by Kristin Rowan | Mar 7, 2025 | Clinical, CMS, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Easier Access to Home Health Prior authorization requirements can be cumbersome, delaying or even preventing care in some cases. Patients who need prior authorization to get he care they need also generally have form after form to fill out or...
by Kristin Rowan | Mar 7, 2025 | Advocacy, Breaking News, CMS, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Public Participation Rescinded The Administrative Procedure Act (APA) requires that an agency public a notice of proposed rulemaking in the Federal Register; allow sufficient time for public participation via written data, views, or arguments;...
by Kristin Rowan | Feb 20, 2025 | Advocacy, CMS, Hospice, Regulatory
by Kristin Rowan, Editor Special Focus Program Not Well Received When the Hospice Special Focus Program (SFP) first appeared, the industry was told the program would help CMS identify and improve the performance of hospice providers that were struggling to meet...
by Kristin Rowan | Feb 14, 2025 | Admin, Regulatory
by Kristin Rowan, Editor CMS 2026 Updates to Prescription Plan The Centers for Medicare & Medicaid Services (CMS), as part of the Inflation Reduction Act of 2022 (IRA), released a draft of the calendar year 2026 redesign program instructions. The new provisions...
by Kristin Rowan | Feb 6, 2025 | Hospice, Medicare Advantage
by Kristin Rowan, Editor End-of-Life Care in Medicare Advantage vs Traditional Medicare Using research from CMS, researchers from Mt. Sinai in New York and Brown University in Rhode Island studied the data of adults aged 66 and older who passed away and had Medicare...
by Kristin Rowan | Jan 23, 2025 | Artificial Intelligence, Breaking News, CMS, Medicare Advantage, Regulatory
by Kristin Rowan, Editor CMS Announces Medicare Advantage Pay Hike On January 13, 2025, CMS announced its plans to increase payments to Medicare Advantage plans by 4.33%. Policy changes for Medicare Advantage and Part D include changes in how the agency calculates...
by Rowan Report | Jan 16, 2025 | Partner News
FOR IMMEDIATE RELEASE Contact: William LeinerCOOwill.leiner@pocketrn.com Right at Home and PocketRN Enter Strategic Partnership to Provide New Medicare Care Model for Seniors with Dementia Right at Home and PocketRN today announced a...
by Kristin Rowan | Jan 16, 2025 | Clinical
by Kristin Rowan, Editor GUIDE Launched with 390 Participants On July 1, 204, CMS launched the GUIDE Model and announced that 390 organizations had signed on to participate. The Guiding an Improved Dementia Experience (GUIDE) Model is a voluntary model test amied at...
by Rowan Report | Jan 16, 2025 | Partner News
FOR IMMEDIATE RELEASE Contacts: William LeinerCOOwill.leiner@pocketrn.com James CohenCEO and Co-founderjames@nevvon.com PocketRN & Nevvon Announce National Strategic Partnership to Transform Dementia Care through CMS’ Innovative GUIDE Model...
by Kristin Rowan | Jan 16, 2025 | CMS, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Whistleblower Action A United States District Court in Tampa, Florida ruled against a whistleblower action under the False Claims Act (FCA) against her former employer. In 2019, a family care physician filed a whistleblower, or qui tam, action...
