A Policy Proposal for Reforming Federal and State Discharge Standards in Skilled Nursing Facilities
Current discharge regulations hinder skilled nursing facilities from safely and sustainably managing residents with severe behavioral or financial issues, necessitating targeted reforms to protect both residents and providers.
Modernizing SNF Oversight: How Accreditation Can Cut Costs & Improve Care
Expanding SNF accreditation streamlines oversight, improves care quality, and cuts costs.
Rethinking the Narrative: Stories that Shape Nursing Home Policy
Challenging the conventional wisdom in nursing home policy to build a system that rewards quality, not excuses.
Streamlining Regulatory Processes for High-Performing Providers with AI Support
Adopting a risk-based regulatory framework for nursing home oversight—featuring AI-enhanced monitoring tools and voluntary accreditation for high-performing facilities—would create powerful incentives for quality improvement while enabling regulators to focus limited resources where they are needed most.
The Need for a Technology - Enhanced Staffing Adjustment (TESA) Incorporating Wearables and Remote Monitoring Technologies into CMS Staffing Metrics
Wearable devices and remote monitoring technologies in nursing homes can significantly improve resident safety and staff efficiency while helping facilities navigate workforce shortages through smart automation.
Expanding CMS Staffing Metrics to Reflect Comprehensive Care Teams
A comprehensive reform of Medicare's nursing home rating system to include all direct care staff—not just nurses—would enhance transparency, improve quality measurements, and incentivize facilities to invest in the specialized care teams that drive better resident outcomes.
Strengthening Accountability and Improvement for 1-Star Skilled Nursing Facilities
The CMS 5-Star Rating System effectively identifies underperforming skilled nursing facilities, but without stronger enforcement mechanisms and financial consequences, this valuable assessment tool falls short of driving meaningful reform among the nation's lowest-rated nursing homes.
Private Rooms for All Medicare Part A Skilled Nursing Facility Residents
The American long-term care system must evolve beyond the outdated model of shared rooms in Skilled Nursing Facilities, which compromises resident care through increased infection risks and impeded recovery.
Relocating CMS Offices: A Strategic Proposal for Cost Reduction and Regional Growth
Relocating CMS operations to a lower-cost city can reduce expenses, improve employee well-being, and enhance federal engagement with communities most impacted by Medicare and Medicaid policies.
Deploy AI for Fraud Detection and Compliance Monitoring in CMS Programs
AI-driven analytics can transform CMS’s approach to fraud detection, improving program integrity, reducing financial losses, and ensuring Medicare and Medicaid resources are used ethically and effectively.
Automate Routine Claims Processing: Unlocking Efficiency in CMS Workflows
Robotic Process Automation can transform Medicare and Medicaid claims workflows, delivering faster reimbursements, reduced costs, and improved provider and beneficiary experiences through cutting-edge automation.