Medicare/Medicaid

Reforming the Survey Process: An Interview with Alan C. Horowitz

Many within the long-term care sector feel the Medicare/Medicaid survey system is in need of reform. Read More »

New Evidence on the MMR Vaccine’s Effectiveness Against COVID-19

We’re pleased to share new evidence of the MMR vaccine’s effectiveness against COVID-19. Read More »

Safely Welcoming Visitors to Senior Care Facilities

Allowing visitors back is full of new challenges. Here are some strategies to keep in mind. Read More »

Significant Provider Victory in Major COVID-19 Case

Life Care Center of Kirkland has achieved a significant legal victory relating to its much-maligned handling of an early COVID-19 outbreak. Read More »

View From the Trenches: Interview with Dr. Arif Nazir

Dr. Nazir talks about COVID testing, therapeutics, and keeping spirits high during this challenging time. Read More »

View From the Trenches: Interview with Dr. Karl Steinberg, President-Elect of AMDA

Dr. Steinberg champions the care provided by nursing homes and the value of perspective and kindness. Read More »

Are More Civil Money Penalties the Answer?

CMS has announced that it has imposed more than $15 million in civil money penalties (CMPs) on more than 3,400 nursing homes during the COVID-19 pandemic. Is this effective? Read More »

Federal Strategies and Procedures Designed to Protect Seniors

President Trump recently released a statement detailing how his administration is supporting America’s seniors during the COVID-19 pandemic. Read More »

Senior Care Coronavirus News Roundup for Tuesday, 5/5

IASC's periodic roundup of coronavirus-related news of interest to senior care leaders. Read More »

President Trump Announces New Pandemic-Related Measures To Protect Seniors

In a statement issued April 30th, President Trump reiterated his support for the nation's seniors and announced new COVID-related protection measures. Read More »

QAPI Can Engage Staff and Improve Your LTC Facility

A key component of active implementation of the final rule is for all staff to be trained and participating in Quality Assurance Performance Improvement (QAPI) activities — a paradigm shift for some nursing homes. Read More »

CMS’ PDPM May Impact Clinical Protocols

Changes to Medicare reimbursements may affect your facility’s workflow. Read More »

Therapy cap survives via congressional inaction

Congress recessed for the final holiday of 2017 without addressing the current Medicare therapy cap exceptions process, set to expire on December 31. Without the exceptions process or an alternative, therapists will not be allowed to provide services above the therapy cap in 2018. Read More »

Nursing home discharges under scrutiny

Residents, ombudsman, associations and consumer advocates are raising their voice about a growing number of allegedly improper evictions and discharges. Read More »

DOJ tallies $57M in Medicare fraud busts in two weeks

Medicare fraud squads are closing out 2017 by catching a wide range of health service providers in the crosshairs of crime, including several cases of opioid-related fraud. Read More »

FDA approves, CMS proposes coverage for extensive cancer genomic test

The FoundationOne CDx (F1CDx) is a diagnostic test that can detect gene mutations for cancer, and its potential to help patients has spurred the Centers for Medicare & Medicaid Services to pay for qualifying beneficiaries to be screened.  Read More »

CMS adds online tool for quality measures

The web-accessible version of the CMS Measures Inventory Tool (CMIT) will make it easier for providers to track their quality measures across the care continuum. Read More »

LTC associations urge Congress to keep the medical expenses tax deduction

The tax deduction for medical expenses is on the chopping block in the Trump Administration’s new tax reform bill, an elimination that could seriously hurt all seniors, especially those with dementia. Read More »

Immediate jeopardy: True or false?

An immediate jeopardy deficiency can cost providers dearly in finances and reputation. But what if it’s not true? Legal expert Alan C. Horowitz discusses a recent case where the provider challenged CMS over nearly $1 million in fines—and won. Read More »

Price resigns from HHS: Now what?

As the head of the U.S. Department of Health and Human Services steps down amid scandal over the use of travel funds, how will it affect the swirl of unsolved healthcare issues? Read More »

Medicaid cuts could cause greater care gaps

An analysis of Nusing Home Compare shows cuts to Medicaid could harm the poorest residents and lowest-rated facilities that will have to do more with less. That could cost the government even more.  Read More »

Bye-bye, CMMI?

CMS Administrator Seema Verma has announced the dawn of big changes at the Center for Medicare and Medicaid Innovation (CMMI). What will happen to all the bundled payment projects? Read More »

CMS launches Hospice Compare site

Much like the Nursing Home Compare site for skilled nursing facilities, the new data comparison tool will allow consumers to see quality measures data on hospice and palliative care providers. Read More »

CMS raises reimbursement by 1%, pushes VBP

With the Value-Based Purchasing program due to begin in 2019, CMS is pushing SNFs to get on board with performance baselines now. Read More »

Senate says no to ‘skinny repeal’ healthcare bill version

The Senate has voted 51-49 to keep the Affordable Care Act law the way it is—for now. Majority Leader Mitch McConnell says it’s time to “move on.” Read More »

412 charged in largest-ever fraud bust

July has been a record-breaking month for the Department of Justice’s fraud squad, which orchestrated a 30-state takedown totaling $1.3 billion in fraudulent or illegal activities. Read More »

The new LTC bundle: housing and insurance

A few nursing home companies have begun selling their own private insurance policies on the Medicare Advantage market Read More »

Senate abandons second healthcare bill

The Senate GOP has pulled the plug on its most recent attempt to repeal and replace the Affordable Care Act. Read More »

Medicare Advantage plans murky on benefits

A recent report from the Government Accountability Office found one-quarter of reviewed plans had disproportionality high numbers of sicker people dropping out. Read More »

Senate GOP issues revisions to BCRA health bill

GOP senators make a few big changes to the BCRA bill but stick to their guns on tax repeals and cuts to Medicaid. Read More »