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).
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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.
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
Recent report details details the crucial role Medicaid plays for the 10 million Medicare beneficiaries who also receive Medicaid.
Updates on Litigation, Health Reform, Observation Status & Other Issues
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
High Risk pools are not a new idea. They failed before ACA because they did not provide quality, affordable insurance for quality care.
House plan for ACA repeal is a major step backwards for our nation's health insurance coverage.
It was clear that Ms. Verma will favor private insurance models. Her testimony should alarm advocates who fear further privatizing Medicare and capitating Medicaid.
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.
A list of ACA replacement materials available from colleagues and partnering organizations.