Administration

DOJ orders repayment of improper Medicare reimbursements

In the wake of federal reports of rampant fraudulence Medicare billing, the letters begin arriving at hospitals and other healthcare sites: Medicare wants its money back. Read More »

3 marketing strategies in response to the Affordable Care Act

President Barack Obama’s reelection ensured that the Affordable Care Act (ACA) will be fully implemented and your organization needs to be prepared for its potential impact on your facility or service. Here are some important aspects of the law you must consider when making strategic and tactical decisions that will impact the marketing of your services. Read More »

Vitamin D and me

Being vitamin D deficient surprises me, since I have never been told I was deficient in the past. But I am a breast cancer survivor and know that chemotherapy can cause physical changes. Read More »

Exercise boosts brain health and improves Parkinson’s, imaging studies show

One way to enhance the brain’s “little gray cells” and to stave off the effects of Parkinson’s and dementia may be pedaling that bicycle, note researchers presenting at RSNA, the world’s largest radiology conference. Read More »

Reducing antipsychotic medications? Try these behavioral interventions

With the recent focus on reducing antipsychotics in long-term care and substituting behavioral interventions, facilities may be left wondering what interventions to use and how to implement them. Here are ideas on how to prevent, investigate and monitor agitation on your units and address staffing needs to ease the transition from antipsychotic medication. Read More »

Short-term rehab soars to No. 1 service in SNFs

Still think the majority of residents at skilled nursing facilities (SNFs) are grannies? Not anymore. Check out the fastest-growing demographic in today’s LTC market. Read More »

Michigan moves forward with culture change

Michigan has made a commitment to culture change. PHI serves as the convener for this multi-stakeholder group that includes resident advocates, provider associations, government agencies, culture change advocates and employee organizations. Read More »

BREAKING: HHS releases proposed rules for state insurance premiums, workplace wellness programs

The release of today's proposed rules brings the Department of Health & Human Services a few steps closer in building the rules for state health exchanges (HIX). Read More »

Air pollution damages brain function, memory in seniors

The risks of cognitive decline in seniors may be up in the air—literally, according to a study on the surprising effects of air pollution on brain functions. Read More »

Top 10 nursing home deficiencies, top 10 trouble states

The latest version of the Nursing Home Inspect tool includes more ways to search nursing home survey data and to assess the historial track record of a skilled nursing facility. Read More »

OIG alleges rampant skilled nursing billing errors

The Wall Street Journal reported that the OIG is using the term “Operation Vacuum Cleaner” to refer to its review of nursing home billing issues. This term is perhaps even more foreboding than the report itself. With the fiscal cliff looming and sharp negotiations set to begin over the future of Medicare reimbursement, the timing and substance of this report are less than ideal for an industry already under fire. Read More »

LTC industry seeks to avert fiscal cliff

The long-term care industry, concerned about the impact of potentially devastating “fiscal cliff” federal funding cuts, has launched a broad offensive in hopes of convincing Congress and President Obama to reach a deal that will prevent those reductions from being imposed. Read More »

BREAKING: Health exchanges: Holdout states get last-minute reprieve

Today was to be decision day for states on whether they intend to participate in the new state health exchange program, but an eleventh-hour extension from Health and Human Services Secretary Sebelius gives the remaining eight states another few weeks to decide. Read More »

Senior care planning takes a woman’s touch, men better at LTC’s financial aspects

When it comes to long-term care planning, it takes a village—or at least the input of both men and women. Read More »

SNFs erred on 25% of claims in 2009; $1.5 billion in overpayments

The Office of Inspector General continues to unearth massive misreporting and over-billing in nursing home claims, especially where therapy is involved. Read More »

Brookdale mulls restructuring options amid Medicare reductions

Brookdale Senior Living is considering several financial options to refit its operations in an era of Medicare reductions, announced Brookdale's CFO and co-president Mark Ohlendorf today at the Stephens Fall Investment Conference. Read More »

Piercing the corporate veil: Strategies to reduce corporate negligence claims in LTC lawsuits

Nursing home and assisted living operators are seeing a marked increase in “piercing the corporate veil” theories and corporate negligence claims in malpractice litigation. The good news is facilities can and should employ strategies that can help insulate them from these claims. Read More »

2012 LTC rate report: Nursing homes reach $90k, market ripe for adult day services

Skilled nursing facility private room rates rose by 3.8 percent compared to last year, reaching a national average of $90,520 per year. But two sectors of long-term care had no cost increases at all, according to the annual survey from MetLife Mature Market. Read More »

High-tech, high-touch connectivity

While attending the LeadingAge Conference in Denver last month, I had the opportunity to converse with Conrad, a well-spoken 80-year-old who was representing his CCRC board at this conference. What impacted me most about my chat with Conrad was his desire to be connected and to be heard. Read More »

SNFs: Be nimble, resourceful and ready to fight

The clarion call to action grows ever louder: In addition to lobbying their local lawmakers, long-term care providers must best position their organizations to serve a rapidly changing healthcare system or face demise. Read More »

HHS submits rules for state insurance exchange benefits

The Department of Health and Human Services has submitted another rulemaking piece on state health insurance exchanges to the Office of Management and Budget—the last step before publication. Read More »

AHCA launches Ad firestorm at Congress: No Medicare/Medicaid cuts

Long-term care organizations are using an aggressive advertising campaign to tell Congress to end the deep cuts to Medicare and Medicaid reimbursements. Read More »

Recovering from disaster in long-term care

A good percentage of disaster management is “getting your ducks in a row.” Most of this involves establishing appropriate relationships that may be premised on contacts, formalized agreements and memorandums of understanding with vendors of essential services and other facilities that may be needed to provide evacuation and relocation assistance during the disaster recovery phase. Read More »

What President Obama’s re-election means for the future of long-term care

The votes are in: The Obama Administration now has four more years to further the healthcare initiatives begun under the 2010 Affordable Care Act. So, what happens next? Long-term care leaders, providers and industry experts weigh in on the implications of President Obama's reelection for the U.S. healthcare system and, specifically, the LTC industry. Read More »

Prescriptions for disaster

During health emergencies and disasters, two resources can play important roles in keeping seniors and their medications connected. Read More »

Blanket waivers issued for New York and New Jersey in Hurricane Sandy’s wake

The Centers for Medicare & Medicaid Services has granted blanket waivers for New York and New Jersey after Hurricane Sandy, easing the regulations required of long-term care and other health providers. Read More »

Incontinence: Documentation risks and payment issues

How many of your residents have some sort of incontinence? More than you think. Improper assessment and MDS 3.0 coding of incontinence can result in inadequate treatment for residents, costly overuse of incontinence products and payment issues for caregivers. Read More »

What are your employees’ most expensive health risk factors?

A recent study links almost one-quarter of employer/employee health spending to a list of just 10 health risks. What’s the No. 1 health risk? Surprise: It’s not smoking. Read More »

ACA health benefits: Some employers rethink their workforce to avoid paying

The new employee benefits rules created under the Affordable Care Act (ACA) don’t go into effect until Jan. 1, 2014, but some employers are making changes to their workforce structures already, hoping to avoid the the coverage changes and penalties. Read More »

CMS: Waiver status issued for New York state in Sandy’s wake

An emergency response meeting held by the Centers for Medicare & Medicaid Services answers some questions on coping with the aftermath of Hurricane Sandy in New York, but many issues remain for long-term and acute care facilities in other states. Read More »