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	<title>Capitol Update &#187; CMS</title>
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	<link>http://www.capitolupdate.org</link>
	<description>ANA Government Affairs&#039; free, online legislative and political newsletter on issues that impact nurses.</description>
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		<title>Supervision of Nurses: New CMS Rule for Hospital Outpatient Services</title>
		<link>http://www.capitolupdate.org/index.php/2012/01/supervision-of-nurses-new-cms-rule-for-hospital-outpatient-services/</link>
		<comments>http://www.capitolupdate.org/index.php/2012/01/supervision-of-nurses-new-cms-rule-for-hospital-outpatient-services/#comments</comments>
		<pubDate>Fri, 13 Jan 2012 19:37:05 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[In the Agencies]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Critical Access Hospitals]]></category>
		<category><![CDATA[Hospital Outpatient Prospective Payment System (OPPS)]]></category>
		<category><![CDATA[January 2012]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=2644</guid>
		<description><![CDATA[Did you know that many hospitals have special supervision requirements for their outpatient services – including nursing care?  Special requirements for “direct” supervision by physicians and other health care providers particularly affect nursing services, observation units, and critical access hospitals (CAHs).  ANA has advocated to rescind or improve these requirements, which can affect nurses’ ability to provide IV therapy, chemotherapy, and other nursing care in hospital outpatient and observation units.  The Centers for Medicare and Medicaid Services (CMS) recently issued a final rule maintaining the requirement, with minor changes.]]></description>
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		</item>
		<item>
		<title>Hospital CoP &amp; ACO Rules Impact Nursing Practice for RNs and APRNs</title>
		<link>http://www.capitolupdate.org/index.php/2011/11/hospital-cop-aco-rules-impact-nursing-practice-for-rns-and-aprns/</link>
		<comments>http://www.capitolupdate.org/index.php/2011/11/hospital-cop-aco-rules-impact-nursing-practice-for-rns-and-aprns/#comments</comments>
		<pubDate>Mon, 21 Nov 2011 13:20:41 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[November 2011]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=2427</guid>
		<description><![CDATA[Recent decisions by CMS, the Centers for Medicare and Medicaid Services, have a direct and significant impact upon nursing practice and care, for RNs as well as APRNs.  The proposed rule for Medicare Conditions of Participation is open for comments; the rule regarding ACOs is a final rule.  The link to the Federal Register notice of each rule appears after each heading.  ANA comments can be found on our website, Nursing World, at http://www.nursingworld.org/comments. ]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>New “Plan Finder” Helps Medicare Patients Compare Options</title>
		<link>http://www.capitolupdate.org/index.php/2011/10/new-plan-finder-helps-medicare-patients-compareoptions/</link>
		<comments>http://www.capitolupdate.org/index.php/2011/10/new-plan-finder-helps-medicare-patients-compareoptions/#comments</comments>
		<pubDate>Mon, 17 Oct 2011 18:00:37 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Medicare Advantage Part C]]></category>
		<category><![CDATA[Prescription Drug Benefit]]></category>
		<category><![CDATA[Sept. - Oct 2011]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=2305</guid>
		<description><![CDATA[On October 1, the Centers for Medicare &#038; Medicaid Services (CMS) launched a new web-based resource called the “Plan Finder” to help beneficiaries and their families choose between drug and health plan options available in their area.  “The information that’s available now on the Plan Finder will also help caregivers, health providers, and partners that support and counsel seniors and people with disabilities in selecting the best plan for their needs,” said CMS Administrator Donald M. Berwick, M.D.]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>HHS Initiatives to Help States with &#8220;Dual-Eligible&#8221; Medicare/Medicaid Patients Include More Nurse Practitioners in Nursing Homes</title>
		<link>http://www.capitolupdate.org/index.php/2011/08/hhs-initiatives-to-help-states-with-dual-eligible-medicaremedicaid-patients-include-more-nurse-practitioners-in-nursing-homes/</link>
		<comments>http://www.capitolupdate.org/index.php/2011/08/hhs-initiatives-to-help-states-with-dual-eligible-medicaremedicaid-patients-include-more-nurse-practitioners-in-nursing-homes/#comments</comments>
		<pubDate>Wed, 31 Aug 2011 15:59:17 +0000</pubDate>
		<dc:creator>Rachel.Conant@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[care coordination]]></category>
		<category><![CDATA[Centers for Medicare and Medicaid Services (CMS)]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Department of Health and Human Services]]></category>
		<category><![CDATA[dual-eligibles]]></category>
		<category><![CDATA[July-August 2011]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[nursing home]]></category>
		<category><![CDATA[Partnership for Patients]]></category>
		<category><![CDATA[Secretary Kathleen Sebelius]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=2248</guid>
