Multiple Medicare statutory payment provisions expired on October 1, 2025, due to the absence of congressional action. With the passage of the Continuing Appropriations, Agriculture, Legislative Branch, Military Construction, and Veterans Affairs, and Extensions Act of 2026 (Pub. L. 119-37), Congress retro...
The 2024 Interim Meeting of the American Medical Association (AMA) House of Delegates covered critical issues affecting the U.S. health-care system. Among the most pressing topics was Medicare physician payment, which remains the AMA's top advocacy priority. The Centers for Medicare & Medicaid Ser...
The number of people living with dementia (PLWD) is expected to grow considerably in the coming years. PLWD often have substantial medical and supportive service needs and face fragmentation of services across payers and across health and social service systems; recently, efforts have been made to achieve ...
In written comments to the House Ways and Means Health Subcommittee Hearing, After the Hospital: Ensuring Access to Quality Post-Acute Care, PALTmed President Sabine von Preyss-Friedman, MD, FACP, CMD, highlighted key challenges in post-acute and long-term care (PALTC). These include workforce shortages, o...
The complex care needs of older adults arising at the intersection of age-related illnesses, military service, and social barriers have presented challenges to the US Department of Veterans Affairs (VA) for decades. In response, the VA has invested in centers that integrate research, education, and clinica...
Medicare Shared Savings Program (MSSP) was implemented in 2012, but the impact of the MSSP on institutional post-acute care (PAC) use, and by race/ethnicity and payer status is less studied. We studied the impact of hospital participation in the MSSP on institutional PAC use and variations by race/ethnicit...
Long-term services and supports (LTSS), including care received at home and in residential settings such as nursing homes, are highly racially segregated; Black, Indigenous, and persons of color (BIPOC) users have less access to quality care and report poorer quality of life compared to their White counter...
Medicare pays for vaccines administered during a patient’s stay in a nursing home. Vaccine payment depends on the type of vaccine and whether the patient is using their Skilled Nursing Facility Part A benefit. Learn how to bill for a number of vaccines
The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 Medicare Physician Fee Schedule Proposed Rule (MPFS) that includes yet another 2.8% cut to Medicare payments on January 1, 2025. Reps. Mariannette Miller-Meeks, MD (R-IA) and Jimmy Panetta (D-CA), along with a bipartisan grou...