Tag: CMS

Community-based Health Organizations – An Innovation Path for Supportive Services

Picture of Anne Montgomery

By Anne Montgomery Time is growing short to make big changes to basic processes for service delivery to elders, who will soon constitute one-fifth of the U.S. population. Basically, we have a mismatch between the health care delivery system and what many older adults actually need. Typically, older adults typically see multiple clinicians working in

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The April 2019 CMMI Proposals for Innovative Payment Models

Portrait of Dr. Joanne Lynn

By Joanne Lynn May 7, 2019 CMMI has announced that they will soon call for proposals for a bevy of new payment models, aiming to reduce hospitalization without harming quality by allowing a great deal of flexibility by practicing primary care clinicians for Part A and Part B services in Medicare and by allowing contracting

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Pick up the PACE to a New World of Eldercare

By Anne Montgomery, Sarah Slocum and Christine Stanik What do you need to know in order to remain in your own home as the years advance? Where can you turn for good, reliable services in a costly, chaotic, constantly shifting health care system? One possible answer is PACE (the Program of All-inclusive Care for the

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Through a Glass Darkly: The Community-Based Care Transitions Program Evaluation

Photographs of Joanne Lynn and Sarah Slocum

By Joanne Lynn and Sarah Slocum “All models are wrong, but some are useful”. – George Box In late November, the Centers for Medicare and Medicaid Services (CMS) released an extensive evaluation of the Community-based Care Transitions Program (CCTP). (https://downloads.cms.gov/files/cmmi/cctp-final-eval-rpt.pdf) While the report has some useful points, the primary metrics used to measure performance –

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PACE Flexibility Provisions that Would Help Medicare-Only Beneficiaries

Stages of Analysis graphic

A new analysis from The Center for Elder Care and Advanced Illness lays out the key regulatory flexibilities that are central to allowing a greater number of Medicare beneficiaries to enroll in PACE, and includes links to relevant regulatory and statutory policy. The Program of All-Inclusive Care for the Elderly is a highly promising model

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Center for Elder Care and Advanced Illness Comments on MACRA

Geriatricians, as well as the  frail, sick, and disabled elders for whom they care, are at serious risk under the proposed implementation of the Medicare Access and CHIP Reauthorization Act (MACRA). To read Joanne Lynn’s comments on the Notice of Proposed Rulemaking for Merit-Based Incentive Payments and Alternative Payment Models under MACRA, click here.

Assistant Secretary Greenlee Calls for Stronger Advocacy, Solutions, and “Community-Based Technology”

On April 26, Assistant Secretary for Aging Kathy Greenlee addressed the National Association of Area Agencies on Aging (n4a) at its spring policy conference. President Obama had just signed the Older Americans Act (OAA) reauthorization (P.L. 114-144) into law a week earlier—the culmination of a six-year effort. This is the major federal funding for the

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MediCaring Communities: Getting What We Want and Need in Frail Old Age at an Affordable Cost

MediCaring Communities: Getting What We Want and Need in Frail Old Age at an Affordable Cost Published June, 2016 194 pages, 6″ x 9″ (15.24 x 22.86 cm) ISBN-10: 1481266918 List Price $9.95 at Amazon.com Americans want a long life and most of us will get to live into our 80’s and beyond, but we

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From Hospital to Home: The Missing Element in Discharge Planning

By Anne Montgomery and Leslie Fried of the National Council on Aging One of the hallmarks of the 21st century—increased longevity of the population—will increasingly drive federal, state, and local health care programs to focus on optimizing coordination of services across a range of medical care and community services providers. Discharge planning will play a

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Comments on the The Nursing Home Conditions of Participation Proposal

By Anne Montgomery Centers for Medicare and Medicaid Services (CMS) has issued the long-awaited “conditions of participation” rules proposed for nursing homes. These rules signal another step in the ongoing shift in CMS toward encouraging more livable and well-supported facilities and staffing. However, since long-stay residents must consider the facility to be their home, we

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