		<description><![CDATA[On July 8, Secretary Kathleen Sebelius of the Department of Health and Human Services announced three new initiatives to help states improve the quality and lower the cost of care for the approximately nine million Americans who are eligible for benefits under both Medicare and Medicaid programs.  These individuals, known as “dual-eligibles,” include some of the sickest patients, and account for a significant and growing portion of health care costs -- over $300 billion per year.  A technical resource center will help states coordinate care, and demonstration projects are designed to improve care coordination and decrease hospital admissions of nursing home residents.  The nursing home demonstration project calls for facilities to adopt improvements such as employing more nurse practitioners, and increasing evidence-based interventions to prevent falls, pressure ulcers, and other preventable conditions.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What&#8217;s Going On in Health Reform</title>
		<link>http://www.capitolupdate.org/index.php/2011/05/whats-going-on-in-health-reform/</link>
		<comments>http://www.capitolupdate.org/index.php/2011/05/whats-going-on-in-health-reform/#comments</comments>
		<pubDate>Thu, 26 May 2011 17:47:15 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Accountable Care Organizations]]></category>
		<category><![CDATA[ACOs]]></category>
		<category><![CDATA[Affordable Care Act (ACA)]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Community Transformation Grants]]></category>
		<category><![CDATA[Comparative Effectiveness]]></category>
		<category><![CDATA[Department of Health and Human Services (HHS)]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[Health Insurance Exchanges]]></category>
		<category><![CDATA[HHS Secretary Kathleen Sebelius]]></category>
		<category><![CDATA[May 2011]]></category>
		<category><![CDATA[Medical Loss Ratio]]></category>
		<category><![CDATA[Medicare Trust Fund]]></category>
		<category><![CDATA[Patient-Centered Outcomes Research Institute (PCORI)]]></category>
		<category><![CDATA[Repeal of Form 1099 Requirement]]></category>
		<category><![CDATA[Small Health Plan Premium Review]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=2011</guid>
		<description><![CDATA[With Congress mired indefinitely in political conflict over possible repeal of the Affordable Care Act, federal departments and agencies – as well as the states – are proceeding to carry out ACA’s blueprint for health reform according to schedule, as required by law.  New regulatory rules, appointments, and programs are announced every day.  Many of these will significantly impact patient care and access to health benefits – and thus nursing care and policy. ]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What&#8217;s New in Medicare &amp; Medicaid?</title>
		<link>http://www.capitolupdate.org/index.php/2011/04/whats-new-in-medicare-medicaid/</link>
		<comments>http://www.capitolupdate.org/index.php/2011/04/whats-new-in-medicare-medicaid/#comments</comments>
		<pubDate>Fri, 29 Apr 2011 18:25:40 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Affordable Care Act (ACA)]]></category>
		<category><![CDATA[April 2011]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Electronic Health Records (EHR)]]></category>
		<category><![CDATA[HACs]]></category>
		<category><![CDATA[HHS]]></category>
		<category><![CDATA[hospital acquired conditions]]></category>
		<category><![CDATA[Hospital Compare]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Medicare Advantage]]></category>
		<category><![CDATA[Prescription Drug Benefit]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=1853</guid>
		<description><![CDATA[Here is a wrap-up of recent actions affecting Medicare &#038; Medicaid patients and providers by CMS, the Centers for Medicare &#038; Medicaid Services.  CMS has many excellent resources – including facts sheets, rules and regulations, and schedules for upcoming calls and public meetings -- available on their website, www.cms.gov.  CMS is taking a leading role in developing policies to implement the Affordable Care Act, in addition to its continuing responsibilities for administering Medicare programs for seniors and the disabled, as well as the federal portion of state Medicaid programs. ]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>ANA Joins Partnership for Patients: Better Care, Lower Costs</title>
		<link>http://www.capitolupdate.org/index.php/2011/04/ana-joins-partnership-for-patients-better-care-lower-costs/</link>
		<comments>http://www.capitolupdate.org/index.php/2011/04/ana-joins-partnership-for-patients-better-care-lower-costs/#comments</comments>
		<pubDate>Fri, 29 Apr 2011 18:20:45 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[American Nurses Association (ANA)]]></category>
		<category><![CDATA[ANA President Karen A. Daley]]></category>
		<category><![CDATA[April 2011]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[coalition]]></category>
		<category><![CDATA[Donald Berwick]]></category>
		<category><![CDATA[FAAN]]></category>
		<category><![CDATA[HHS]]></category>
		<category><![CDATA[Kathleen Sebelius]]></category>
		<category><![CDATA[Lower Costs]]></category>
		<category><![CDATA[MD]]></category>
		<category><![CDATA[MPH]]></category>
		<category><![CDATA[NCNQ]]></category>
		<category><![CDATA[Partnership for Patients: Better Care]]></category>
		<category><![CDATA[patient safety]]></category>
		<category><![CDATA[PhD]]></category>
