Regulatory Compliance

Skilled nursing: The continuing quest for quality

While quality and satisfaction scores have improved, skilled nursing facilities need to continue to improve and adapt to government policy and reimbursement cuts to survive. Read More »

Skilled care in the south of France

Every country in the world--from Argentina to Zimbabwe--is confronted with the problem of caring for its elderly and paying for that care. Here's a firsthand look at how senior care is provided at a facility in France. Read More »

Florida loses its court battle to override HIPAA requirements

Who is entitled to access a deceased person’s protected health information? In Florida, the state’s law allows access to a range of unauthorized representatives. Read More »

CMS proposes $180 million increase in hospice reimbursements

CMS has proposed a new rule that would raise hospice payments under Medicare by $180 million next year. Read More »

Activists petition for safer bed rails in nursing homes

Bed rails are supposed to keep residents safe, but some advocates say stricter standards are needed to keep them from doing more harm than good. Read More »

A resurgence of fraud cases based on quality allegations

Alleged poor quality charges are landing providers in the poorhouse. A look at cases based on poor quality of care and the subsequent verdicts handed down. Read More »

CMS sweetens the deal for fraud whistleblowers

Know about someone conducting sneaky Medicare billing practices? CMS’ new whistleblower proposal might pay you more than your boss does. Read More »

Senate committee approves Tavenner for CMS helm

Marilyn Tavenner has obtained a vote of confidence from a Senate committee in her bid to become the first confirmed administrator of the Centers for Medicare & Medicaid Services in seven years. Read More »

Industry leaders weigh in on President Obama’s FY2014 budget proposal

This summer will be a busy one as Congress deliberates the 2014 budget and how, without revisions, its proposed cuts to Medicare may affect the physicians, hospitals and long-term care providers. Read More »

The pros and cons of per capita caps for Medicaid

Federal agencies and lawmakers keep revising one possible way to curb Medicaid spending growth: Per capita caps. Read More »

Obama budget will cut Medicare but boost Medicaid and mental health

President Obama's new budget, released by the White House Wednesday, includes plenty of cuts, but also contains a few surprising increases. Read More »

Assisted living 2013: On the upswing

Two top industry executives share their insights on assisted living’s climate and trends. Assisted living survived the economic downturn and the collapse of the housing market intact and it is geared up and ready to continue moving forward. Read More »

CMS releases guidelines on delegated nursing roles in SNFs

A new Centers for Medicare & Medicaid Services document clarifies what tasks physicians may delegate to nurses within nursing homes serving Medicare and Medicaid residents. Read More »

One-on-one with…. Ruta Kadonoff

Senior Editor Pamela Tabar talks with Ruta Kadonoff, vice president of quality and regulatory affairs for the American Health Care Association/National Center for Assisted Living (AHCA/NCAL), about quality in long-term care—and why being able to measure it will be important for business. Read More »

2% Medicare payment reductions begin today

The waiting is over. No resolution to the budget crisis means that sequestration begins—today. Long-term care facilities will feel the effects upfront, but a quieter casuality might be healthcare's information technology and data-sharing initiatives. Read More »

Fla insurance shutdown hits 100,000 Medicare/Medicaid beneficiaries

Florida’s Universal Health Care Insurance suddenly closed its doors last week, giving beneficiaries three days to choose another insurance provider. Read More »

White House, Congress might consider combining Medicare Parts A and B

Sweeping changes may be on the horizon for the way Medicare billing is divided, as President Obama and Republicans put the idea of combining Medicare Parts A and B back on the discussion table, the New York Times reports today. Read More »

Pressure ulcers: What we don’t know can hurt us

Knowledge about the prevention and treatment of pressure ulcers has come a long way, but has it come far enough to prevent and reduce the incidence of this problem in long-term care? Read More »

DOJ nabs more home health, therapy fraudsters

The Department of Justice and Medicare fraud teams continue to look hard at therapy and home care billing. Read More »

CMMI, Senate committee lock horns over innovation projects

The Center for Medicare and Medicaid Innovation (CMMI) got a tongue-lashing from the Senate Finance Committee, while CMMI’s director explains that testing new models takes time before payment reforms can be put into action. Read More »

NCAL: More than one-third of states changed AL regulations in 2012

States have refined survey systems and are demanding more disclosure for assisted living, according to the Assisted Living State Regulatory Review, released Wednesday by The National Center for Assisted Living (NCAL). Read More »

MedPAC to Congress: Reduce SNF payments by 4% in 2014

Skilled nursing facilities and home health agencies face payment reductions, but hospices and long-term care hospitals get a first-round bye in MedPAC's latest Medicare payment recommendations to Congress. Read More »

Final 3 members appointed to LTC commission

President Obama adds the last three names to the Long Term Care Commission, completing the group's bipartisan membership. Read More »

Social services key to delivering senior healthcare at lower cost

Improving healthcare delivery for seniors might take greater investment in an often-ignored component: Social services. Read More »

SNF surveys: Do they tell the whole story?

Nursing home consumers—residents and their families—say the survey process has flaws that need to be addressed, according to a new report from the Coalition for Quality Care. Read More »

CMS: Penalties are working to reduce hospital readmissions

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 »

Calif. plans 85% increase in LTC insurance rates for public employees

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 »

OIG: Nursing homes provide ‘criminally poor care,’ fail on care plans

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 »

N.J.’s Gov. Christie joins GOPs reconsidering Medicaid expansion

N.J.’s Gov. Chris Christie is the latest republican governor to change his mind about expanding the state Medicaid program. Read More »

C. Everett Koop dies at 96

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 »