Policy Snapshot
February 2, 2024
Showing 201 - 210 of 212 results
JAMDA
February 19, 2021
Appropriateness of Long-Term Acute Care Hospital Transfer: A Multicenter Study of Medicare ACO Beneficiaries
There is wide variation in long-term acute care hospital (LTACH) use nationwide, the most intensive and expensive post-acute care setting, although appropriateness of use is uncertain. Therefore, we examined the appropriateness and reasons for transfer in a high-use region, and how Medicare criteria for LT...
Policy Snapshot
March 31, 2026
Make Your Voice Heard: Fix Practice Expense Cuts in Skilled Nursing Facilities
Contact the Centers for Medicare & Medicaid Services regarding recent reductions to Practice Expense (PE) RVUs for services in Skilled Nursing Facilities (POS 31). These cuts create an artificial payment difference that does not reflect clinical reality. There is no meaningful difference in the cost of...
PALTmed In The News
June 17, 2025
SNF medical directors cautiously optimistic about fed plans to examine their work
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 ...
Caring for the Ages
April 6, 2026
Dehydration by Degrees: The Case for Targeted IV Hydration in Long-Term Care
Chronic subclinical hypohydration in SNF residents is real, measurable, and consequential — and the clinical and regulatory framework for addressing it already exists. This article is a response to Nursing Home Parenteral Therapies: Clinical Guidance and Payment Considerations in last month’s Caring for th...
Policy Snapshot
December 21, 2023
Reminder: MIPS Hardship Exemption Due January 2
The deadline for MIPS-eligible clinicians to apply for an Extreme and Uncontrollable Circumstances (EUC) hardship exception is January 2, 2024. This application is relevant to the 2023 MIPS performance period, which will affect Medicare payments in 2025.
Policy Snapshot
January 19, 2024
CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process
CMS has finalized its Interoperability and Prior Authorization final rule (CMS-0057-F). The rule sets requirements for Medicare Advantage organizations, Medicaid and the Children’s Health Insurance Program (CHIP) fee-for-service programs, Medicaid managed care plans, CHIP managed care entities, and issuers...
JAMDA
May 5, 2016
Skin Failure: An Emerging Concept
Skin failure is an emerging concept that clarifies trends in clinical practice. Its recognition provides common nomenclature, opens research directions, and questions assumptions regarding pressure ulcers as a quality measure. Adoption of the term is a step toward uniform terminology in compliance with a v...
JAMDA
July 25, 2018
A Quality of Care Framework for Home-Based Medical Care
More than 6 million adults in the United States are homebound or semi-homebound and would benefit from home-based medical care (HBMC). There is currently no nationally recognized quality of care framework for home-based medical care. We sought to capture diverse stakeholder perspectives on the essential as...
JAMDA
July 3, 2026
The Embedded Model for Bridging Essential Delivery of Care in Assisted Living Facilities—EMBED-ALF
Older adults residing in assisted living facilities (ALFs) often face fragmented medical care, especially when managing complex chronic conditions, cognitive impairment, or end-of-life needs. This article describes an interprofessional provider-led, integrated care model embedded within an ALF in a major m...
