Long-term care:
Two weeks ago DHHS-CMS issued long-awaited updates on nursing home regulations.
The package, 700+ pages, is largely updates and clarifications, plus the new compliance standards (which were due March 23, 2013).
https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-23503.pdf
Physician Medicare Reimbursement:
Last week the new regulations on physician reimbursement dropped, all 2, 398 pages. Gasp.
The regulations begin a phase-in of the MACRA reimbursement system, replacing the failed SGR.
In brief the system will evolve from a failed fee-for-service system to a value-based system. Essentially this is a good idea - if it can be implemented.
The feds have already admitted that small and rural physician practices are in a bad spot, and there are phase-in rules.
Much heavy lifting. Stay tuned.
https://qpp.cms.gov/docs/CMS-5517-FC.pdf
https://qpp.cms.gov/education
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DHHS-CMS = Department of Health and Human Services, Centers for Medicare and Medicaid Services
MACRA = Medicare Access and CHIP Reauthorization Act of 2015
SGR = sustainable growth rate
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