Mandatory Medicare reporting for skilled nursing facilities (“SNFs”) has been delayed to August 1, 2025, to the relief of many in the industry. As a reminder, the Centers for Medicare & Medicaid Services (“CMS”) required the...more
The Centers for Medicare & Medicaid Services (“CMS”) has issued an updated version of the Form CMS-855A that requires additional disclosures for skilled nursing facilities (“SNFs”). Effective October 1, 2024, the revised Form...more
Efforts to draw attention to and, in some instances, dissuade private equity investment in healthcare have been on the rise. For example, in late 2023, the Centers for Medicare & Medicaid Services finalized a rule increasing...more
Overview - The Centers for Medicare & Medicaid Services (“CMS”) is launching a new model aimed at improving the quality of care and health outcomes for individuals with behavioral health (“BH”) problems. The model, announced...more
The Centers for Medicare & Medicaid Services (“CMS”) released a final rule on November 15, 2023 (published on November 17, 2023) (the “Rule”), requiring greater skilled nursing facility (“SNF”) ownership transparency. The...more
12/7/2023
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Change of Ownership ,
Corporate Transparency Act ,
Disclosure Requirements ,
Internal Revenue Code (IRC) ,
Medicare ,
Nursing Homes ,
Private Equity ,
Real Estate Investments ,
REIT ,
Skilled Nursing Facility ,
Social Security Act ,
Transparency
The Centers for Medicare & Medicaid Services (“CMS”) announced it is expanding access to behavioral health services for Medicare beneficiaries through intensive outpatient services coverage. In general, Medicare will cover...more
The Centers for Medicare & Medicaid Services (“CMS”) has finalized 2024 home health rules to include application of the home health “36-month rule” to hospice providers. The revised rule will forbid any change in majority...more
AGG’s Home Health & Hospice team publishes a quarterly newsletter covering legal and regulatory topics specific to the home and community-based healthcare industry. The fields of end-of-life and home healthcare present...more
The Centers for Medicare & Medicaid Services (“CMS”) issued a Proposed Rule on July 10, 2023, that, if finalized, will revise the Medicare Provider Enrollment requirements to expand the current Home Health Agency (“HHA”)...more
In another step in the years-long process of increasing transparency in the nursing home industry, the Centers for Medicare & Medicaid Services (“CMS”) has begun posting nursing home affiliations on Nursing Home Care Compare....more
Effective July 13, 2023, the Centers for Medicare & Medicaid Services (“CMS”) announced a period of enhanced oversight for new hospices in Arizona, California, Nevada, and Texas. According to the Medicare Learning Network...more
AGG’s Home Health & Hospice team publishes a quarterly newsletter covering legal and regulatory topics specific to the home and community-based healthcare industry. The fields of end-of-life and home healthcare present...more
AGG’s Home Health & Hospice team publishes a quarterly newsletter covering legal and regulatory topics specific to the home and community-based healthcare industry. The fields of end-of-life and home healthcare present...more
On April 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) publicly released data on home health and hospice agency ownership for the first time. The data is derived from self-reported information (primarily...more
In recent years, the Biden administration and Congress have pushed for greater transparency in skilled nursing facility ownership. In an effort focused on increased ownership disclosures specifically related to private equity...more
States now have through March 31, 2025 to use the federal medical assistance percentage (FMAP) funding made available by the American Rescue Plan Act (ARPA). The announcement was made by the U.S. Department of Health and...more
For the first time, the Centers for Medicare & Medicaid Services (CMS) has released data publicly on skilled nursing facility changes of ownership (CHOWs)). The data, which was released on April 20, 2022, includes information...more
Continuing the theme of increased transparency of ownership of nursing homes included in the 2010 Affordable Care Act, the White House issued a Fact Sheet titled “Protecting Seniors and People with Disabilities by Improving...more
3/9/2022
/ Affordable Care Act ,
Assisted Living Facilities (ALFs) ,
Biden Administration ,
Business Ownership ,
Centers for Medicare & Medicaid Services (CMS) ,
Change in Ownership ,
Department of Health and Human Services (HHS) ,
Elder Care ,
Health and Safety ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Long Term Care Facilities ,
Medicaid ,
Medicare ,
Nursing Homes ,
Private Equity ,
REIT ,
Transparency
A group of individuals with ties to the nursing home industry recently published a commentary in the journal Health Affairs and opined that complex ownership structures used by many nursing home operators make it difficult to...more
As previously reported, the Department of Health & Human Services (HHS) issued Provider Relief Funds in multiple tranches. One of the largest tranches—$20 billion of the initial $50 billion general distribution—will be...more
While much of the COVID-19 testing has been done by government and private dedicated laboratories, many providers in the acute and long-term care space are moving towards providing their own CLIA-waived tests. ...more
The Centers for Medicare & Medicaid Services (CMS) posted its first set of nursing home coronavirus disease 2019 (COVID-19) data, including numbers of COVID-19 cases and deaths and infection control inspection results on June...more
Many Medicare providers awoke the morning of Friday April 10, 2020 to an influx of Medicare funds. The funds are a $30 billion portion of the $100 billion stimulus fund intended to provide relief to healthcare providers...more
Every healthcare and public health tool available is engaged in the fight against COVID-19. Few tools are more precious than beds, and perhaps no bed is more precious during this time than hospital beds, where the most sick...more
As the single largest payor for health care in the United States, the Centers for Medicare & Medicaid Services (CMS) has recognized and acted on the need to move quickly in the fight against COVID-19....more