		<category><![CDATA[quality]]></category>
		<category><![CDATA[RN]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=1883</guid>
		<description><![CDATA[On April 12, 2011, the American Nurses Association (ANA), the nation’s largest nursing organization, was proud to join Partnership for Patients: Better Care, Lower Costs, a coalition of hospitals, providers, patient advocates, employers and state and federal officials dedicated to creating a safer, higher quality health care system.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What&#8217;s Happening on Health Care Reform?</title>
		<link>http://www.capitolupdate.org/index.php/2011/04/whats-happening-on-health-care-reform/</link>
		<comments>http://www.capitolupdate.org/index.php/2011/04/whats-happening-on-health-care-reform/#comments</comments>
		<pubDate>Fri, 01 Apr 2011 17:05:25 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Affordable Care Act (ACA)]]></category>
		<category><![CDATA[agencies]]></category>
		<category><![CDATA[APRNs]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[doughnut hole]]></category>
		<category><![CDATA[face-to-face encounters]]></category>
		<category><![CDATA[HHS]]></category>
		<category><![CDATA[home health]]></category>
		<category><![CDATA[March 2011]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Medicare Part D]]></category>
		<category><![CDATA[physician compare]]></category>
		<category><![CDATA[regulatory]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=1770</guid>
		<description><![CDATA[We recently celebrated the one-year anniversary of the Affordable Care Act (ACA), which became law on March 23, 2010.  Although the Act is very long and complex, like many federal laws, the details are left up to federal agencies and departments – as well as the States – which must issue rules and other decisions to actually carry out its policies and create its programs.  In addition, many ACA provisions build upon, change, or add to federal programs that are already in existence -- especially Medicare, Medicaid, and CHIP (the Children’s Health Insurance Program).  Here is an update on what has been happening in federal agencies and departments, in recent actions to carry out the goals and provisions of ACA.  To view ANA comments on these and other regulatory issues, please visit our website at http://www.nursingworld.org/comments. ]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>New Medicare Resource for Advanced Practice RNs</title>
		<link>http://www.capitolupdate.org/index.php/2011/02/new-medicare-resource-for-advanced-practice-rns/</link>
		<comments>http://www.capitolupdate.org/index.php/2011/02/new-medicare-resource-for-advanced-practice-rns/#comments</comments>
		<pubDate>Tue, 01 Feb 2011 18:35:33 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[advanced practice registered nurses]]></category>
		<category><![CDATA[APRNs]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[January 2011]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=1510</guid>
		<description><![CDATA[A new resource is available for Advanced Practice RNs (APRNs) who care for Medicare patients.  “Medicare Information for Advanced Practice Nurses and Physician Assistants” is now available as a booklet from the Medicare Learning Network.®  It contains information about required qualifications, coverage criteria, billing, and payment for Medicare services furnished by APRNs, as well as physician assistants and anesthesiologist assistants.  ]]></description>
		<wfw:commentRss>http://www.capitolupdate.org/index.php/2011/02/new-medicare-resource-for-advanced-practice-rns/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Highlights of AMA Interim Meeting</title>
		<link>http://www.capitolupdate.org/index.php/2010/12/highlights-of-ama-interim-meeting/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/12/highlights-of-ama-interim-meeting/#comments</comments>
		<pubDate>Mon, 20 Dec 2010 20:05:09 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Accountable Care Organizations]]></category>
		<category><![CDATA[American Medical Association (AMA)]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[December 2010]]></category>
		<category><![CDATA[Electronic Health Records Incentive Program]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[Joint Commission]]></category>
		<category><![CDATA[Medical Societies]]></category>
		<category><![CDATA[Physician Contracting & Payment]]></category>
		<category><![CDATA[Physician Extenders]]></category>
		<category><![CDATA[Physician Oversight]]></category>
		<category><![CDATA[Scope of Practice]]></category>
		<category><![CDATA[SGR]]></category>
		<category><![CDATA[Vaccine Policies]]></category>
		<category><![CDATA[Violence in Emergency Departments]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=1403</guid>
		<description><![CDATA[The American Medical Association (AMA) 2010 interim House of Delegates meeting was held November 6-9, 2010 in San Diego, with ANA Government Affairs staff the only official observers from the nursing community.  The AORN (Association of periOperative Registered Nurses), CGFNS (Council of Graduates of Foreign Nursing Schools) and NCSBN (National Council of State Boards of Nursing) could not attend.   The 541 credentialed delegates, from state and specialty medical societies, considered over 125 resolutions and reports.]]></description>
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