Medicare/Medicaid

OIG widens crackdown on hospices

Another hospice gets a federal audit as the Office of Inspector General increases investigations at hospices across the country. Read More »

Skilled nursing care faces more Medicare cuts

Over the next 10 years, SNFs will face $65 billion in Medicare cuts. Have they been pushed off the fiscal cliff as Medicare payments continue to be reduced for skilled care? Read More »

MedPAC to Congress: Renew Medicare’s special needs plans for long-term care

MedPAC recommends that Congress vote to keep the special needs plans under Medicare Advantage, although some of the plans perform better than others. Read More »

CMS doubles number of ACOs, releases new report on ACO impact

Another 106 provider organizations make the CMS list of Accountable Care Organizations (ACOs), bringing the number of covered beneficiaries to more than 4 million. Read More »

The Joint Commission issues revised rules for LTC accreditation

The Joint Commission has revised its skilled nursing and rehabilitation accreditation standards, and now offers specialty services facilities a new way to certify their expertise. Read More »

A waiting game for Medicaid reimbursements in Illinois

A prolonged wait for state Medicaid reimbursement can place a long-term care organization in financial jeopardy. Read More »

Telehealth bill proposes higher federal payments, less restrictions

Congress is considering new legislation that would erase many of the barriers to telehealth adoption and create better incentives for providers. Read More »

And we’re off!

As my long-term care administrator and clinician friends and colleagues know, there’s rarely true respite from the unrelenting demands of the healthcare industry. And as if you didn’t have enough work-related issues on your plate, 2013 has kicked off with a political and regulatory bang. Read More »

SNF group promotes patient-driven post-acute care reform

 The “fiscal cliff” has been averted but post-acute care still faces Medicare challenges. Read More »

Legislation averts ‘fiscal cliff’, LTC provider group reacts

Legislation averts the “fiscal cliff,” but several budget-making hurdles remain on the horizon. Read More »

New Chinese law: Visit your elderly parents—or else

“Respecting your elders” has gained a new meaning in China, where the national elder law has been amended to allow elders to sue their children for not taking care of them. Read More »

Enrollment policies restrict access to hospice care

Results from a national survey indicate that enrollment criteria contributes to underuse of hospice services. Read More »

Obama, Senators set 11th-hour fiscal cliff meeting

No one’s sure what key bargaining chips will be in play at today’s 3 p.m. meeting between President Obama and congressional leaders, but raising the Medicare age isn’t going to be one of them, according to a key Democratic Senator. Read More »

CDC: Make brain health a national priority

Placing brain health among the current national health priorities--like diabetes and heart disease--can give cognitive health the attention and respect it needs to foster awareness and better prevention habits, according to a report from the Centers for Disease Control and Prevention's Health Brain Initiative. Read More »

Washington Update: Republicans fail to support Boehner’s latest fiscal cliff proposal

On the Friday before the Christmas holiday, Congress is still nowhere on an agreement to avert sequestration and the fiscal cliff. Read More »

Are SNFs causing their own headaches?

MedPAC proposes more cuts for 2014, and the skilled nursing industry objects. But the GAO issues a report that can only make the industry’s case more difficult. Read More »

AHCA: Medicaid payment shortfalls projected at $7 billion for 2012

A new report released today by the American Health Care Association shows historic shortfalls in what Medicaid pays and what skilled nursing care actually costs. Read More »

ONC releases final EMR testing specs for 2014

No more guessing: After months of drafting and reviewing, the Final Testing Method for electronic medical records (EMRs) has been published by the Office of the National Coordinator for Health Information Technology (ONC). Read More »

OIG report: CMS’ fraud system has promising first year

The Centers for Medicare & Medicaid Services' Fraud Prevention Program gets a decent grade in its Year One evaluation, but the inspectors also have a few suggestions. Read More »

Medicare policies complicate aging-in-place strategies

If aging-in-place is on the rise, why is it becoming more difficult for stay-at-home seniors to get mobility equipment? Read More »

HHS says no to full funding for partial Medicaid expansions

The Department of Health & Human Services clarified its position Monday on funding ratios for state Medicaid expansions and published an extensive FAQ list on state health insurance exchanges. Read More »

Washington Update: Medicare, ‘doc-fix’ and the ‘fiscal cliff’

Healthcare policy expert Blair Childs, vice president for public affairs at Premier healthcare alliance, gives his "insider impressions" of what’s happening on the Hill regarding a possible "doc-fix," Medicare funding, and possible Affordable Care Act policy changes as the deadline clock ticks down on the fiscal cliff. Read More »

Therapy cap would jeopardize seniors with Parkinson’s, stroke

Healthcare associations appeal to Congress to keep the therapy cap off the calendar for another year, as the clock ticks toward the December 31 Congressional deadline. Read More »

Survey: Voters want nursing homes off the ‘cliff’

Legislators may have a bitter pill to swallow at election time if Medicare cuts become part of the fiscal cliff deal. Read More »

BREAKING: GOP returns with counter-offer to avert ‘fiscal cliff’

Speaker of the House John Boehner delivered a new proposal to solve the budget crisis this afternoon-- including billions in healthcare cuts. Read More »

TN hospice takes the lead on palliative quality reporting

A Nashville hospice care provider has become the first hospice organization in the country to publicize its care quality data, raising the bar for others in the palliative care industry. Read More »

Obama administration proposes $340 billion in Medicare cuts in preliminary “fiscal cliff” negotiations

According to news reports on Nov. 28 and 29, President Barack Obama has proposed cutting $340 billion from Medicare spending over 10 years, in his fiscal year 2013 budget, as part of his initial bargaining stance with Speaker of the House of Representatives John Boehner (R-OH) and congressional Republicans, during the so-called “fiscal cliff” negotiations. Read More »

OIG to CMS: Get tougher on EHR incentive verifications

There are plenty of potential holes in the Meaningful Use incentives programs for electronic health records—and too many temptations for cheating, says a new OIG report. Read More »

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 »

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 »