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Staffing Requirements: The Revised Requirements of Participation

On October 4, 2016, the Centers for Medicare & Medicaid Services (CMS) published revised Requirements of Participation (RoP) for skilled nursing facilities (Medicare) and nursing facilities (Medicaid).

CBO Report Confirms ACA Repeal Legislation Will Reduce Health Coverage, Care and Undermine Medicare

The proposed Affordable Care Act (ACA) repeal legislation, the American Health Care Act, would cause 24 million people to lose coverage and cut Medicaid by $880 billion.

Mandatory Nurse Staffing Levels

Mandating specific levels of direct care nursing staff would seem to be a straightforward method to improve staffing in nursing facilities. If more nursing staff are needed, why not simply require facilities to employ more nurses? The strategy is far more complex, however, than it at first appears. This paper reviews which states have tried this approach, what they have done, how they did it, and whether it worked. It also considers unintended consequences of mandating staffing levels and co

Medicaid is Essential for Millions of Medicare Beneficiaries

Recent report details details the crucial role Medicaid plays for the 10 million Medicare beneficiaries who also receive Medicaid.

March 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues

Updates on Litigation, Health Reform, Observation Status & Other Issues

Look for the Moon!

Beginning no later than March 8, 2017, hospitals are required to give written and oral notice to Medicare patients when they are placed in “outpatient” observation status for 24 hours and are not formally admitted as inpatients. The written notice is called the Medicare Outpatient Observation Notice (MOON).

Repealing Medicaid Expansion Could Lead to Thousands of Deaths in the U.S. Annually

Repealing Medicaid Expansion Could Lead to Thousands of Deaths in the U.S. Annually

Back to the Future: High Risk Pools Annotated Bibliography

High Risk pools are not a new idea. They failed before ACA because they did not provide quality, affordable insurance for quality care.

House Republicans Present Outline of Plan that Would Gut Health Coverage

House plan for ACA repeal is a major step backwards for our nation's health insurance coverage.

The Center for Medicare Advocacy Comments on the Confirmation Hearing of Seema Verma

It was clear that Ms. Verma will favor private insurance models. Her testimony should alarm advocates who fear further privatizing Medicare and capitating Medicaid.

CMS Issues Instructions Regarding the Medicare Outpatient Observation Notice (MOON)

Beginning no later than March 8, 2017, and as required by the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act), hospitals and critical access hospitals (CAHs) are required to give patients both oral and written notice when they are outpatients and not admitted as inpatients.

Affordable Care Act Replacement Proposals – Concerns and Resources

A list of ACA replacement materials available from colleagues and partnering organizations.

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