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Focus on Value and Outcomes as Payment Models Evolve

On January 21, 2020 by Jodi Boyne

Post-acute care providers must demonstrate their value and outcomes in more care setting as payment models evolve in the coming years, according to a new report by Avalere Health.  

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. 

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