Policy

Hospital readmissions won’t improve without better transitions of care

Solving the problem of hospital readmissions will take much more than follow-up calls at home. Each link in the care chain has quality improvements to make, say health IT experts at the 2012 LTPAC Health IT Summit. Read More »

MDS 3.0 updates require critical action steps

With the federal government’s escalating war on healthcare fraud and abuse, long-term care operators are on high alert in their efforts to be compliant in documentation and reporting. A leading educator pounds home the need for documentation and compliance. Read More »

HHS: Consumers will get rebates from payors who failed the “80/20 Rule”

HHS and the Office of Health Reform announced today that customers will get money back from insurers who didn’t meet 80/20 rule. Payors will also have to explain why they didn't meet the mandate. Read More »

eHDS User Group: While CMS continues to innovate, unpredictable Congress could cut healthcare funding

NASL’s Cynthia Morton shares insights on Congressional legislation and CMS innovation projects with attendees at this week’s eHDS User Group meeting. Read More »

The waiting game

It’s been a week of high anxiety for the long-term care industry as anticipation builds for the U.S. Supreme Court’s impending decision on the fate of the Affordable Care Act, expected to come down before the end of the month. Read More »

Long-term care scores big in Texas

Throughout the country, select organizations have received CMS Innovation awards for projects that aim to improve healthcare and access to people enrolled in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) programs. Read More »

ALFA recognizes World Elder Abuse Awareness Day, with online tools to combat abuse

Around the world, senior living communities are raising awareness of and education to prevent future elder abuse. Read More »

Medicaid fraud audits cost more than is recovered, CMS admits

Medicaid audit recovery is disappointing. A GAO report blames ineffective Medicaid Statistical Information System (MSIS) data. Read More »

Senate committee rejects attempts to shackle reform’s prevention funds

The Senate Appropriations Committee today struck down several amendments aimed at putting a chokehold on funds allotted by the Affordable Care Act, including a prevention fund containing millions for eldercare initiatives. Read More »

Seniors continue to fall victim to financial exploitation

America’s senior citizens continue to be the target of swindles and scams. According to e a recent online survey, nearly all respondents agree that older adults are vulnerable to financial exploitation. Read More »

MDS 3.0: Processing the flurry of updates

AANAC’s Judi Kulus provides a roadmap through the maze of recent MDS 3.0 updates and errata releases, while pointing out some potential pitfalls in handling resident interviews, assessments, file error correction and queries to CMS. Read More »

A bitter battle on Capitol Hill

Another bitter battle is brewing on Capitol Hill over how to prevent student loan interest rates from increasing from the current 3.4 percent to 6.8 percent on July 1, and believe it or not, nursing homes and other long-term care facilities may be asked to help pay the tab. Read More »

Ohio nursing homes take $30M hit

Although funding was approved in last year’s Ohio budget, Gov. John Kasich slashed bonuses to high-performing nursing homes by a line-item veto for the state’s midterm budget review. Read More »

ALFA urges measures to fight ‘pension poaching’

Problems in the VA Aid and Attendance program have created a cottage industry of predators that target vulnerable seniors to convince them that they are entitled to a pension. The senior is then marketed financial products that he or she does not need and might not benefit from. Read More »

What’s for dinner? Nothing

In 2012, it's hard to believe that people still go hungry in the United States. When a senior doesn't have enough food or good nutrition, that is a recipe for health complications. Read More »

AHCA to Congress: Don’t use Medicaid’s provider tax rates to bail out student loans

The American Health Care Association and the National Center for Assisted Living (AHCA/NCAL) tell Congress to stop eyeing Medicaid tax rates as rescue funds for student loans. Read More »

The number of hospitals that “observe” rather than admit is growing, research shows

New research data shows that many Medicare recipients are prevented from transferring to skilled care based on their hospital admission status. Read More »

The new Community First Choice program: How will it affect LTC providers?

The Obama Administration seems determined to keep patients in their community settings and out of nursing homes for as long as possible. Obviously that will mean fewer admissions to long-term care facilities, so those facilities must be thinking of ways to adapt in order to remain viable. Read More »

HHS funds Aging and Disability Resource Centers

Funds for improved access for consumer information on community services and supports for seniors and others with disabilities is on the horizon. Read More »

Eden Alternative acquires Lifespan Network’s Wellspring program

Lifespan Network's Wellspring program will merge with The Eden Alternative to advance excellence through culture change. Read More »

CMS announces partnership to reduce improper antipsychotic drug use

CMS announces a new partnership initiative to combat the improper use of antipsychotic drugs in nursing homes. Through better reporting and data sharing, the partnership vows to cut the use of antipsychotics in nursing homes by 15 percent before the end of this year. Read More »

Pennsylvania adopts electronic fingerprinting for LTC workers

In Pennsylvania, all applicants to LTC facilities and other agencies that care for the elderly must pass criminal background checks. Read More »

U.S. senators propose federal guidelines for use of antipsychotics in nursing homes

A proposed amendment to pending legislation would require federal regulators to issue guidelines requiring nursing homes to get permission from patients or designated advocates before administering antipsychotics. Read More »

Kindred CEO urges Senate to delay Medicare cuts, consider payment reforms

Diaz urged the committee to consider the impact of additional payment cuts—including the impending 2 percent sequestration cut to Medicare payments beginning in January 2013 and continuing for 10 years—on LTC's ability to continue innovation pilots. Read More »

AL providers consider negative effects of community-based rules

According to NCAL, both proposed rules would disqualify a community-based provider, such as assisted living or a group home, from participating in Medicaid because they are on or near a property containing an institutional setting. Read More »

New palliative/end-of-life care measures for LTC

With approximately 2.5 million people dying each year, the need for quality palliative and hospice services is at an all-time high. There is an increased focus on palliative and hospice care by the public and private sectors to ensure that high-quality end-of-life care is available to our aging population. Read More »

ACHCA leadership panel addresses LTC challenges

The top leaders of the major long-term healthcare associations gathered recently during the American College of Health Care Administrators (ACHCA) Annual Convocation to take on the challenges of providing care to older adults and disabled individuals in a time of tightening resources, fewer workers and an influx of residents. Read More »

Nursing home quality shows improvement

Quality ratings are on the rise in the nation's skilled nursing facilities, according to recent government data Read More »

Son billed $93K for mom’s nursing home care

In Pennsylvania, a nursing home, unwilling to wait for a woman's Medicaid approval and reimbursement, sues her son to recover the $93K debt. It's called the "filial responsibility law" and it's on the books in 30 states. Read More »

Paper prescriptions becoming passé

Prescription pads are becoming scratch pads as more physicians take the e-prescribing approach to medication management. Read More »