New data on hospital readmission shows that healthcare reform is making an impact--changing the rates for the first time in five years, says CMS. Read More »
The California Public Employees’ Retirement System, the country's third-largest health benefits purchaser, dropped a bombshell on its long-term care policyholders—switch LTC policies or deal with a massive rate increase. Read More »
With the clock ticking on March 1 Medicare cuts to nursing homes resulting from the onset of the federal Budget Relief Act's sequester provision, the Alliance for Quality Nursing Home Care on Wednesday released a state "Top Ten List" detailing the Medicare cut total to state nursing homes, their residents and their workforce. Read More »
A new report from the Office of Inspector General accuses skilled nursing facilities (SNFs) of misusing their Medicare payments, since more than one-third of SNFs don’t fulfill—or even create—the care plans and discharge goals required for their residents. Read More »
Widely recognized by his bushy beard and somber uniform, former U.S. Surgeon General C. Everett Koop became a household name for his anti-smoking campaign. Read More »
The Alliance for Quality Nursing Home Care (AQNHC) on Monday praised the introduction of New York Senator Chuck Schumer's (D-NY) bill, the Improving Access to Medicare Coverage Act, which changes Medicare law to permit nursing home residents access to skilled nursing care after hospital “observation stays.” Read More »
How many of your residents are on track to exceed the $1,900 payment cap on physical or occupational therapies? We examine the current therapy cap situation, and why it's such a challenge for long-term and post-acute care. Read More »
Florida’s governor, once one of the loudest voices against “ObamaCare,” has done a policy about-face and now supports limited Medicaid expansion in the state. Read More »
The Centers for Medicare & Medicaid Services has released its proposals for rate and payment changes for 2014. Seniors may be happy about the Part D drug changes, but insurers aren't as pleased with their end of deal. Read More »
Some $85 billion in across-the-board cuts in federal programs are expected to take place between March 1 and September 30 unless Congress, with some form of last minute heroics, can cut a deal to avoid those reductions, mandated by law, from being imposed. Read More »
President Barack Obama addressed challenges and opportunities facing the federal Medicare program, citing value-based purchasing in particular as an important change to the U.S. healthcare system, as well as proposing changes in pharmaceutical policy and in Medicare rules for wealthy seniors. Read More »
Hospitals made little progress on hospital readmission rates between 2008 and 2010, and some regions have far more readmissions than the national average. Read More »
The government’s healthcare fraud prevention and enforcement efforts recovered $4.2 billion in Fiscal Year (FY) 2012, up from nearly $4.1 billion in FY 2011, from individuals and companies that attempted to defraud federal health programs. Read More »
A new reporting system, created by CMS, will enable long-term care hospitals to provide more complete and accurate data on the quality of care their patients receive. Read More »
The Congressional Budget Office lowered spending expectations for Medicare and Medicaid for 2013-2023, according to a report released Tuesday. Read More »
Modern detergents and new laundering technologies have prompted the Center for Medicare & Medicaid Services to revise the laundry notes under F tag 411. Read More »
How much do you know about your GPO? CMS has instituted stricter disclosure rules pertaining to the financial relationships between providers and drug and device manufacturers. Read More »
The Affordable Care Act requires states to have policies to combat fraud, but each state can choose how to do it. A new database shows what each state is doing to combat Medicaid fraud on their home turf. Read More »
Hundreds of provider sites are ready to test the Centers for Medicare & Medicaid Services’ four new models for restructuring the way episodes of care are paid for. Read More »
Although therapy billing has taken a lot of the heat lately in CMS’ hunt for fradulent billing practices, the next big target might be something more durable. Read More »
The United States is not alone in confronting and caring for the increasing numbers of people with Alzheimer’s and other related dementias. Read More »
While most Americans say that Washington should act quickly to bring down the deficit, there is little public support for major reductions in federal spending on Medicare, according to the results of a national poll. Read More »
President Obama touched on Medicare and Medicaid in his second inaugural address on Jan. 21, in a speech with a strong focus on unity among Americans and with a heavy emphasis on social progress. Read More »
The fiscal cliff battle is behind us, but the nation is heading to another possible financial crisis caused largely by politics, and the nursing home sector—and their residents—could well be caught in the middle. Read More »
