tci Medicare Compliance & Reimbursement - 2005 Issue 40

LONG-TERM CARE: CMS Gears Up For Nursing Home P4P

Voluntary program nets bonuses across wide variety of quality measurements.As part of its ongoing program to encourage improved quality of care for its Medicare beneficiaries, the Centers for Medicare and Medicaid Services has started to develop a pay-for-performance initiative focused specifically on nursing homes.In a recent public forum intended to gather input for the initiative, the CMS program design consultant, Abt Associates, presented recommendations for a draft design for a nursing home P4P demonstration. The national program will cover all Medicare beneficiaries residing in hospital-based and freestanding nursing home facilities. CMS will base incentive payments on level...

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