COVID19 - RACmonitor

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Optimal post-acute recovery depends on engagement with patients. Now more than ever, in the face of COVID -19, the Conditions of Participation for Medicare (CoP) demand that a discharge plan focus on the preferences of the patient or surrogate decision-makers.  There is solid research backing this concept. People who feel…
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There are basic steps to follow when creating an effective contingency plan. In any crisis, emergency, or pandemic, which do happen from time to time, like the one the world is experiencing right now with COVID-19, it is vital that you have a preparedness plan (or what is better referred…
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He is worried about his own level of exposure to the coronavirus. It is part of my job to stay informed, but I must say that I underestimated the medical and societal impact of COVID-19. From my West Virginia farmhouse, which is three hours from my Washington, D.C. apartment, I…
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In an unprecedented move, the Centers for Medicare & Medicaid Services (CMS) has released 15 documents specifying new waivers in response to the COVID-19 pandemic. These waivers touch every aspect of medical care. CMS Administrator Seema Verma said that while all the waivers are blanket waivers covering all providers in…
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Rural America is facing a healthcare crisis.   EDITOR’S NOTE: The global pandemic of the coronavirsus is further exacerbating the rural health crisis. This is the first in a series of reports on rural health. Rural Americans, on average, are six years older than their urban counterparts, and make up about…
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List of resources for front-line professionals. Everyone is coping with the new norm imposed by COVID-19, with those at risk for the social determinants of health (SDoH) facing even tougher challenges. This article offers a broad look at emerging resources for you and your populations. Passage of the federal Families…
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Testing a limited number of random people, we can reach conclusions within a certain probability. Statistical analysis is a funny thing. It turns out that you don’t need a lot of data to reach a conclusion. At the start of the play “Rosencrantz and Guildentstern are Dead,” the two main…
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Not all waivers are created equal. Last week’s article briefly discussed the Emergency Medical Treatment & Labor Act (EMTALA). Here is a more detailed discussion. The legal analysis here is among the more difficult I’ve worked on in recent times. My colleagues and I spent hours trying to be sure we had…
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Long-awaited and highly anticipated, providers hope other payers will follow suit. Healthcare insurer giant UnitedHealthcare (UHC) has announced that it will be suspending prior authorization requirements for post-acute settings through May 31, 2020, with the waiver applying to long-term care facilities (LTCFs), acute inpatient rehabilitation (AIR), and skilled nursing facilities…
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EDITOR’S NOTE: Dennis Jones is the Administrator of Patient Financial Services for Montefiore Nyack Hospital in Nyack, N.Y., about 20 miles north of New York City. During a guest appearance on Talk Ten Tuesdays this week, Jones outlined how the COVID-19 pandemic is hitting the metropolitan area as hard as…