McDermott
Responding to criticism that Medicare is not paying for enough seniors' skilled-nursing care following serious hospitalizations, Rep. Jim McDermott (D-Wash.) has introduced a bill that would eliminate a barrier to rehab care known as the “three-day rule.”
As it stands, the three-day rule says Medicare will not pay for the time that seniors spend in a nursing home recovering from a hospital stay unless they were hospitalized as an inpatient for three days. McDermott's bill, the “Fairness for Beneficiaries Act,” would eliminate the three-day requirement and replace it with a provision that says seniors would need a physician to certify their need for skilled-nursing, regardless of time spent as an inpatient.
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Mostashari
Federal health information technology policymakers plan to establish a voluntary program for the testing and certification of electronic health-record systems used by long-term care, post-acute care and behavioral health providers.
Congress, in drafting legislation creating the EHR incentive program under the American Recovery and Reinvestment Act that helped hospitals and office-based physicians buy tested and certified EHRs, did not include long-term care and behavioral health facilities, even though nearly a third of Medicare patients discharged from acute-care hospitals go to post-acute-care settings.
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