CMS is urging nursing homes to reduce their use of antipsychotic medications by 25% by the end of 2015. Experts want nursing homes to rethink their apporach to dementia and believe many diagnoses in nursing home residents do not merit antiphsychotics. Of 2.1 million elderly nursing home residents, approximately 14% had at least one Medicare claim for an atypical antipsyhotic drug between January 1, 2007 and June 30, 2007, according to a 2011 analysis by the OIG. The OIG also found that claims for elderly nursing home residents accounted for 20% of the total 8.5 million claims for antipsychotic drugs for all Medicare beneficiaries. CMS estimates that 39.4% of nursing home residents who had no diagnosis of psychosis received antipsychotic medications between July 2010 and September 2010.
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