Policy Snapshot
April 20, 2026
Showing 21 - 30 of 198 results
Caring for the Ages
March 2, 2026
Nursing Home Parenteral Therapies: Clinical Guidance and Payment Considerations
The most fundamental principle in geriatric and long-term care medicine: ensure every treatment order aligns with the resident’s values and goals of care—eliciting these is a core skill for long-term care physicians. Many residents have multimorbidity, and a substantial proportion are at the end of life. E...
JAMDA
January 7, 2026
The Effects of Medicaid Payment and Payment-to-Cost Ratio on Nursing Home Five-Star Quality Ratings
Medicaid is the largest payer of nursing home (NH) care in the United States, yet Medicaid payments are not required to cover the full cost of care. Little is known about the relationship between Medicaid payment adequacy and Care Compare's star ratings. This study examined the association between Med...
JAMDA
December 20, 2021
Reimagining Financing and Payment of Long-Term Care
The COVID-19 pandemic revealed fundamental problems with the structure of long-term care financing and payment in the United States. The piecemeal system that exists suffers from several key problems, including underfunding, fragmentation across types and sites of care, and substantial variation in payment...
Policy Snapshot
November 1, 2024
Ask Congress to Support New Bill Preventing Medicare Payment Cuts
Without congressional action, the budget neutrality requirements mandated by the CY 2025 Medicare Physician Fee Schedule (MPFS) Proposed Rule will cause the Conversion Factor (CF) to decrease from approximately $33.29 to $32.36 starting January 1, 2025. This 2.8% reduction marks the fifth consecutive year ...
Policy Snapshot
October 7, 2024
CMS to Provide Hurricane Helene Public Health Emergency Accelerated Payments to Medicare Fee-for-Service Providers and Suppliers
The Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS,) is taking action to support providers and suppliers impacted by Hurricane Helene within the Federal Emergency Management Agency disaster zones under the president’s major disaster declarations...
JAMDA
June 11, 2025
Did Site-Neutral Payment for Long-Term Care Hospitals Reduce Financial Incentives to Time Discharge?
Historically, fee-for-service Medicare reimbursed long-term care hospital (LTCH) stays as a lump-sum payment, which was substantially reduced for discharges before the diagnosis-specific short-stay outlier (SSO) threshold day, leading to large spikes in discharges on the threshold day. The objective of thi...
Policy Snapshot
March 31, 2025
CMS Issues Guidance on Improving Payment Accuracy for Physician Services in SNFs
The Centers for Medicare & Medicaid Services (CMS) has released a new MLN Matters aimed at enhancing payment accuracy for physician services provided in skilled nursing facilities (SNFs). Effective July 1, 2025, these measures will address common misclassifications of Place of Service (POS) codes that ...
JAMDA
December 10, 2025
Changes in Patient Medical Complexity After Skilled Nursing Facility Payment Reform: A Qualitative Study
The skilled nursing facility (SNF) patient-driven payment model (PDPM) is intended to align payment with patient clinical characteristics to more accurately compensate complex and resource intensive care. However, it is unclear whether and how SNFs shifted their admission practices to align PDPM's fin...
JAMDA
December 9, 2025
Changing Patient Medical Complexity After Skilled Nursing Facility Payment Reform: An Interrupted Time Series Analysis
Medicare implemented a new skilled nursing facility (SNF) payment model, the Patient-Driven Payment Model (PDPM), in part to incentivize SNFs to admit more medically complex patients. However, it is unclear whether PDPM led to changes in case-mix in SNFs, and whether response to PDPM differed by SNF qualit...
