Regulations
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Dementia Care Model Announced
Better care for those with dementia and their caregivers is the goal of the new Medicare GUIDE model. The newly released model is an opportunity for physicians, home health, assisted living facilities, ACO REACH, shared savings ACOs and more. Read on for details.
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New Opportunities For FQHCs, Rural Health Clinics
From behavioral health policies to telehealth and care management codes, there are new opportunities emerging for federally qualified health centers and rural health clinics. You’ll want to read on for details.
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CMS Releases Proposed Nursing Home Minimum Staffing Rule
The much-anticipated proposed rule creating minimum staffing levels in nursing homes has been released by CMS. This was right on the heels of an inadvertent posting of CMS’s new staffing study. We have your high-level overview of both the staffing requirements and recent report.
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New Green Energy Tax Credits Available to For-Profit, Tax-Exempt, Governmental
More details emerge on many green energy tax credits now available for health care and life science entities. For non-federal taxpaying organizations like not-for-profits and governmental units, you can also access the tax credits as direct payments instead. This is a big opportunity that all should consider. Read on for details and information on registering for our complimentary webinar.
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CMS Returning $9 Billion to 340B Hospitals; All OPPS Hospitals Face 16 years of Cuts
After the U.S. Supreme Court ruled in their favor, 340B hospitals will be pleased to see $9 billion in lump sum payments returned to them under CMS’s proposed remedy. However, all hospitals paid under the outpatient prospective payment system will see reimbursement reductions. Read on to learn why.
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Congress Turning Attention on Hospitals
Even though hospitals and health systems may still be recovering from various pandemic-related impacts, that is not stopping Congress from looking into key issues. We provide our outlook on four of those focus areas — site neutral payments, price transparency, 340B and consolidation — and then what you can do about them.
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Minimum Data Set Changes Coming in October – Are You Ready?
Big changes are coming to skilled nursing facilities in October related to the minimum data set. Learn more in today’s blog and reach out if CLA can assist.
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All Skilled Nursing Facilities Face MAC-Probe and Educate Review Starting June 5
Medicare’s projected improper payment rate for skilled nursing facilities is far too high for CMS, prompting the agency to mandate MACs perform a 5-claim probe and educate review on all SNFs. Read on for details plus information on improper rates for other settings.
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Movements in Home Care, Home Health
Care at home continues to garner attention and growing interest from payers, providers and investors. What are the top five things you should keep in mind as the industry moves forward? Read on for details.
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A Perspective for Health Tech: What Physicians, Hospitals and Senior Living Providers Need
The pandemic is still taking a personal and financial toll on many health care providers, and tech deals are significantly down since 2020. What are health tech companies to do? Read our three tips on how to better position health tech products and solutions with providers.