Policy

Happy birthday, Medicare & Medicaid

Happy birthday, Medicare and Medicaid—and can we say, you don’t look a day over 50. But, the healthcare world sure is different now, compared to when you were born. Read More »

CMS, Rhode Island partner on new dual-eligible care model

The Centers for Medicare & Medicaid Services is partnering with the state of Rhode Island to try out a new model for providing person-centered care to Medicare/Medicaid dual enrollees. Read More »

CMS: National health spending projections juggle expanded coverage, high-cost drugs

Overall national healthcare spending is expected to rise by modest amounts during the decade from 2014-2024, notes a Centers for Medicare & Medicaid Services budget report released today. Read More »

NOTICE Act receives full Senate approval

Legislation to inform Medicare beneficiaries of their outpatient status has passed through the legislative branch without a hitch. Now, it’s off to the White House. Read More »

CMS pilots program for joint hospice/curative care

A new pilot program model from the Centers for Medicare & Medicaid Services will test whether hospice care and curative care should be offered simultaneously, instead of asking terminally-ill patients to choose one or the other. Read More »

CMS proposes mandatory antibiotic stewardship programs in LTC

Centers for Medicare & Medicaid Services' proposed rule would require long-term care facilities to establish an antibiotic stewardship program in order to participate in Medicare. Read More »

CMS proposes massive new rules for LTC industry

The 400-page proposal includes new rules to reduce hospitalizations, infections and resident risks. But, opponents question the financial impacts: Feds estimate the cost would be nearly $90,000 per facility over two years.  Read More »

OSHA inspections target tuberculosis in healthcare settings

A new directive is aimed to further reduce the risk of tuberculosis (TB) to employees working in healthcare settings, including new rules for screening and bloodwork. Read More »

Former CMS administrator Marilyn Tavenner to become AHIP president

Tavenner left her CMS post in January, and Andy Slavitt has been nominated by President Barack Obama to fill the position. Read More »

Proposed CMS rule would require health information exchange for LTC

The Centers for Medicare and Medicaid Services wants all nursing homes and long-term care facilities to participate in health information exchange. Read More »

White House Conference on Aging: New program and initiative roundup

The White House Conference on Aging was held Monday, and several new programs and initiatives were announced.  Read More »

Medicare: It works great…Let’s fix it

Medicare celebrates its 50th anniversary on July 30. Experts on aging discuss the program's history and future goals at an American Society for Aging event this past June. Read More »

Government audits find extensive Medicare Advantage overcharges

Some Medicare Advantage patients were overpaying by thousands of dollars a year, according to government audits. Read More »

Obama nominates Andy Slavitt as new CMS Administrator

Andy Slavitt has been serving as acting administrator since February. Read More »

Dying with a voice

The Centers for Medicare & Medicaid Services has proposed a milestone change within its latest Physician Fee Schedule--a new billing code for advanced care planning services. Will it encourage more docs to talk about end-of-life choices? Read More »

CMS proposes physician reimbursement for end-of-life discussions

In a milestone addition to its physician payment schedule, the Centers for Medicare & Medicaid Services proposes to add a new billing code to allow for the reimbursement of advanced care planning services. Read More »

Aetna’s Humana acquisition will swell its Medicare Advantage business

Aetna agreed to acquire rival Humana for $37 billion in cash and stock on July 3. Read More »

CMS won’t deny ICD-10 claims for a year

In response to requests from the provider community, CMS is releasing additional guidance that will aim to allow for flexibility in the claims auditing and quality reporting process Read More »

California LTC unions merge to create 280k-person powerhouse

Long-term care workers from three California locals have combined to create the nation's largest union. Read More »

California judge rules law that allows nursing homes to make medical decisions unconstitutional

The former law allowed nursing homes to make medical decisions on behalf of mentally incompetent residents.  Read More »

New overtime rules impact long-term care

Now is the time for long-term care administrators to reassess the exempt/non-exempt status of your employees before 2016 arrives. Read More »

Proposed bill would help ensure home health agencies are reimbursed by Medicare

Two senators have introduced a bill that would reduce the number of inappropriate Medicare denials for home health agencies. Read More »

OSHA inspections add focus on nursing risks

The Occupational Safety and Health Administration expanded its inspections to include musculoskeletal injuries related to patient or resident handling and four other risks to nurses. Read More »

Assessment finds missing measures in Medicare’s pay-for-quality programs

A new Avalere assessment of quality measures finds many important medical conditions are not represented in Medicare's pay-for-quality programs. Read More »

Fire at Mexico nursing home kills 16, injures 5

A fire ripped through a nursing home in Mexicali, Mexico City, this week, killing 16 residents and injuring five others Read More »

BREAKING NEWS: SCOTUS votes to uphold subsidies in King v Burwell

The U.S. Supreme Court voted 6-3 today to uphold marketplace subsidies in the landmark case King v Burwell. Read More »

ACHCA’s Grachek stepping down

After nine years of leadership in the long-term care industry, ACHCA President and CEO Marianna Grachek announces that she will be retiring next month. Read More »

Texas governor signs ‘three strikes’ bill to improve nursing home oversight

A measure to strengthen nursing home regulations in Texas was signed by Governor Greg Abbott this week. Read More »

Getting ready for assessment data and the IMPACT Act

Workgroups responsible for implementing the standardization of documentation codes across care settings under the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) have been busy during the past year, and SNFs may have to be ready to report under the new assessment data as early as fall 2016, noted panel presenters at this week's Long-Term and Post-Acute Care Health IT Summit in Baltimore. Read More »

What is your facility’s bullying policy?

What happens when one of your residents is the victim of bullying? Do you have a policy in place to address it? Read More »