CMS Programs

Home Healthcare Agencies
CMS Proposes Change in HHA Reimbursements

Earlier this summer, CMS proposed payment updates for various sites of care. One of the most dramatic proposals will affect the home health agency prospective payment system (HHA-PPS). One of the primary differences in the payment update emphasizes a shift away from using therapy services as a replacement for patient…

SNF Quality Care Measures
Making SNF Care More Cost-Effective with Better Outcomes

Skilled Nursing Facilities (SNFs) are an important long-term care option for the aging U.S. population. They are essential in delivering quality care that is cost-effective. SNFs primarily differ from nursing homes in that SNF care is often covered by Medicare while nursing homes are not. Additionally, SNFs often serve as…

top hospitals by payor mix
Top Hospitals by Medicaid and Medicare Payor Mix

According to a survey released by the Medical Group Management Association (MGMA), operating expenses for medical practices increased at nearly the same rate as revenue between 2015 and 2016. Practices with increased revenue primarily attribute this growth to a greater number of non-physician providers (NPP) and key support staff. The…

Community Health Centers
Community Health Centers Show Billions in Medicare Savings

Every year, the Department of Health and Human Services (HHS) celebrates Community Health Centers Week. From August 12-19, the HHS acknowledged the impact that community health centers have on vulnerable and underserved populations by providing quality care regardless of patient ability to pay. Community health centers (CHCs) are community-based, patient-directed…

CRISPR cancer trials
The Unique Struggle of Academic Medical Centers

No sector of the healthcare industry has been spared from the disruptive effects of healthcare reform over the past several years, but academic medical centers have often been singled out as particularly vulnerable to the nationwide changes in health delivery. Academic medical centers (AMCs) not only tend to serve high-need…

Knee replacement
CMS Proposes Joint Replacement Coverage at ASCs

CMS announced on August 5 that they are considering whether to provide coverage for hip and knee replacement surgeries at outpatient surgery centers. This kind of coverage could further incentivize patients to choose ambulatory surgery centers (ASCs) over traditional hospitals for outpatient procedures, which worries some hospital leaders. Not only…

1 2