The Centers for Medicare & Medicaid Services has selected six organizations to implement a new payment model in phase two of its Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents. The model seeks to reduce avoidable hospitalizations among long-stay residents eligible for Medicare and/or Medicaid by providing new payments to practitioners for engaging in multidisciplinary care planning activities. The participating skilled nursing facilities also will receive payment to provide additional treatment for common medical conditions that often lead to avoidable hospitalizations. Beginning this fall, the organizations will implement the payment model with both their existing partner facilities, where they provide training and clinical interventions, and in a comparable number of additional facilities to be recruited over the next several months. The four-year phase will be implemented through cooperative agreements with Alabama Quality Assurance Foundation; HealthInsight of Nevada; Indiana University; The Curators of the University of Missouri; The Greater New York Hospital Foundation; and UPMC Community Provider Services. For more on the initiative, visit www.cms.gov.

Related News Articles

Headline
The Centers for Medicare & Medicaid Services April 11 issued a proposed rule for the skilled nursing facility prospective payment system for fiscal year…
Headline
The AHA today urged the Medicare Payment Advisory Commission to update payment recommendations for hospitals, post-acute care facilities and physicians in…
Headline
The Centers for Medicare & Medicaid Services today issued its calendar year 2025 final rule for the home health prospective payment system. Overall, this…
Headline
A report released Oct. 17 by the Senate Homeland Security Committee’s investigative subcommittee scrutinizes some of the nation's largest Medicare Advantage…
Headline
The AHA Sept. 17 urged the Department of Health and Human Services’ Office of Inspector General to further scrutinize policies and practices by certain…
Headline
The AHA Aug. 26 commented on the Centers for Medicare & Medicaid Services' home health prospective payment system proposed rule for calendar year 2025,…