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Policy Snapshot

August 2, 2024

2025 Skilled Nursing Facility PPS Final Rule Released

On July 31, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2025. CMS is publishing this final rule that ...
Policy Snapshot

November 18, 2024

Highlights from the 2024 AMA Interim House of Delegates Meeting

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...
Policy Snapshot

August 29, 2025

2024 MIPS Final Scores and Targeted Review Available Mid-September

The Centers for Medicare & Medicaid Services (CMS) previously announced that there was a delay with receiving some of the final Medicare claims data needed to calculate cost measures, which is delaying the release of Merit-based Incentive Payment System (MIPS) final scores for the 2024 performance yea...
Policy Snapshot

July 29, 2022

CMS Enhances Nursing Home Rating System with Staffing and Turnover Data

This week the Centers for Medicare & Medicaid Services launched its enhanced Nursing Home Five-Star Quality Rating System, which integrates data nursing homes report on their weekend staffing rates for nurses and information on annual turnover among nurses and administrators.
Spotlight

September 29, 2025

Help Shape the Future of PALTC Policy

Next month, PALTmed members and other PALTC professionals will travel to Washington, DC, for the inaugural Advocacy Summit to help shape the future of post-acute and long-term care (PALTC) policy. Two of them—Sorah Levy, PhD(c), RN, RAC-CTA, RAC-CT, and Michele Brogunier, MD—are attending thanks to a Dr. R...
PALTmed In The News

June 13, 2024

Value-based care could boost SNF reimbursement rates: Viewpoint

Many nursing homes are closing due to financial strain, but changing service models from fee-for-service to value-based care could help improve their finances, Rajeev Kumar, MD, president of AMDA-The Society for Post-Acute and Long-Term Care Medicine, told Becker's in a recent interview
Policy Snapshot

April 12, 2024

Reminder: 2023 Data MIPS Submission and EUC Applications Close on Monday, April 15

In response to the Change Healthcare cyberattack in late February, the Centers for Medicare & Medicaid Services (CMS) extended the data submission deadline and reopened the 2023 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances (EUC) Exception Application to provide r...
Policy Snapshot

August 18, 2025

CMS Temporarily Pauses Nursing Home Care Compare Updates

The Centers for Medicare & Medicaid Services (CMS) has announced a temporary pause in the monthly updates to the Nursing Home Care Compare Five-Star Rating System. This pause is part of CMS’ transition to a new, cloud-based platform, the Internet Quality Improvement and Evaluation System (iQIES). ...
Policy Snapshot

February 16, 2024

Important Reminders When Submitting APP Data as a Shared Savings Program ACO

To be eligible for shared savings and shared losses through the Shared Savings Program, an ACO or third-party intermediary acting on behalf of the ACO must submit quality reporting data via the Alternative Payment Model (APM) Performance Pathway (APP). The data submission period opened on January 2, 2024. ...