Medicare/Medicaid

30-day readmissions rate: What’s behind the number?

To complete the readmission puzzle, post-acute care providers should look at three not-so-obvious missing puzzle pieces that go beyond the readmission metric. Read More »

Atty Gen. Holder to resign from DOJ

U.S. Attorney General Eric Holder, Jr. has announced plans to resign from the Department of Justice later this year. Read More »

Post-acute care groups applaud passage of IMPACT Act

Organizations serving older adults say they are pleased with Congress’ passing last week of the Improving Medicare Post-Acute Care Transformation Act of 2014, which is designed to standardize data used across post-acute care settings. Read More »

Congress: The ball is in your court

The building crisis in financing and providing effective long-term care services and supports is an ever-growing problem as discussed in a report by the Commission on Long-Term Care. Read More »

Older adults advised to get extra protection against pneumonia

While two pneumonia vaccines are recommended to seniors for optimal protection, will cost/coverage discourage them from receiving the second vaccine? Read More »

Personal expense allowance

Living on a budget is hard for anyone. It takes discipline. Imagine if you had less than $100 a month to meet your needs, let alone your wants. Read More »

ADL difficulty points to LTSS need, researchers say

Almost half of Medicare beneficiaries aged at least 65 years, among them nursing home residents, reported trouble or the need for assistance with activities of daily living in a recent study. Read More »

CMS eases back into recovery audits

After months of a pause mode due to backlogs in the appeals process, CMS has reinstated the recovery audit contractor (RAC) review process. Read More »

CMS: Medicaid spending surges in 2014; Medicare awaits 2020

The Centers for Medicare & Medicaid Services Office of the Actuary has released new figures concerning healthcare spending trends. Read More »

12 steps to QAPI: Step 12: Take systemic action

The final chapter in the series “12 Steps to QAPI” shows how preparation, organization, data and action can correct and improve processes to enhance the quality of care your residents receive. Read More »

CBO releases updated budget, economic outlook through 2024

A new report from the Congressional Budget Office includes projections related to spending on Medicare, Medicaid and other programs for older adults. Read More »

OIG busts multiple home health agencies, DME companies for fraud

The August dog days of summer proved to be too hot for several scheming durable medical equipment and home health service providers. Read More »

NYT scrutinizes Medicare 5-star rating system

Medicare’s five-star rating system for skilled nursing facilities is being called out again—this time on the front page of the New York Times. Read More »

RN staffing bill set to increase minimum hours

Providing 24/7 RN coverage in nursing homes is the goal of a new bill introduced July 31. Having the most highly qualified professionals available ensures that residents receive optimal care at any hour of the day. Read More »

Meeting the new dining standards

What’s for dinner? Are you planning and serving residents meals that are in line with the new dining standards? A new toolkit helps to implement these requirements. Read More »

ACIP offers recommendation on pneumonia vaccine

It’s nearing that time of the year again when it's important to review your residents’ history of vaccinations and to schedule the various inoculations, including pneumonia, that will protect them from infections in the coming months. Read More »

End delay, VA is told

Lawmakers push the U.S. Department of Veterans Affairs to ease long-term care (LTC) red tape for military vets to obtain healthcare services. But what are the prospects for accessibility to LTC services? Read More »

Licensure for some Texas nursing homes under the microscope

In Texas, some nursing homes with serious violations have avoided penalties without correcting violations, according to a recent report by the Texas Sunset Commision. Read More »

One-on-one with…Leah Klusch

Making use of newer guidance and data from the government, as well as improving communication with other entities and perfecting a person-centered approach to care, should be priorities for clinical and operational leaders in long-term care, according to the executive director of an educational foundation and consultancy. Read More »

Study questions value of some home health providers

The findings of a new study have its authors questioning Medicare reimbursement for for-profit home health agencies. Read More »

Conference on Aging leader, website announced

A leader, website and potential topics for the 2015 White House Conference on Aging have been announced. Read More »

Medicare, Social Security solvency focus of reports

Medicare and Social Security Boards of Trustees today released reports predicting the financial future of funds that support benefits, and they offered suggestions for addressing challenges. Read More »

The 12 steps of QAPI: Step 10: Plan, conduct and document PIPs

QAPI expert Nell Griffin, LPN, EdM, offers valuable resources and advice on establishing performance improvement projects to remedy problems in care practices. Read More »

Sense and reason prevail at CMS

The Centers for Medicare & Medicaid Services is set to drop doctors’ face-to-face narrative requirement for home health coverage. Read More »

Who should offer psychotherapy in nursing homes?

A new analysis finds that obstetricians/gynecologists, thoracic surgeons, primary care physicians and others are being reimbursed by Medicare for offering group and individual psychotherapy services to those living in intermediate and long-term care facilities. Read More »

Guest blog: Initiative ponders path for home healthcare in the future

Current Medicare requirements challenge home healthcare, but a new initiative is identifying infrastructure, workforce, research, technology and policy needs to facilitate change. Read More »

Projects for frail elderly receive federal funding

Collaboration and technology figure prominently in projects across the country earmarked for up to $360 million in funding through the U.S. Department of Health and Human Services' Health Care Innovation Awards program. Read More »

Elder abuse focus of new government effort

The U.S. Department of Justice and the Department of Health and Human Services have announced an Elder Justice Roadmap "for tackling the highest priority challenges to elder abuse prevention and prosecution." Read More »

CMS may require meaningful use-certified EHRs for chronic care services

A new CMS proposed rule could bring the Meaningful Use EHR program to the realm of long-term care in a meaningful way. Read More »

12 steps to QAPI: Step 9: Prioritize quality opportunities and charter PIPs

Identifying problem areas, establishing goals, selecting committees and accessing data to enhance quality are components that determine whether a facility should charter a performance improvement committee. Read More »