the primary payer for most nursing home residents and reimburses below the cost of care, limiting the ability of nursing homes to increase staffing levels. This study examined the association of nursing staff levels and expenditures with Medicaid payer-mix and determined whether these associati...
To determine if health care settings in the last year of life and location of death differ between long-term care (LTC) residents with and without schizophrenia.
To explore prescription patterns of SGLT2 inhibitors (SGLT2i) and GLP-1 receptor agonists (GLP-1RA) in older adults with type 2 diabetes (T2DM), analyzing age and sex differences.
Important risk factors for mortality include frailty and illness severity. The National Early Warning Score 2 (NEWS2) is widely used to assess acute illness severity and mortality risk, but age and frailty's impact on the association between NEWS2 and mortality is less understood, particularly in nonh...