About Continuum of Care
The post-acute continuum of care — which includes inpatient rehabilitation facilities, long-term care hospitals, skilled-nursing facilities, and home health agencies — is vital to the health care delivery system. Post-acute care providers offer essential medical and rehabilitative care to individuals following a stay at a general acute care hospital and contribute to improved outcomes while reducing health care costs.
To assist in the transition, hospital case managers serve as advocates to identify, support, and guide care for patients, families, and caregivers. Successful case management includes communication and coordination with post-acute care providers and home and community-based services. It also includes the development of a discharge or transition plan that addresses the patient’s goals, needs and treatment preferences, and prepares patients and caregivers for post-discharge care.
DMHC Puts Renewed Focus on Unfair Health Plan Payment Practices
Two new developments show renewed focus by the state’s principal health plan regulator, the Department of Managed Health Care (DMHC), on unfair health plan payment practices.
CMS Issues Updated Guidance for Dialysis in SNFs
The Centers for Medicare & Medicaid Services has issued guidance regarding the delivery of home dialysis services by certified end-stage renal disease (ESRD) providers in a skilled-nursing facility (SNF).
CMS Issues Resources for PAC Patient Assessment and Quality Reporting
The Centers for Medicare & Medicaid Services (CMS) has issued several new resources to assist post-acute care (PAC) providers, including inpatient rehabilitation facility and long-term care hospital providers, in coding specific items required in patient assessment and the PAC quality reporting program (QRP).
CHA Comments on Prior Authorization Proposed Rule
CHA submitted comments on the Centers for Medicare & Medicaid Services’ (CMS) proposed rule to streamline prior authorization processes for Medicare Advantage, Medicaid managed care, and federally facilitated marketplace health plans.
Learn More About Multipurpose Senior Services Program During CHA Webinar
CHA is hosting a webinar on March 15 to increase awareness about the Multipurpose Senior Services Program, which provides social and health care management services to help individuals remain in their own homes and communities.
CHA DataSuite Releases the Medicare Quality Programs Overview Report for FFYs 2021-2023
CHA DataSuite has issued a hospital-specific overview report of the Medicare quality programs. The report, which is designed in the business intelligence platform, summarizes hospital quality performance and impacts for the three Medicare inpatient programs: value-based purchasing (VBP), readmissions reduction program, and the hospital acquired condition (HAC) reduction program for federal fiscal years (FFYs) 2021 […]
CHA Letter Asks HHS Secretary to Address Unfair Payment Practices
CHA has sent a letter to Mark Ghaly, MD, secretary of the California Health & Human Services Agency, asking him to direct the state’s health plan regulators to take immediate action to address the plans’ unfair payment practices.
Multipurpose Senior Services Program
CHA is hosting a webinar to increase awareness about the program and provide information on the benefits to patients, eligibility requirements, access to services, and much more. Hear from Partners in Care Foundation, a leader in Multipurpose Senior Services, on success stories, care management experience, and where to find care in your area.
CMS Issues Proposed Rule Addressing Nursing Home Ownership
The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would require nursing homes to disclose additional ownership and management information to CMS and to states. This is part of an effort to increase the transparency of nursing home ownership and management.
CDPH to Host Stakeholder Meeting on Hospice Regulations
The California Department of Public Health has issued All Facilities Letter (AFL) 23-14, which notifies hospice agencies, facilities, and interested stakeholders that the Center for Health Care Quality (CHCQ) is hosting a stakeholder meeting on March 14 from 10 a.m. to noon (PT) to discuss hospice regulations.