Medicare/Medicaid

Calif. nursing home population growing younger

From 1994 to 2014, the population of California nursing home residents under age 65 increased by nearly 40 percent. So, too, did the number of reported problems directly related to the resident population mix.   Read More »

Fla. passes LTC wait-list prioritization law

The new law will require the state’s Department of Elderly Affairs to sort and prioritize those who are receiving long-term care services and those who are waiting for consideration. Read More »

Proposed legislation aimed at comorbidity among Medicare beneficiaries

A U.S. Senate Working Group has outlined priorities for improving Medicare delivery to beneficiaries with multiple, complex chronic illnesses while reducing healthcare expenditures.  Read More »

CMS solicits advancements, interventions in care delivery through Special Innovation Projects

The Centers for Medicare & Medicaid Services seeks ideas for improving care delivery through a Special Innovation Program and will offer 28 awards totaling $8 million. Statements of Objectives will be available early April.  Read More »

Government to add nearly 6,000 updates to ICD-10

The CDC and CMS announced they will celebrate the one-year anniversary of the transition to the new classification system by implementing new diagnosis codes, hospital inpatient procedure codes and revision of existing code titles.  Read More »

New CMS initiative to improve care for nursing home residents

The Centers for Medicare & Medicaid Services (CMS) will test a new payment model for nursing facilities and practitioners to further reduce avoidable hospitalizations and lower Medicare and Medicaid spending while improving patient care. Read More »

Medicare unveils Diabetes Prevention Program

Older Americans with a high risk for developing Type 2 diabetes may receive preventive treatment from an unlikely source: Medicare.  Read More »

Congress, LTC battle high drug prices

As Congress and Medicare battle it out with Big Pharma, drug prices continue to gouge those who can afford it the least. Read More »

CMS mapping tool tracks Medicare disparities

A new interactive mapping tool drills down to the state and county levels and reveals where the delivery of Medicare outcomes are falling short across 18 chronic conditions. Read More »

5 treatments seniors don’t want in later life

Many seniors’ health goals shift over time, and the focus on quality instead of quantity has some seniors and theri providers saying “no” to certain treatments. Read More »

New CMS data set shakes out the RUGs

The data set examines the levels of care performed and resources used in skilled nursing facilities, including how many days are billed as the ultra-expensive “ultra-high rehabilitation.” Read More »

NIC releases first report in new SNF data series

The National Investment Center for Seniors Housing & Care (NIC) says the new quarterly reports will give senior housing investors more current data to help guide investment decisions. Read More »

A closer look at CMS’ efforts to reduce avoidable hospitalizations

Does Centers for Medicare & Medicaid Services recognize industry improvements? Washington policy expert Robert Gatty looks at whether the government's efforts have been effective. Read More »

CMS pushes interoperability for LTC

The new initiative allows states to request the 90 percent enhanced matching funds to connect more Medicaid providers to a state health information exchange. Read More »

LeadingAge report: Options for LTSS financing makeover

Financing for long-term care services and suppports (LTSS) is in big trouble and needs new financing options that don't push all the burden onto Medicaid.  A new report from LeadignAge explores some alternatives. Read More »

CMS adds patient experience ratings for home healthcare

The Centers for Medicare and Medicaid Services adds patient experience ratings to its Home Health Compare five-star quality ranking system. Read More »

ACOs thwarted by lack of interoperability

Accountable Care Organizations have spent the past four years struggling to achieve the goals that set them apart. But ACOs still don't have the one thing needed for success: data interoperability. Read More »

CMS examines racial, ethnic disparities in healthcare

Racial and ethnic minority populations are more likely to be readmitted to the hospital within 30 days for certain chronic conditions. The Centers for Medicare & Medicaid Services is exploring the relationship readmission rates and diversity. Read More »

3-day waiver rule on the way out?

The 3-day hospital stay rule might be waving goodbye, but the American Health Care Association warns the new CMS proposal would put some nursing homes—and their residents—at a disadvantage. Read More »

CMS finalizes Medicaid prescription drug reforms

The Centers for Medicare & Medicaid Services finalized reforms to the rebate and reimbursement systems for Medicaid prescription drugs. Read More »

Unprecedented $350 million federal funding increase for Alzheimer’s research

The fiscal year 2016 federal spending bill includes $350 million more for Alzheimer's disease research funding. It's the first time in 12 years the National Institutes of Health have seen a boost in funding. Read More »

Who should do medication reconciliation safety: RNs, LPN or both?

Registered nurses (RNs) and licensed practical nurses (LPNs) have different skills and work processes when it comes to medication reconciliation, say researchers at the University of Missouri. Read More »

Congress to consider VA provider agreement legislation

Will veterans soon be able to obtain care from non-VA LTC facilities? Long-Term Living's Washington reporter Bob Gatty takes a look at the proposed care model. Read More »

AGS studies person-centered care definitions, quality scope

What does “person-centered care” entail? The American Geriatrics Society teamed up with The SCAN Foundation and the University of Southern California to research the definitions and quality scope of healthcare that is focused on the person and not on the condition. Read More »

National health spending picks up steam

The national healthcare spending growth rate has accelerated for the first time after five years of sluggish growth, according to new annual data from CMS. Read More »

Why aren’t Californians connecting with MediConnect?

The opt-out rate for California’s new pilot program for dual-eligibles is so high the UCLA Center for Health Policy Research just got a massive grant to study why. Read More »

Texas ALF settles fire sprinkler suit

The owners of a Fort Worth, Texas assisted living complex learn the cost of sprinkler system violations. Read More »

CMS gets to work on new value-based fee structure

Now that the SGR is history, the Centers for Medicare & Medicaid Services is tackling the new value-based payment model. Leading long-term care organizations are playing important roles in advising the new policies. Read More »