Medicare/Medicaid

A vaccination update

Although seasonal vaccinations are good preventive steps to protect seniors from various health challenges, the inoculations may have some side effects. Kathleen Mears shares her experience with the shingles vaccination. Read More »

Health insurance exchanges for small businesses focus of study

If your facility employs 50 or fewer full-time workers, you may be interested in the results of a new study of the new Small Business Health Options Program through which companies like yours can purchase health insurance. Read More »

Know nursing home residents’ financial rights

Ignorance is not bliss when it comes to nursing home residents' financial rights. Make sure you know your responsibilities and that residents know their rights. Read More »

Increase in use of meal delivery programs could reduce LTC facility admissions

New research illuminates a way for 26 states to save on long-term care costs but would come with a price for nursing homes. Read More »

Seniors with chronic diseases overpaying for medications

Seniors with diabetes, COPD, heart disease or Alzheimer’s disease need to pay careful attention when choosing a drug coverage plan, a new study says. Read More »

AHCA names ManorCare exec as government policy chief

A top executive from HCR ManorCare has been chosen to steer AHCA/NCAL’s lobby efforts and policy interests. Read More »

Public weighs in on long-term care funding options

A recent poll asking Americans for their opinions about the financing of long-term care revealed support of some ideas that surprised researchers. Read More »

Health insurance exchanges proceed despite shutdown, albeit with glitches

Federal and state government officials vow to fix website and call center issues as health insurance marketplaces receive overwhelming attention from consumers on the first days of operation. Read More »

S.C. health system ordered to pay $276M in billing fines

A South Carolina health system owes the government millions for fraudulent billings and violations of the Stark anti-kickback law for the way it funnelled business to its outpatient services.  Read More »

Scam artists using ACA to grab seniors’ personal info

Long ago, telephones were a communication/socialization device. With technologic advances, however, the once-friendly phone has become a conduit for criminals. Read More »

Federal government shuts down

Core Medicare and Medicaid operations will not be affected by a federal government shutdown that began today, but a broad range of other federal operations will be affected. The Affordable Care Act itself has largely been funded already and will not be directly affected. ACA-created health insurance exchanges also are live as scheduled. Read More »

House, Senate spar over a delay to ACA; shutdown looms

After a weekend of squabbling over the federal budget, the Senate has rejected a proposal to delay the Affordable Care Act. With the budget crisis still unsolved in the 11th hour, what would a government shutdown mean for long-term care? Read More »

When a facility closes its doors, residents feel the pain

When a facility shuts its doors the business suffers, the community suffers and, ultimately, the residents caught in the middle are the ones who pay the price with the stress of relocation and the uncertainty of their futures. Read More »

Jacob Reider named acting national coordinator for ONC, David Muntz resigns

Farzad Mostashari, MD, has announced that Jacob Reider, MD, will take over as acting national coordinator. The ONC also announced that David Muntz has decided to step down as principal deputy national coordinator for health IT. Read More »

Nursing home use associated with certain personality traits

Whether and how much time a person spends in long-term care may depend on his or her personality, according to new research. Read More »

Managed care may be solution for nursing home residents with advanced dementia: study

An alternative to fee-for-service programs may help nursing homes provide appropriate, affordable care for elderly residents with significant cognitive impairment, new research suggests. Read More »

5 LTC commissioners propose alternative LTSS solutions

One-third of the membership of the federal Commission on Long-Term Care say that recommendations issued by the commission Sept. 13 are not broad enough, so they have issued alternative suggestions. Meanwhile, organizations representing the long-term care industry react to the official commission report. Read More »

Seniors are opting for higher-quality Medicare Advantage plans

It’s open enrollment time again for seniors to select their Medicare supplemental health and drug plans. According to CMS, Medicare Advantage plans will see a very slight increase from 2013 premium payments. Read More »

3-day hospital stay alternatives include new eligibility criteria, payment models

Improved policies and payment models could see more individuals being treated in skilled nursing and rehabilitation facilities as the country looks for ways to reduce costs and unnecessary hospitalizations, one expert believes. Read More »

Pressure ulcers and the MDS “Planning for Care” guidance

Highlights of recent updates to the RAI User’s Manual relevant to Section M: Skin Conditions and how these changes help to address the prevention and care of pressure ulcers. Read More »

Direct-care workers win battle for minimum wage

Direct-care workers, previously exempt from national minimum wage and overtime laws, will now be considered the same as any other employee. Will the change in the compensation laws help or hinder the role of direct-care workers in the expanding field of home care? Read More »

Shingles vaccination at 60?

Today, drugstores, supermarkets, wholesale clubs and discount stores advertise their flu, pneumonia and shingles vaccines. But, as Long-Term Living resident blogger Kathy Mears reminds us, immunization can avoid or minimize contracting a very painful case of herpes zoster, otherwise known as shingles. Read More »

Commission on LTC tackles tough issues but can’t agree on financial support system

The federal Commission on Long-Term Care makes headway but agrees to disagree on how to handle the financial burden of nation's long-term services and supports used by millions each day to assist with daily living. Read More »

Seniors have too many post-surgery emergency department visits, study finds

Seniors seeking emergency department assistance within 30 days of common surgical procedures experience problems that can lead to readmission, creating a revolving door effect and a lowering of Medicare reimbursement to hospitals. Read More »

Research seeks ways to improve long-term care offerings in reformed healthcare system

An academic powerhouse and several senior living service providers are joining forces to try to find ways to increase the quality of long-term care while decreasing unnecessary healthcare spending. Read More »

Performance-based incentive program improves quality of care in SNFs

When LTC providers and state governments collaborate in performance-based initiatives, nursing homes can see an improvement in care and outcomes, according to a new study. Read More »

3-day hospital stays, hospice surveys under scrutiny

Industry leadership weighs in on proposed “observation stays” legislation and increasing the frequency of hospice recertification surveys. Read More »

RACs are effective, but CMS should provide better oversight, says OIG report

Recovery Audit Contractors (RACs) are doing an effective job of rooting out Medicare fraud and billing errors, but federal Medicare agencies need to be more diligent about tracking cases, a new government report says. Read More »

Same-sex couples guaranteed equal access to nursing homes

Same-sex couples will no longer be denied visitation of a partner in a nursing home, according the U.S. Department of Health and Human Services. They will also have access to equal coverage in the facility where spouses live. Read More »

The present and future of long-term services and support

Newly released data summarize the present state of long-term services and support — and what the future holds. Read More »