Policy

One-two punch: CLASS demise and budget cuts

Bob Gatty The hits from Washington keep coming for the LTC industry, already reeling from a series of Medicare and Medicaid cuts, and now facing Read More »

Nursing homes: Past, present and future

Judah L. Ronch, PhD The ancestors of the modern nursing home were the almshouses of the colonial era. Over time, settings for the care of the Read More »

Adult day centers a new casualty of Medicaid cuts

The warnings have been well reported up to this point. Unfortunately, providers have little say in the matters of Medicaid and the transformations Read More »

Overwhelmed in the aftermath of a federal survey

I searched on Google for images of the word “overwhelmed” and you can only imagine what I saw. In truth, I thought I would see a picture of a Read More »

CMS admin Berwick stresses provider collaboration at LeadingAge

Donald Berwick wants you to forget about the current strife in Washington and get back to the basics: “better health, better care, lower costs”—the Read More »

Is CLASS really over?

Like thousands of other long-term care industry providers, educators, advocates, vendors (and journalists) making final preparations to attend this Read More »

Home health billing practices under fire from multiple flanks

Three recent developments indicate sharp scrutiny being placed on the home health industry. Stemming from Congress, the courts and the Office of Read More »

Employers fight proposed union election timelines

Bob Gatty Business organizations, including representatives of the long-term care industry, have mobilized to fight a proposed new regulation from Read More »

‘Embrace the change’ of healthcare reform

A recurring theme at the recent AHCA (American Health Care Association) national conference was the need for skilled nursing providers to be Read More »

Provider associations displeased with nursing home painkiller bill

A bill introduced last month by Sen. Herb Kohl (D-Wis.), titled the “Nursing Home Resident Pain Relief Act of 2011,” requires major revisions if it Read More »

Try these 3 programs to increase Medicare census and reimbursement

October 1st is looming. That dreaded date, what with its Medicare cuts, is causing facilities to scramble and evaluate budget savings and other Read More »

AHCA/NCAL conference report: ‘Our industry is under attack’

Rat Pack tribute? Check. Cheesy Elvis impersonator? Check. Scantily clad showgirls? But of course. It’s conference week in Las Vegas for the Read More »

AHCA/NCAL conference report: Medicaid crisis demands provider action

Medicaid is in transition—many would say crisis—and skilled nursing providers attending a panel discussion Monday at the 62nd Annual AHCA/NCAL Read More »

Cuts, market volatility rattle providers

For long-term care providers, summer 2011 will be remembered for a rollercoaster ride of congressional clashes over the U.S. debt ceiling, Read More »

Feeling the fire of SNF PPS rule

The final SNF PPS rule for FY2012 published in August will cause all operational professionals to stop and think about their implementation plans for Read More »

AHCA/NCAL honor quality care

The American Health Care Association and the National Center for Assisted Living announced the recipients of the organizations’ 2011 National Quality Read More »

National MDS 3.0 training call recap

Wow, we are closing in on one year of using the MDS 3.0 and are finally getting the “hang of it” with all the changes that occurred with its Read More »

Does anyone out there care?

Janet Gerber, RN-BC Mathematically, I have always “assumed” that if you were dividing a whole into “quarters” that would mean you would have four Read More »

Final rule cuts deep

Bob Gatty The long-term care industry is now facing an 11.1 percent Medicare payment reduction to SNFs for 2012 in new rates to be implemented Read More »

Medicare cuts will cause pain—but for whom?

October 1, 2011, is the day that an 11.1 percent reduction in Medicare payments to SNFs is implemented. It’s when we really begin feeling the pain. Read More »

The IDT in care planning

Judah L. Ronch, PhD In a recent draft report on the work of The Food and Dining Clinical Standards Task Force, (convened by the Pioneer Network Read More »

It’s time for a look-back period

Everyone needs a good sounding board. For many nurses, that forum is oftentimes a listserv. In commemoration of last year's big MDS package, Read More »

Take control of incontinence

Facility staff empathizes with the pain and discomfort of the resident with incontinence, but they frequently do not have the opportunity to discuss Read More »

A year later: LTC providers speak out on MDS 3.0

This time last year skilled nursing facilities across the nation were in the throes of gearing up for the implementation of MDS 3.0 in October. Read More »

Lessons from Pioneer 2011: Neighborhood Nurses and obtrusive noise

St. Charles, Missouri, was the site of the 2011 annual convention for the Pioneer Network. This was the fourth Pioneer event I have attended; I had Read More »

What your team needs to know about the COT OMRA

At the end of July, the Centers for Medicare & Medicaid Services (CMS) published the “Medicare Program; Prospective Payment System and Consolidated Read More »

ACOs update: Three likely payments

And now we wait. The comment period for the Centers for Medicare & Medicaid Services' proposed rules on Read More »

Aligning benefits for dual eligibles

Directed by provisions of the Affordable Care Act (ACA), the new health reform law, the Centers for Medicare & Medicaid Services (CMS) has launched a Read More »

Sweating out proposed Medicare/Medicaid cuts

The heat is on both literally and figuratively as we move into the height of summer. Healthcare providers have sweated out weeks of speculation over Read More »

Life safety = quality of life

Flooding, tornados, hurricanes, fires and terrorism—we live in volatile times in a volatile world. As I traveled last week to the annual National Read More »