Insights

Originally published in NADONA's The Director Quarterly Journal, Spring 2025 Issue. Over the past few months, we have all become aware of CMS Memo – QSO-25-07-NH – Revised Long-Term Care (LTC) Surveyor Guidance, which includes significant revisions to enhance the quality and oversight of the LTC survey process. With the effective date now pushed to April 28 (QSO-25-14-NH), surveyors continue to learn the revised guidance and prepare for upcoming surveys. In addition to these revisions, many facilities face increasingly complex surveys that span several years of review. CMS has also announced the reinstatement of the Internet Quality Improvement and Evaluation...read more

This article was originally featured in Fierce Healthcare. When it comes to value-based care (VBC), the Centers for Medicare & Medicaid Services (CMS) have made their intentions clear. CMS aims to align all Medicare beneficiaries with accountable care relationships by 2030 – whether through broad VBC strategies or targeted regulatory initiatives, such as the Transforming Episode Accountability Model (TEAM). For health plans and other risk-bearing entities, this shift to VBC requires proactive, data-driven strategies to manage costs, quality and outcomes. This is especially true in post-acute care, where high costs and variability in quality and outcomes are common. Unfortunately, many of these organizations...read more

This article was originally featured in Modern Healthcare. Health systems, accountable care organizations and others are bringing extra staff and tracking technology into post-acute care to reduce hospital readmissions. Health systems, such as OSF Healthcare, and accountable care organizations, such as Provider Partners Connect Care are using remote patient monitoring equipment, electronic medical records software and additional staff to ensure patients don’t have a set-back that will send them back to the hospital. Readmissions add costs that ripple through the healthcare system and the Centers for Medicare and Medicaid Services penalizes hospitals and nursing homes for higher-than-predicted readmissions within 30...read more

New solution empowers providers and health plans with real-time, actionable data to drive improved outcomes and success in value-based care   Baltimore, MD, May 28, 2025 – Real Time Medical Systems (Real Time), the industry-leading, KLAS Rated, and HITRUST Certified interventional analytics solution, announces the launch of its latest solution aimed at improving care and reducing costs: the Value-Based Care Dashboard. Designed to support better outcomes and enhanced coordination with post-acute care partners, the tool offers providers and health plans a centralized, real-time view of key quality and performance metrics – enabling organizations to thrive in value-based care models. The Value-Based Care...read more

This article was originally featured in Fierce Healthcare. According to the Centers for Medicare & Medicaid Services (CMS), nearly 20% of members admitted to skilled nursing facilities (SNFs) for rehabilitation following acute medical events are readmitted to the hospital within 30 days. These avoidable readmissions not only pose serious health risks to beneficiaries but also impose a significant financial burden — costing Medicare over $5 billion annually. For payers operating within value-based care models, reducing readmissions is a critical lever for improving both financial performance and member outcomes. One of the most effective approaches to address this challenge is through the implementation...read more

This article was originally featured in Healthcare IT Today. Both CMS and value-based healthcare systems are increasingly leveraging data and enhanced communication to transition patients out of acute care more efficiently, support successful post-acute recovery, and reduce readmissions. In this video, Phyllis Wojtusik, RN, Executive Vice President of Value-Based Care at Real Time Medical Systems (Real Time), outlines the key components of an effective care transition process – and how Real Time’s data-driven solution and interventional analytics help enable smoother transitions and improved outcomes. As a nurse herself, Wojtusik has a deep understanding of the information clinicians need at each stage of the...read more