Policy

Ohio taxpayers carry displaced seniors in Northern Kentucky

Because of the state’s shortage of nursing homes, seniors in Northern Kentucky are moving across the Ohio River to facilities in southwest Ohio. And Ohio taxpayers are footing more than half the bill for many of these displaced Kentucky Medicaid residents. Read More »

Boehner: Delaying employer mandate should delay individual mandate, too

If the employer insurance mandate gets a one-year postponement, so should the individual insurance mandate, says House Speaker John Boehner. Read More »

Nursing home quality improves under Five-Star Quality Rating System, study finds

Everyone wants to be a star—even nursing facilities. It’s good for residents, families, staff and business to be on the top tiers of satisfaction. Although Medicare's Five-Star Rating System isn’t perfect and has its detractors, it has been effective, according to a recent study. Read More »

Iowa DHS sidesteps disclosure of Medicaid spending by SNFs

Advocates for seniors in Iowa want answers to how Medicaid money is spent. Meanwhile the Iowa Department of Human Resources isn’t ready to take a stand on disclosure. Read More »

CMS proposal: Ditch “coding levels” for outpatient services

A new payment proposal from the Centers for Medicare & Medicaid Services (CMS) could impact the reimbursements for long-term care hospitals, post-acute care and rehab facilities. Read More »

Capitol defense: United LTC industry tackles Washington challenges

Washington correspondent Bob Gatty shares his recent conversation with Mark Parkinson, AHCA president/CEO, on LTC's efforts to bring equitable solutions to Washington's challenges. Read More »

CMS limits Medicare coverage of exorbitant brain test to specific cases

There’s a brand-new imaging test available to diagnose Alzheimer’s disease, but it’s so expensive that CMS is limiting the Medicare coverage of the test to two circumstances. Read More »

Congress misses work-study reauthorization deadline

A key provision of the Veterans’ Benefits Act of 2010 expired on June 30, leaving some part-time workers at veterans’ homes o... Read More »

Obama administration announces delay of key healthcare reform provision for employers

The Obama administration changed course on July 2 on a key provision of the Affordable Care Act, when it announced a one-year delay in the ACA’s employer mandate requiring provision of health insurance to employees. Corporations had objected to the mandate, which will now take effect in January 2015. Read More »

Same-sex couples guaranteed access to partners in nursing homes

While LGBT couples are celebrating the Supreme Court’s decision that they should receive the same rights and benefits as straight married couples, they might not be too happy with some of the financials.   Read More »

Home health next in line for CMS reimbursement cuts

The Centers for Medicare & Medicaid Services proposes deep cuts to home health reimbursements, as well as new quality reporting measures. Read More »

Home care aides: Caught between the labor lines

As the Fair Labor Standards Act turns 75, a large segment of long-term care’s workforce is the subject of debate concerning minimum wage and overtime laws. Will federal efforts to provide minimum wage and overtime protection undermine a home health agency's core business? Read More »

HHS launches revamped site for Health Insurance Marketplace

The Department of Health and Human Services launches a completely redesigned website ready to answer questions and assist in planning for this fall’s switch to the Health Insurance Marketplace (formerly Health Insurance Exchange). Read More »

$30 million in funding earmarked for falls prevention study

A serious fall at home can have far-reaching consequences to a senior’s quality of life. A government-funded study will look into ways to reduce or prevent the instances of debilitating falls in community-dwelling seniors. Long-term care providers are asked to help. Read More »

CMS’ plans to reform payment to post-acute healthcare cause concern

CMS’ plans for payment reform designed  to cut costs in the post-acute sector for the FY2014 budget may be a cause of concern for the long-term care industry. Read More »

The challenges of hiring or housing registered sex offenders

Even people with criminal histories grow old; others have served their time and need to work. Caroline Berdzik, Esq, offers some tips to follow in this tricky situation. Read More »

FDA: Boost drug research for C. diff, MRSA, pneumonia

The FDA wants to speed up research on new treatments for LTC’s drug-resistant infections. Read More »

Federal LTC Commission is set to begin its work

When the CLASS Act was kicked off the “fiscal cliff,” Congress established the Commission on Long-Term Care to serve in its stead. With a six-month lifespan, is the Commission a boon or a boondoggle? Read More »

Court of Appeals agrees with SNF, reverses HHS

Were the residents' eggs served runny or undercooked? Ambiguity in language convinces an Appeals Court to reverse a noncompliance ruling in a recent case where CMS had accused a nursing home of poor food preparation. Read More »

CMS recruits seniors to become Medicare fraud watchdogs

CMS administrator Marilyn Tavenner launches another effort to identify and prevent Medicare fraud, waste and abuse by using seniors as the agency's "eyes and ears." Read More »

Medication costs may lead to higher ER use

Those who have difficulty affording their medications may alter their doseage, skip doses or never fill the prescription at all--increasing the risk of a trip to the ER. Read More »

Vast inconsistencies in Personal Care Aide training across states

No federal training standards exist for personal care aides employed through publicly funded programs. A new report takes a state-by-state look at the inconsistencies of education for these direct-care workers. Read More »

Medicare Part A fund to outlast predictions, remain solvent til 2026

The Medicare funds for hospital Part A could last two years longer than expected, notes today’s annual trustees report. Read More »

Immigrants contribute more to Medicare than they take out

Native-born senior Americans benefit from the contributions of taxpaying immigrants, according to a new study. Read More »

Texas passes the nation’s first Medicaid life settlement law

To help defray long-term care costs, Texas seniors about to apply for Medicaid can cash in their life insurance policies to cover the costs of long-term care. Read More »

Nursing home associations merge

The new American Health Care Association will be a major force in Washington as it focuses on the challenges and issues of providing long-term care for America’s millions of elderly persons. Read More »

CMS revises discharge planning guidelines

New CMS guidelines take a deeper look at discharge planning, clarifying who is responsible for what at the time of discharge and why discharge planning is a key to reducing 30-day readmissions. Read More »

Congress updated on AHCA’s Quality Initiative

Earlier this month, long-term care leaders briefed Congress on the positive accomplishments and future goals to improving quality of care in skilled nursing facilities. Read More »

CMMI rethinks its innovation program, sharpens focus for Round 2 funding

CMS’ Center for Medicare and Medicaid Innovation (CMMI) announces a significantly smaller and more-focused project list for Round Two of the funding awards. Read More »

Senate confirms Marilyn Tavenner as permanent administrator of CMS

 Tavenner is the first permanent administrator of that federal agency to be confirmed in nearly a decade. Read More »