Healthcare reform

The ACA and Medicaid

After months of political leverage on repealing the Affordable Care Act, the GOP decided to ditch its new House bill without voting on it. Now what? Read More »

The therapy coding overhaul

CMS's recent changes to therapy code sets are rocking the provider world. This primer will help your facility transition to the new CPT codes and the new Medicare reimbursement rules that are coming next. Read More »

The repeal and replace bill: Medicaid’s most dangerous enemy?

The GOP's long-awaited bill to repeal and replace the Affordable Care Act is here--but its vision may be dangerously shortsighted. Read More »

New federal rules for home health agencies

Federal regulations, set to go into effect in July, would require the more than 12,000 home health agencies participating in Medicare and Medicaid be more responsive--and responsible--for patients and caregivers.  Read More »

CMS applauds readmission reduction

The Centers for Medicare & Medicaid Services has seen a substantial decline in hospitalization admissions among Medicare beneficiaries in long-term care.  Read More »

Therapy billing fraud: When will LTC learn?

Providers who overbill or fudge their therapy services are on the DOJ’s radar more than ever. So why is there still so much therapy billing fraud? Read More »

Medicare Part B outpatient drug payment cancelled

The Centers for Medicare and Medicaid Services will not move forward with a mandatory five-year Medicare initiative that would have tested new ways to pay for outpatient drugs under Medicare Part B. Read More »

LTC industry: Get back to basics ahead of Trump Adminstration

There may be regulatory changes ahead for the long-term care industry under a Trump Administration and Republican-led Congress, but Cynthia Morton says the best thing long-term care facilities can do is to keep doing what they've always done: take care of people. Read More »

21st Century Cures Act includes ambitious health care spending

Both parties of Congress agree more money needs to be spent on cancer research, mental health, precision medicine, BRAIN initiatives, the opioid epidemic and regulating medical software.  Read More »

GOP, Trump regime met with optimism

AHCA/NCAL anticipates—and looks forward to—expected regulatory relief and repeal under the new Republican-led White House and Congress. Read More »

Medicare crunch time with Trump administration, Part II

Contributor Robert Gatty ponders whether sweeping reforms are ahead as President-elect Donald Trump fills out his Cabinet and Republicans retain majority in Congress.  Read More »

One-on-one with…Cynthia Morton

What's in store for long-term care in 2017? Cynthia Morton, Executive Vice President of NASL, talks about coming regulations and policy changes, including how a Trump administration could affect Medicaid. Read More »

Trump picks healthcare leader, plans for healthcare reform

Three days after the U.S. election, President-elect Trump has announced his choice to lead the healthcare segment of his transition team. Read More »

Medicare crunch time with Trump administration?

The next administration will have to cut back on Medicare spending and fraud. Contributor Robert Gatty speculates whether lawmakers will crack down on avoidable hospital admissions. Read More »

What impact will Trump’s victory have on value-based healthcare?

As Republicans take control of the executive and legislative branches, how will the new Administration impact healthcare's initiatives and priorities? Healthcare information technology experts weigh in on key policy issues moving forward. Read More »

The changing season of CMS

As the season shifts into fall, the Centers for Medicare and Medicaid Services (CMS) is launching a new season of regulations for long-term and post-acute care. Read More »

BPCI Model 3: Bonanza or boondoggle?

There’s an argument to be made for being an early adopter with Bundled Payments for Care Improvement (BPCI) Model 3, but there are also questions about how much participants will ultimately save. Read More »

CMS’ Final Rule: Is it a win for residents?

Two business administration academics take an early look at what CMS' Final Rule for long-term care reform legislation will mean. Read More »

Defuse disputes with arbitration clauses

Properly drafted arbitration clauses can help reduce resident disputes, but families may still need help understanding the terms. Read More »

NOTICE Act takes effect

Advocacy groups are urging Congress to pass additional legislation on the NOTICE Act to allow observation time to count toward the required three-day inpatient stay for Medicare. Federal officials are also considering arbitration agreement provisions. Read More »

Illinois signs bill for dementia care regulations

The state is the latest to mandate certification for facilities that provide care services for Alzheimer’s disease and related dementias. Read More »

Seniors concerned about presidential candidates’ plans for Social Security

Likely female voters age 50 and up in battleground states say Hillary Clinton and Donald Trump aren’t talking much about Social Security but that the next president will have to update the program, according to a survey commissioned by AARP.  Read More »

Teaching family how to be caregivers

The Oklahoma Healthy Aging Initiative is offering workshops to teach family caregivers how to care of an older adult and communicate with healthcare providers. Read More »

MedPAC launches plan for new payment system

The Medicare Payment Advisory Commission (MedPAC) submits it recommendations to Congress for how to establish a unified, cross-setting post-acute care payment system. The plan would redistribute payments among types of stays, making profits more uniform and hopefully reducing unnecessary services and admission preferences.  Read More »

Challenges to EHR implementation

A new study on implementation of electronic health records (EHR) has identified several obstacles for doctors, chief among them poor user experience. Read More »

House Republicans propose healthcare system overhaul

Republicans from the U.S. House of Representatives announced a healthcare reform proposal that would challenge parts of the Affordable Care Act but retain some of the Act’s more popular provisions. Read More »

Unified PAC payment feasible, MedPAC says

The Medicare Payment Advisory Commission (MedPAC) has issued its annual report on refinements to Medicare payment systems and on issues affecting the medicare program Read More »

Medicare could cover comprehensive Alzheimer’s care plan

Congressional subcommittees have proposed changes to the Social Security Act to cover an initial care plan for Medicare beneficiaries newly diagnosed with Alzheimer’s disease and related dementias to help them understand the disease and treatment options. Read More »