Medicare/Medicaid

NTOCC launches care transitions resource database

The National Transitions of Care Coalition launches an online database of applications, tools and educational resources for improving care transitions and quality outcomes. Read More »

OIG identifies areas for cost, quality improvement

A recent report from the U.S. Department of Health and Human Services Office of Inspector General identifies more than 25 ways that government agencies and programs could save money or improve quality. Read More »

Medicare Advantage to receive 1.25% pay bump in 2016

The 2016 rates for Medicare Advantage plans won't be a dismal as predicted, according to final rate adjustments released today by the Centers for Medicare & Medicaid Services. Read More »

CMS clarifies actions on expiring provisions

As the U.S. Senate continues its spring recess, the Centers for Medicare & Medicaid Services has clarified what actions it will take until mid-April. Several provisions that may be addressed by passage of a “doc fix” bill expired today. Read More »

Rethinking end-of-life care

Top leaders in healthcare policy discuss how to change the culture of dying to one driven by residents instead of physicians—and how to find more insurance models to pay for hospice and palliative care. Read More »

Observation status would count toward three-day inpatient stay under act

Patients’ time under “observation status” would count toward the requisite three-day hospital stay for coverage of skilled nursing care under legislation introduced by four senators. Read More »

Act aims to coordinate post-acute care to realize savings

The Bundling and Coordinating Post-Acute Care (BACPAC) Act has been introduced in the U.S. House of Representatives in an effort to coordinate care delivery and realize savings related to Medicare beneficiaries. Read More »

Fraud prevention, enforcement efforts recover $3.3B in FY 2014

The government’s healthcare fraud prevention and enforcement efforts recovered $3.3 billion in fiscal year 2014 from individuals and companies that attempted to defraud federal health programs serving seniors and others, according to a new report. Read More »

Senate kicks SGR vote to April

Healthcare professionals now will have to wait until April 13 for any action related to the sustainable growth rate formula. Read More »

U.S. House passes doc-fix bill that would repeal SGR

The U.S. House of Representatives voted Thursday to end the sustainable growth rate formula, passing a permanent doc-fix instead. Read More »

AHCA gives ‘enthusiastic support’ to SGR bill

After years of failed efforts, a congressional bill proposing a permanent solution to the "doc-fix" problem is gaining the support of one of long-term care's largest and most powerful organizations. Read More »

CBO: President’s budget would reduce Medicare spending

Changes to Medicare proposed in President Barack Obama’s 2016 budget would decrease federal spending by $240 billion over the 10-year projection period, according to an analysis by the Congressional Budget Office. Read More »

OIG proposes SNF PPS rates for critical access hospitals

The Medicare program could have saved $4.1 billion over 6 years if it had reimbursed for swing-bed services at critical access hospital using the lower skilled nursing facility prospective payment system rates paid for similar services at alternative facilities, according to a new report from the U.S. Department of Health and Human Services Office of Inspector General. Read More »

Concerns remain after introduction of SGR replacement bill

Senate and House leaders have introduced legislation to replace the Medicare sustainable growth rate formula tied to physician compensation, but organizations representing aging services providers are expressing concerns related to Medicare therapy caps and payment cuts to providers of post-acute care. Read More »

GAO: States’ oversight of Medicaid IT lacking

States need to determine effectiveness of Medicaid IT systems, says a Government Accounting Office report. Read More »

SGR fix ahead

Congress may solve the sustainable growth rate puzzle, but for the long term, it may not matter all that much. Read More »

House passage of NOTICE Act is ‘encouraging,’ AHCA says

A bill approved by the House would require hospitals to notify Medicare beneficiaries of their outpatient status within 36 hours after the time of their classification or, if sooner, on discharge. Read More »

Medication adherence metrics are focus of PQA, AllazoHealth partnership

The Pharmacy Quality Alliance and AllazoHealth have formed a formal research partnership to study and improve industry-wide medication adherence metrics. Read More »

CMS’ five-star changes overdue, groups say

Five groups advocating for residents of nursing homes say they “strongly support” the Centers for Medicare & Medicaid Services’ announced changes to its five-star rating system of the homes. Read More »

NCOA revamps Medicare information portal

A new online source of Medicare information for seniors includes personalized tools.  Read More »

5-star rating analysis tool for LTPAC providers

New analysis tool allows LTPAC providers to evaluate their five-star rating status and find ways to improve.  Read More »

CMS: Proof lacking that quality measures have unintended effects

The Centers for Medicare & Medicaid Services says it has found little evidence to support or refute the possibility that the use of quality measures has had unintended consequences in nursing homes and other settings.  Read More »

Medicaid is focus for Florida Health Care Association

Restoring Medicaid funding, improving Medicaid managed long-term care and protecting seniors from unexpected medical bills are the three legislative priorities set by the Florida Health Care Association for 2015, the organization has announced. Read More »

GAO: Expand cuts in antipsychotic drug use

Assisted living communities and home health agencies will be some of the next frontiers for the federal government’s efforts to reduce the use of antipsychotic medications in those with dementia, following a recommendation from the Government Accountability Office. Read More »

Online tool aids the ICD-10 transition

A new online mapping tool can help transition to ICD-10, a study shows. Read More »

Sprinkler systems save lives

Two recent fires—one a tragedy, one a triumph—prove the wisdom of the Centers for Medicare & Medicaid Services mandate to require sprinkler systems in skilled nursing facilities. Read More »

Nursing home penalties top $100 million

An examination of recent Centers for Medicare & Medicaid Services Nursing Home Compare data generates disturbing insights on the number of fines levied on skilled nursing facilities. Read More »

Use this CMS page to explain five-star changes

The Centers for Medicare & Medicaid Services has posted information explaining the changes to its five-star nursing home rating system, which you can use to help educate prospective residents and their families. Read More »

State is in the house

Not only does a SNF survey cause long-term care staff concern, but residents witness the process firsthand to see how the care they receive is evaluated. Read More »

CMS announces Nursing Home Compare changes

As promised Feb. 12, the Centers for Medicare & Medicaid Services publicly announced changes to the five-star rating system used on its Nursing Home Compare website Feb. 20. Some organizations representing aging services providers are expressing concerns. Read More »