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Policy Snapshot

October 18, 2024

CMS Finalizes New Medicare Appeal Rights for Hospital Status Changes

Recently, the Centers for Medicare & Medicaid Services (CMS) finalized the Medicare Program: Appeal Rights for Certain Changes in Patient Status rule. This final rule establishes an appeal process for Medicare beneficiaries admitted as hospital inpatients but later reclassified as outpatients receiving...
Policy Snapshot

October 18, 2024

CMS Reporting of SNF Ownership and Management Sub-regulatory Guidance Released

The Centers for Medicare & Medicaid Services (CMS) announced recently that it will be revalidating enrolled skilled nursing facilities (SNFs) from October–December 2024 to collect data on ownership, managerial (e.g. medical directors), and related party information. To aid in the collection of that inf...
Policy Snapshot

December 12, 2025

CMS Indefinitely Suspends SNF Revalidation Deadline

The Centers for Medicare & Medicaid Services (CMS) has announced an indefinite suspension of the January 1, 2026, revalidation deadline for skilled nursing facilities (SNFs). This revalidation process was the primary mechanism CMS introduced to collect detailed ownership, managerial, and related-party ...
Policy Snapshot

February 2, 2024

SNF Provider Preview Reports Now Available

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the Care Compare website and the Provider Data Catalog (PDC) during the April 2024 refresh.
JAMDA

December 12, 2023

Focusing on Provider Quality Measurement: Continued Consensus and Feasibility Testing of Practice-Based Quality Measures for Primary Care Providers in Long-Term Care

Medical providers in long-term care (LTC) use a unique skillset in delivering comprehensive resident care. Publicly reported quality measures (QMs) do not directly emphasize medical provider competency and their role in care. The impact of providers is understudied and to a large extent, unknown. Our objec...
Long Term Care Information Series

The Younger Adult in the Long-Term Care Setting

Long-term care (LTC) is no longer synonymous with "geriatric care." In the past 10 years, adults ages 31 to 64 have been the fastest growing population in nursing homes. The last national nursing home survey sponsored by the Centers for Disease Control and Prevention (CDC) in 2008 estimated that ...