New Initiative to Improve Care for Medicare-Medicaid Nursing Home Patients

E-mail this page to a friend! Medicaid News New Initiative to Improve Care for Medicare-Medicaid Nursing Home Patients Obama Administration sees opportunity for improved caring of nursing home residents with improved coordination - seeking partners March 15, 2012 - A brand new initiative to urge caring for Medicare as well as Medicaid patients vital in nursing homes was announced today by a Obama Administration. The Initiative to Reduce Avoidable Hospitalizations between Nursing Facility Residents was announced in a headlines release by a Centers for Medicare & Medicaid Services. The goals have been to reduce costly as well as avoidable hospitalizations between nursing trickery residents by funding organizations that would partner with nursing comforts to yield enhanced on-site services as well as supports to nursing trickery residents. Nearly two-thirds of nursing trickery residents have been enrolled in Medicaid, as well as many have been also enrolled in Medicare. Many are enrolled in both programs. These Medicare-Medicaid enrollees have been between a many vulnerable people served by a programs as well as generally have a many complex illness caring needs, says CMS. Research upon these enrollees in nursing comforts found that approximately 45% of sanatorium admissions between those receiving either Medicare learned nursing trickery services or Medicaid nursing trickery services could have been avoided, accounting for 314,000 potentially avoidable hospitalizations as well as $2.6 billion in Medicare expenditures in 2005. This brand new initiative functions to forestall potentially avoidable hospitalizations by providing better, some-more cost-effective caring in nursing facilities. CMS says it has allocated up to $128 million to await a diverse portfolio of these evidence-based interventions. The initiative will be run collaboratively by a CMS Medicare-Medicaid Coordination Office as well as a Center for Medicare and Medicaid Innovation, both created by a Affordable Care Act (Obamacare) to urge a quality as well as costs of caring in a Medicare as well as Medicaid programs. Being readmitted to a sanatorium is very difficult for low-income seniors, people with disabilities as well as their families, said Acting Administrator Marilyn Tavenner. Through this initiative, you will work with nursing comforts as well as hospitals to yield better, person-centered care. By catching as well as solution issues early, you can assistance people avoid costly as well as stressful hospitalizations." Through this initiative, CMS will partner with independent organizations to urge caring for long-stay nursing trickery residents. These organizations will collaborate with nursing comforts as well as States to yield coordinated, person-centered caring with a idea of shortening avoidable sanatorium stays. Eligible organizations can include physician practices, caring management organizations, as well as other public and not-for-profit entities. Each organization will propose a own evidence-based intervention as well as alleviation strategy. All participants will have staff on-site at nursing comforts to yield surety services as well as urge coordination as well as communication between providers, helping to provide a resident with a some-more seamless transition between caring settings. CMS released a Request for Applications today as well as organizations meddlesome in participating in this initiative must contention an application by June 14, 2012. More information about this initiative, including a Request for Applications, is available at: http://innovation.cms.gov/initiatives/rahnfr, or by acid for CFDA 93.621 at: www.grants.gov. The following Fact Sheet includes some-more information for those organizations meddlesome in participating in a initiative. Fact Sheet: CMS Announces New Initiative to Reduce Costly as well as Avoidable Hospitalizations Announcement of Request for Applications Overview In March 2012, a Centers for Medicare & Medicaid Services (CMS) released a ask for applications to participate in a Initiative to Reduce Avoidable Hospitalizations between Nursing Facility Residents. This brand new effort aims to urge a quality of caring for people residing in nursing facilities. CMS will await organizations that will partner with nursing comforts to exercise evidence-based interventions to improve a quality as well as costs of care. The initiative is focused upon long-stay nursing trickery residents who have been enrolled in a Medicare as well as Medicaid programs, with a idea of shortening avoidable quadriplegic hospitalizations. Background Too often, nursing trickery residents experience potentially avoidable quadriplegic hospitalizations. These hospitalizations are expensive, disruptive as well as disorienting for frail elders as well as people with disabilities. Nursing trickery residents have been generally vulnerable to a risks that accompany sanatorium stays as well as transitions between nursing comforts as well as hospitals, including medication errors as well as hospital-acquired infections. Many nursing trickery residents have been enrolled in both a Medicare as well as Medicaid programs (Medicare-Medicaid enrollees). CMS investigate upon Medicare-Medicaid enrollees in nursing comforts found that approximately 45% of sanatorium admissions between those receiving either Medicare learned nursing trickery services or Medicaid nursing trickery services could have been avoided, accounting for 314,000 potentially avoidable hospitalizations as well as $2.6 billion in Medicare expenditures in 2005. Initiative Through this initiative, CMS will partner with eligible, independent, non-nursing trickery organizations (referred to as enhanced caring & coordination providers) to exercise evidence-based interventions that reduce avoidable hospitalizations. Eligible organizations can include physician practices, caring management organizations, as well as other public as well as not-for-profit entities. The enhanced caring & coordination providers will collaborate with States as well as nursing facilities, with each enhanced caring & coordination provider implementing a intervention in at least fifteen partnering nursing facilities. Applicants will propose an intervention that meets a objectives of a initiative, that those selected will then implement. All enhanced caring & coordination providers in this initiative must: Hire staff who maintain a physical participation at nursing comforts as well as partner with nursing trickery staff to implement surety services; Work in cooperation with existing providers; Facilitate residents transitions to as well as from quadriplegic hospitals as well as nursing facilities; Provide await for improved communication as well as coordination between existing providers; as well as Coordinate as well as urge management as well as monitoring of prescription drugs, including psychotropic drugs. For example, past demonstrations have marked down avoidable hospitalizations by deploying nurse practitioners in nursing facilities to manage residents medical needs upon a spot, when possible. Others have implemented quality alleviation as well as communications tools to identify, assess, communicate, as well as document changes in resident status. Interventions will be evaluated for their efficacy in mending illness outcomes as well as providing residents with a better caring experience. This initiative is expected to last for four years from August 2012 to August 2016. Application Process Organizations meddlesome in applying to participate in this initiative must contention a offer by June 14, 2012. The Request for Applications is available by acid for CFDA Number 93.621 at www.grants.gov. Applicants must include letters of await from a applicable State Medicaid Director as well as State Survey & Certification Director as well as letters of vigilant from at least fifteen nursing trickery partners in a same State. Notices of Intent to Apply have been due April 30, 2012. CMS will give preference to applications for initiatives in geographic locations where there have been tall Medicare costs, high sanatorium readmission rates, as well as where Medicare-Medicaid enrollees account for a tall percentage of nursing trickery residents. Additional Information This initiative was grown jointly by a CMS Center for Medicare as well as Medicaid Innovation (Innovation Center) as well as a Medicare-Medicaid Coordination Office, that were created by a Affordable Care Act. Both offices offer various opportunities as well as supports to further efforts to strengthen a Medicare as well as Medicaid programs as well as urge care. The Innovation Center functions across a Medicare as well as Medicaid programs as well as Childrens Health Insurance Program to deliver improved caring for individuals, improved illness for populations, as well as lower growth in expenditures. The Medicare-Medicaid Coordination Office functions to improved integrate a Medicare as well as Medicaid programs to ensure full access to seamless, high-quality caring in a cost-effective manner. Please see: http://innovation.cms.gov/initiatives/rahnfr for some-more information about a initiative. Click to More Senior News upon a Front Page Copyright: SeniorJournal.comPowered By iWebRSS.co.cc

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