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COMING SOON - PDPM Training Series: Countdown to October Implementation

On March 19, 2019 by Jeff Bostic

Patient Driven Payment Model, or PDPM, is the biggest change to care center reimbursement since RUGs, and it goes into effect in just six months – Oct. 1. Get your organization ready for the conversion through a series of training opportunities from LeadingAge Minnesota:  

Long-Term Services and Supports Costly Now, More So in Future

On February 13, 2019 by Jodi Boyne

Two studies, one issued by the Commonwealth Fund and one by the congressional Joint Economic Committee, show the difficulty long-term services and supports costs pose for older people and their families now and how these costs likely will increase for the future as informal, unpaid family caregiving becomes less available. 

New Opportunities in New Bundled Payment for Care Improvement

On October 23, 2018 by Jodi Boyne

The Centers for Medicare & Medicaid Services (CMS) recently announced that close to 1,300 entities have signed up to participate in the Bundled Payment for Care Improvement Advanced (BPCI Advanced) Model on a voluntary basis. A new blog post from Health Dimensions Group (HDG) provides basic facts, a fresh perspective on what this means and what providers should do next.   

Now Available: Webinar Recording - New Medicare Care Center Payment System

On August 28, 2018 by Jeff Bostic

LeadingAge Minnesota and Health Dimensions Group last week hosted a webinar on the new Patient Driven Payment Model (PDPM), which is scheduled to take effect on October 1, 2019 and will make dramatic changes in how Medicare pays for services in care centers.  

Value Over Volume: Lancaster Pollard Reviews PDPM

On July 17, 2018 by Jodi Boyne

As we first reported in May, the Centers for Medicare & Medicaid Services (CMS) is proposing an entirely new case mix payment system to take effect on Oct. 1, 2019. In this week’s Advantage, we feature a review of this Patient-Drive Payment Model (PDPM) from Lancaster Pollard.  

Billing University is Aug. 8-9, Registration Open

On June 26, 2018 by Heidi Simpson

This annual two-day intensive learning experience for new and seasoned business office staff is Aug. 8-9. Billing University delivers training designed to improve the financial health of care centers with the knowledge, skills and resources necessary to capture appropriate reimbursement and revenue for services and care provided. 

Time to Select New QIIP Goals

On May 22, 2018 by Jeff Bostic

The Minnesota Department of Human Services (DHS) recently prepared the data needed for all care centers in the Medical Assistance program to select a new goal to work on for another round of the Quality Improvement Incentive Payment Program (QIIP). Each year, based on their progress toward the goal they select, care centers receive a rate increase of up to $3.50 per resident day. 

More Information on Payment Changes in Proposed PPS Rule

On May 15, 2018 by Jeff Bostic

In this week’s update on the proposed Skilled Nursing Facility Prospective Payment System (PPS) rule, we provide more information on payment changes. 

New Analysis on Proposed SNF Payment Rule

On May 9, 2018 by Jeff Bostic

As we covered in last week’s Advantage, the new proposed payment system from the Centers for Medicare & Medicaid Services for skilled nursing facilities will be the first year where Value-Based Purchasing (VBP) will be implemented. LeadingAge has prepared a detailed analysis of the proposed changes to the VBP program and the Quality Reporting Program. 

CMS Decelerates New Resident Classification System

On March 20, 2018 by Jeff Bostic

The Centers for Medicare & Medicaid Services (CMS) announced last week that the proposed Resident Classification System (RCS-I) is not ready for implementation and may not be included in the upcoming FY19 proposed rule. 

LeadingAge Seeks Input on Payment and Service Delivery Reform

On January 31, 2018 by Jodi Boyne

LeadingAge is seeking input on your organization’s level of activity or interest in payment and service delivery reforms. The short survey asks questions on activities you are engaged in currently and your interest in future participation models such as bundled payments, service-enriched housing and integrated services. 

DHS Seeks Nursing Home PIPP Proposals

On January 23, 2018 by Julie Apold

The Minnesota Department of Human Services (DHS) is seeking proposals for the next round of the Nursing Home Performance-Based Incentive Payment Program (PIPP). Proposals are due May 1. Incentive payments for selected projects will begin on Jan. 1, 2019. 

LeadingAge Shares New Vision for Health Care System Reform

On December 20, 2017 by Kari Thurlow

Addressing the needs of a rapidly growing older population is one of the major challenges facing the United States over the next few decades and an unprecedented opportunity to redesign the current system for delivering health care and long-term services and supports. LeadingAge last week announced its proposal for reforming the American health care system in a new report, Integrated Service Delivery: A LeadingAge Vision for America's’ Aging Population.  

Updated Forecast Shows Continued Shift from Care Centers to Community Services

On December 5, 2017 by Jeff Bostic

As part of the state budget forecast released by the Minnesota Department of Management and Budget yesterday, the projections for spending and enrollment in all Minnesota Department of Human Services (DHS) programs, including care centers and Elderly Waiver, were updated. The new numbers show a continued shift away from care centers and toward more Medicaid recipients being served in community settings. 

Act Now: Contact Your Local Chamber of Commerce

On November 29, 2017 by Kari Thurlow

The Minnesota Chamber of Commerce is currently in the process of developing its policy positions for the 2018 legislative session. One of the proposed positions being considered by its health policy committee takes aim at Medicaid spending. The Long-Term Care Imperative has expressed concern with the draft policy position, met with Minnesota Chamber staff on the issue and participated in the Chamber’s health policy committee discussions, but little has been done to address our concerns. 

No DUNS, No Payments

On October 10, 2017 by Bobbie DuChamp Guidry

Active DUNS numbers will be required effective Dec.1 by the U.S. Housing & Urban Development Department (HUD) to ensure payments for subsidies. Voucher submissions in November for December payments must include the DUNS number for the owner or be rejected.

DHS Updates Form for Managed Care Communication

On October 3, 2017 by Jeff Bostic

The Minnesota Department of Human Services (DHS) recently released an updated version of Form 4461. This form, which was created many years ago through work between DHS, health plans and provider groups, has become a key tool for tracking the number of days of nursing facility coverage that apply for individuals enrolled in the MSHO or MSC programs.  

LeadingAge Releases A New Vision for Long-Term Services and Supports

On August 15, 2017 by Jodi Boyne

LeadingAge last week unveiled A New Vision for Long-Term Services and Supports (LTSS), which outlines three essential features of a universal LTSS insurance program: 

CMS Webinar Will Provide IMPACT Act Update

On February 1, 2017 by Jonathan Lips

The Centers for Medicare & Medicaid Services (CMS) will host a free webinar, Looking Ahead: The IMPACT Act in 2017, on Feb. 23 from 12:30 p.m. to 2 p.m. 

Full Repeal of ACA Could Have Far-Reaching Impacts on Older Adult Services

On January 18, 2017 by Kari Thurlow

It has been more than six years since the implementation of the Affordable Care Act (ACA) and the impact of the law extends far beyond providing health insurance coverage for individuals. It has also impacted Medicare provider rates and care delivery and payment models. As Congress debates repeal of the ACA, the primary focus has been on the individual and employer insurance mandates and health insurance Exchanges. It is important that policymakers not forget the significant Medicare-related payment and care delivery initiatives and Medicare beneficiary enhancements that would be lost under a blanket repeal of the ACA. 

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