Medicare/Medicaid

Need for institutional care may increase, AARP report says

Population trends mean that the current model of family members serving as the primary caregivers for their elders may not work in the future, according to some policy advisers. Read More »

9 new quality goals for nursing homes unveiled by initiative

Nursing homes participating in a new initiative may gain competitive advantages, organizers say. In the process, they could collect data helpful in establishing uniform national standards and evidence-based best practices. Read More »

OIG recommends revision of proposed CMS rule

The passage of the Improving Access to Medicare Coverage Act of 2013 could resolve beneficiaries’ access to SNF care with revision of CMS rule on observation stays. Read More »

Research reveals what makes SNF residents, families happy

New research reveals how nursing homes can improve their scores on satisfaction surveys of residents and families. The findings could take on added significance as the Centers for Medicare and Medicaid Services considers moves that could affect the way SNFs are reimbursed. Read More »

Mostashari steps down from ONC

Farzad Mostashari, head of the Office of the National Coordinator for Health Information Technology (ONC) for the past four years, has announced his resignation. Read More »

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 »

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 »

Non-Medicaid services funding not matching demand

States are encountering increasing demands for non-Medicaid services, such as senior centers and transportation services, but they are not increasing funding for such services, according to a new report. 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 »

Report lists 30 ways to address cognitive health

More than 280 public health experts put their heads together to come up with 30 ways to promote cognitive functioning and address impairment. A new report contains advice for those working with or caring for those with dementia. Read More »

Ohio taxpayers carry displaced seniors in Northern Kentucky

Because of the state’s shortage of nursing homes, seniors in Northern Kentucky are moving across the Ohio River to facilities in southwest Ohio. And Ohio taxpayers are footing more than half the bill for many of these displaced Kentucky Medicaid residents. 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 »

Nursing home quality improves under Five-Star Quality Rating System, study finds

Everyone wants to be a star—even nursing facilities. It’s good for residents, families, staff and business to be on the top tiers of satisfaction. Although Medicare's Five-Star Rating System isn’t perfect and has its detractors, it has been effective, according to a recent study. Read More »

Iowa DHS sidesteps disclosure of Medicaid spending by SNFs

Advocates for seniors in Iowa want answers to how Medicaid money is spent. Meanwhile the Iowa Department of Human Resources isn’t ready to take a stand on disclosure. 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 »

CMS limits Medicare coverage of exorbitant brain test to specific cases

There’s a brand-new imaging test available to diagnose Alzheimer’s disease, but it’s so expensive that CMS is limiting the Medicare coverage of the test to two circumstances. 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 »

Home health next in line for CMS reimbursement cuts

The Centers for Medicare & Medicaid Services proposes deep cuts to home health reimbursements, as well as new quality reporting measures. 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 »

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 »

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 »

Vast inconsistencies in Personal Care Aide training across states

No federal training standards exist for personal care aides employed through publicly funded programs. A new report takes a state-by-state look at the inconsistencies of education for these direct-care workers. 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 »

Immigrants contribute more to Medicare than they take out

Native-born senior Americans benefit from the contributions of taxpaying immigrants, according to a new study. Read More »

Texas passes the nation’s first Medicaid life settlement law

To help defray long-term care costs, Texas seniors about to apply for Medicaid can cash in their life insurance policies to cover the costs of long-term 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 »