Skilled nursing facilities collect standardized functional data on every Medicare beneficiary they admit. Through Section GG of the Minimum Data Set, clinicians assess mobility and self-care at ...

The Centers for Medicare and Medicaid Services is freezing enrollment in Elevance Health's Medicare Advantage-Prescription Drug Plans for alleged noncompliance with risk adjustment and data submission ...

WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) will implement a six-month nationwide moratorium on the Medicare enrollment of DMEPOS supplier medical supply companies, according to a ...

In Phase 3 of the RoPs, facilities must develop, implement, and maintain an effective comprehensive, data-driven Quality Assurance Performance Improvement (QAPI) program. They must conduct distinct ...

Provider Magazine / Issues / 2019 / May 2019 / RoP, QAPI Resources to Encourage, Support Efforts Back to Cover Story ...

Recently, I revisited our Discharge Function score calculator in conjunction with our partner organization. What we discovered is that there is still a need for conversation with the Centers for ...

The Centers for Medicare & Medicaid Services (CMS) has proposed new regulations for 2027, aimed at lowering health care costs and expanding consumer choice. They also aim to protect taxpayers with a ...

The Department of Health and Human Services has announced the repeal of standardized plan options in Affordable Care Act coverage. The Centers for Medicare & Medicaid Services proposes to discontinue ...

The Centers for Medicare & Medicaid Services (CMS) finalized a Medicaid rule, last week, which closes an especially egregious loophole that allowed states to extract additional federal funding through ...

CMS unveiled a proposed rule Feb. 9 that would reshape the ACA marketplace for plan year 2027, expanding insurer flexibility on plan design, tightening eligibility verification, and re-introducing ...

Emanuel is vice provost for global initiatives and co-director of the Healthcare Transformation Institute at the Perelman School of Medicine and the Wharton School at the University of Pennsylvania.