Healthcare reform

Supportive services, private insurance topics for long-term care commission

Government, university and nonprofit organization representatives suggested ways to improve Medicare- and Medicaid-related long-term supportive services and private long-term care insurance at yesterday’s hearing of the federal Commission on Long-Term Care. Read More »

PBS’ Frontline slams assisted living; communities cry foul

Updated 3:30 p.m.   Last night’s PBS documentary on assisted living has enraged many, both because of what it revealed and what it didn’t reveal. Read More »

Medicare, Medicaid observe 48 years

Some nonprofit organizations and a government agency are singing the praises of the Medicare and Medicaid programs as they observe the 48th anniversary of being signed into law. Read More »

Medicare spending varies geographically due to post-acute care differences: IOM

Differences in the use of care at SNFs, rehab facilities and other post-acute settings largely account for variation in Medicare spending across geographic areas, according to a new report. Read More »

New TeamSTEPPS program tackles safety & communication issues in LTC

Health professionals in Connecticut adapt the TeamSTEPPS safety training program specifically for long-term care settings. Read More »

House reps votes to delay employer, individual insurance mandates by one year

Following President Obama’s July 2 announcement to delay the employer insurance benefits mandate required by the ACA, the U.S. House voted today to delay the individual insurance mandate as well. But will the Senate agree? Read More »

9 ACOs plan to leave Pioneer Program

After one year, quality benchmarks may be up, but cost savings are not—and nine ACOs have decided to leave the Pioneer ACO program, CMS announced today. 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 »

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 »

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 »

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 »

Study: Best SNF care teams involve primary care physicians and pharmacists

Putting pharmacists and primary care physicians on care teams can improve outcomes for long-stay residents in skilled nursing, according to a recent review of research from around the world. 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 »

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 »

The changing face of assisted living

As the American populations continues to age, assisted living looks at a new  role of providing housing care to higher acuity residents and those with Alzheimer’s or other dementias. 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 »

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 »

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 »

Healthland buys American HealthTech

Two technology companies combine their products to provide electronic data documentation across the care continuum—from hospitals to SNFs to home care. 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 »

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 »

Medicare fraudsters nabbed in $223 million nationwide bust

This week’s Medicare fraud sting operation involved nearly 100 people across multiple states, including physicians, nurses and therapists. Read More »

LTPAC information technology conference melds care quality & business impact

June's LTPAC HIT Summit will mark the annual long-term and post-acute care meeting of the minds of technology and longitudinal care coordination. Read More »

Leaders of Tomorrow: Phenelle Segal, RN, CIC

Congratulations to the fourth of our five 2013 Leaders of Tomorrow: Phenelle Segal, RN, CIC. After 30 years in acute care, Segal has dedicated herself to educating LTC facilities about infection control and prevention. Read More »

CMS sweetens the deal for fraud whistleblowers

Know about someone conducting sneaky Medicare billing practices? CMS’ new whistleblower proposal might pay you more than your boss does. Read More »

Senate committee approves Tavenner for CMS helm

Marilyn Tavenner has obtained a vote of confidence from a Senate committee in her bid to become the first confirmed administrator of the Centers for Medicare & Medicaid Services in seven years. Read More »