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...
A bipartisan majority in the House of Representatives, consisting of 233 members, has signed a letter urging leadership to swiftly implement legislative solutions to prevent a 2.8% cut to Medicare payments set for January 1, 2025. The letter emphasizes the need for a payment update reflecting the actual pa...
On January 31, a bipartisan group of 10 House of Representatives members introduced legislation, the Medicare Patient Access and Practice Stabilization Act, aimed at halting the 2.83% Medicare payment cut to clinicians for this year. The bill also proposes a 2% payment increase to help stabilize medical pr...
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...
Two new COVID vaccines were approved for use late last week, and experts continue to encourage seniors to get the booster, but payment issues for nursing homes and long-term care pharmacies complicate access for residents.
To document and highlight the variation in the types of assisted living (AL) licensed settings eligible for Medicaid home and community-based services (HCBS) payment.
In response to payment changes stemming from CMS’ 2026 practice expense (PE) methodology updates, PALTmed is continuing its advocacy and education efforts focused on clinician reimbursement in skilled nursing facilities (SNFs) and nursing facilities (NFs). PALTmed has raised concerns that CMS’ revised meth...
This study aimed to clarify the difference in (1) long-term care (LTC) usage and expenditure and (2) medical care service usage and expenditure before and after the change in the copayment limit for qualifying individuals from 10% to 20%.
A national survey of physician practices led by the American Medical Association (AMA) is underway and we urge your cooperation with this effort. The objective of the Physician Practice Information (PPI) Survey is to gather accurate data on practice costs and the hours of patient care that physicians provi...