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Accountable Care Organizations (ACOs)

Post-acute orgs fear financial decline/buyouts due to technology gaps

February 17, 2014  |  Pamela Tabar, Editor-in-Chief
article

Long-term and post-acute providers who fail to adopt information technology may find themselves at a distinct disadvantage—or owned by someone else—down the road, one survey report suggests.

Congress continues to wrangle with Medicare, Medicaid issues

February 17, 2014  |  Bob Gatty
article

Medicare physicians will automatically see a 24 percent reduction in pay if Congress does not act by March 31.

Bipartisan lawmakers strike deal to repeal SGR, set physician pay increases

February 6, 2014  |  Pamela Tabar, Editor-in-Chief
news

A bipartisan team of lawmakers has struck a deal to repeal the sustainable growth rate (SGR) and set new guaranteed pay increase for physicians that provide services under Medicare.

HHS rule grants direct access to residents' lab results

February 4, 2014  |  Pamela Tabar, Editor-in-Chief
article

A new federal rule will allow senior care residents and their family designees direct access to lab test results, encouraging consumer care involvement.

CMS clarifies use of Medicaid funds in home, community-based settings

January 14, 2014  |  Bob Gatty
article

Stakeholder input helps CMS improve the accessibility of services for seniors and people with disabilities.

Federal agency recommends annual CT scans for older smokers

January 3, 2014  |  Pamela Tabar, Editor-in-Chief
news

Privately insured smokers age 55 to 80 now have access to free annual lung cancer screenings—but the tests are not covered by Medicare.

Recovery audits: SNF psychiatric conditions

January 2, 2014  |  Paula G. Sanders, Esq.
article

Does your skilled nursing facility care for residents with mental heath conditions? Medicare recovery audit contractors for mental illness issues may threaten access to care.

2014: The year of the ACO?

December 30, 2013  |  Pamela Tabar, Editor-in-Chief
news

After a mixed year of progress and stumblings, accountable care organizations are expected to surge as a care model in 2014, according to a year-over-year trends report.

Killing the SGR and therapy caps

December 19, 2013  |  Bob Gatty
article

Congress may be ready to do away with the sustainable growth rate (SGR), re-fix the “doc fix” and ditch therapy caps, but will skilled nursing become the scapegoat for the costs?

OIG to CMS: Add hospitalization rates to nursing home quality ratings and surveys

December 12, 2013  |  Alan C. Horowitz, RN, JD
blog

The Office of Inspector General wants hospitalization rates to be added to CMS's nursing home quality rankings. But will the numbers tell the real story or just muddy the waters?

Bill introduced to protect seniors from healthcare scams

November 26, 2013  |  Sandra Hoban, Managing Editor
news

Healthcare scams have sprung up since the October rollout of the Affordable Care Act. A California congressman's response to healthcare scams victimizing seniors in his jurisdiction is introduced as a bill in Congress.

CMS issues 2014 Medicare payment rate updates

November 8, 2013  |  Pamela Tabar, Editor-in-Chief
news

The Medicare payment updates for 2014 have been released. How can your facility best guide your own resident beneficiaries?

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