The Centers for Medicare & Medicaid Services will make its Medicare data available to entrepreneurs with the mission of improving healthcare processes. Read More »
CMS plans to issue guidance for screening deceased Medicaid beneficiaries, provide more-complete data for screening Medicaid providers and consider whether the performance of Medicare administrative contractors can be improved. Read More »
Leaders from organizations representing providers of housing, care and services for older adults say they continue to scrutinize the 653-page proposal of reforms to Medicaid managed care plans that the Centers for Medicare & Medicaid Services issued May 26, but they shared their initial reactions with Long-Term Living. Read More »
The Centers for Medicare & Medicaid Services is proposing several changes to its Medicaid managed care regulations to modernize them and improve quality in the delivery of care to beneficiaries. Read More »
Two California nursing homes persistently overmedicated residents, causing infection, sepsis, malnutrition, dehydration, falls, fractures, pressure ulcers and, for some residents, premature death, the federal government maintains. Read More »
The body that advises Congress on Medicare-related payments to health plans and providers welcomes a new member, a new chair and five reappointed members. Read More »
Repackaging and distribution guidance proposed by the U.S. Food and Drug Administration inadvertently would undermine patient/resident safety in nursing homes and other long-term care facilities and also would threaten regulatory compliance, the Senior Care Pharmacy Coalition said in a letter to the agency. Read More »
The U.S. Department of Health and Human Services should help federal agencies work together to ensure that government resources related to home- and community-based services are used effectively and efficiently, the Government Accountability Office recommends. Read More »
The Senior Care Pharmacy Coalition says it is pleased with the Energy and Commerce Committee’s revised language in draft 21st Century Cures legislation it is considering related to programs to prevent prescription drug abuse under Medicare Parts C and D. Read More »
The lower five-star ratings forecast in February by the federal government are evidenced in a new analysis by the Kaiser Family Foundation. The news is not surprising, say two organizations representing providers. Read More »
Looming federal elections present the perfect time to step aside and let a successor fill his shoes, LeadingAge President and CEO Larry Minnix tells Long-Term Living in an exclusive interview. Read More »
Following passage in the House, legislation introduced in the Senate would require hospitals to notify Medicare beneficiaries of their outpatient status within 36 hours after the time of their classification or, if sooner, upon discharge. Read More »
Potential for increased stress, illness and death is increased when surgery for melanoma, a leading cause of skin cancer diagnosis, is delayed. Read More »
The Pioneer model of accountable care organization has saved about $385 million without sacrificing care quality, according to a newly published study in JAMA. Read More »
A new report by the Government Accountability Office sheds light on the demographic characteristics of those most likely to have living wills and healthcare powers of attorney. Read More »
Independence at Home demonstration projects would continue under a bill passed by the U.S. Senate. The legislation now awaits consideration in the House of Representatives. Read More »
The U.S. House of Representatives Committee on Veterans’ Affairs Subcommittee on Health deliberated today about a bipartisan bill that would expand veterans’ access to skilled nursing and other healthcare options. Read More »
Do the actions of a state governor foreshadow the approach he would take and the policies he would advocate if elected to this country’s highest office? If so, then those in long-term care may want to pay attention to what’s going on in the Badger State. Read More »
Four large healthcare trade organizations have sent letters to the Senate and House expressing concerns over a plan to use healthcare dollars to fund provisions in trade bills, resulting in cuts to Medicare. Read More »
Negligence has specific legal definitions—and personal injury lawyers love to muddy them. Long-Term Living legal blogger Alan C. Horowitz, RN, JD, explains what nursing homes can do to protect themselves. Read More »
Payments to skilled nursing facilities, quality reporting, value-based purchasing and staffing data collection are addressed in a proposed rule published April 20 in the Federal Register. Read More »
MedPAC, lawmakers call for payment revisions to cut costs and eliminate abuse in how post-acute care facilities are reimbursed to improve quality of care. Read More »
A new report from the AARP’s Public Policy Institute details the effects on Medicare beneficiaries who stay in a hospital under observation status rather than being admitted, and it offers recommendations to address the issue. Read More »
The U.S. Senate voted last night to repeal permanently the sustainable growth rate formula under which physicians are reimbursed for care they provide through Medicare. Several organizations representing aging services providers share their perspectives. Read More »
Medicare postpayment claims reviews and state Medicaid sources of funds are two of 24 areas where fragmentation, overlap or duplication exists in the federal government, according to a new report from the Government Accountability Office. Read More »
Providers and the professional associations advocating on their behalf may be focused on the sustainable growth rate and related issues, but a new survey finds that Medicare beneficiaries are more concerned about potential cost increases and service cuts. Read More »
Increasing the scope of practice for ABRNs and PAs who work in home healthcare, and reimbursing for HCBS for low-income, Medicare-only beneficiaries who need help with two or more ADLs, are the goals of two bipartisan bills introduced in Congress. Read More »
