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In this week’s episode of HealthCap Weekly Wrap, we examine four key developments impacting senior care providers. We begin with a CMS announcement closing a Medicaid financing loophole that affects how states draw down federal matching funds—an important shift that could influence long-term reimbursement and funding structures. We also discuss reporting from Fierce Healthcare on CMS’s estimate of $28.8 billion in Medicare improper payments for FY2025, much of which stems from documentation gaps, reinforcing the importance of accurate and thorough clinical records in senior care communities. The episode also covers CMS memo QSO-26-03-NH, which updates survey procedures and enforcement guidance, including immediate jeopardy determinations and civil money penalty considerations—critical information for skilled nursing leaders focused on survey readiness. We close by highlighting practical quality improvement tools available through the South Central QIN-QIO, offering actionable resources to strengthen care processes, reduce hospitalizations, and support clinical teams. For more details and direct links to the stories discussed, visit the Weekly Round Up on Angie’s blog at healthcapusa.com/angies-blog.