Policy

Rethinking end-of-life care

Top leaders in healthcare policy discuss how to change the culture of dying to one driven by residents instead of physicians—and how to find more insurance models to pay for hospice and palliative care. Read More »

Observation status would count toward three-day inpatient stay under act

Patients’ time under “observation status” would count toward the requisite three-day hospital stay for coverage of skilled nursing care under legislation introduced by four senators. Read More »

Act aims to coordinate post-acute care to realize savings

The Bundling and Coordinating Post-Acute Care (BACPAC) Act has been introduced in the U.S. House of Representatives in an effort to coordinate care delivery and realize savings related to Medicare beneficiaries. Read More »

Fraud prevention, enforcement efforts recover $3.3B in FY 2014

The government’s healthcare fraud prevention and enforcement efforts recovered $3.3 billion in fiscal year 2014 from individuals and companies that attempted to defraud federal health programs serving seniors and others, according to a new report. Read More »

Senate kicks SGR vote to April

Healthcare professionals now will have to wait until April 13 for any action related to the sustainable growth rate formula. Read More »

Hospice, home care providers march on Washington

Defining the work week and expanding caregiver duties were two of the issues on the table as the National Association for Home Care & Hospice March on Washington took place March 22 to 25. Read More »

U.S. House passes doc-fix bill that would repeal SGR

The U.S. House of Representatives voted Thursday to end the sustainable growth rate formula, passing a permanent doc-fix instead. Read More »

Major drug retailers named in FDA complaint

The quality of manufacture and efficacy may be called into question when the country of origin is a mystery to the user. Made in U.S.A. Foundation stresses the importance of labeling medications and supplements. Read More »

AHCA gives ‘enthusiastic support’ to SGR bill

After years of failed efforts, a congressional bill proposing a permanent solution to the "doc-fix" problem is gaining the support of one of long-term care's largest and most powerful organizations. Read More »

CBO: President’s budget would reduce Medicare spending

Changes to Medicare proposed in President Barack Obama’s 2016 budget would decrease federal spending by $240 billion over the 10-year projection period, according to an analysis by the Congressional Budget Office. Read More »

OIG proposes SNF PPS rates for critical access hospitals

The Medicare program could have saved $4.1 billion over 6 years if it had reimbursed for swing-bed services at critical access hospital using the lower skilled nursing facility prospective payment system rates paid for similar services at alternative facilities, according to a new report from the U.S. Department of Health and Human Services Office of Inspector General. Read More »

Concerns remain after introduction of SGR replacement bill

Senate and House leaders have introduced legislation to replace the Medicare sustainable growth rate formula tied to physician compensation, but organizations representing aging services providers are expressing concerns related to Medicare therapy caps and payment cuts to providers of post-acute care. Read More »

GAO: States’ oversight of Medicaid IT lacking

States need to determine effectiveness of Medicaid IT systems, says a Government Accounting Office report. Read More »

ALFA unhappy with VA’s proposed definition of ADLs

The Assisted Living Federation of America responsed to a benefits eligibility rule proposed by the Department of Veterans Affairs. If you’d like to do so, you have until March 24. Read More »

Rehab groups disappointed in MedPAC recommendation

Two groups representing rehabilitation providers are expressing disappointment in MedPAC’s recent report to Congress, which recommends providing comparable reimbursement for rehabilitation provided at inpatient rehabilitation hospitals and nursing homes. Read More »

SGR fix ahead

Congress may solve the sustainable growth rate puzzle, but for the long term, it may not matter all that much. Read More »

Florida nursing homes primed for growth

April will be the next opportunity for Florida nursing homes to submit certificate of need applications to the state, which in February ended a 2001–2014 moratorium that had been created by the Florida legislature. Read More »

House passage of NOTICE Act is ‘encouraging,’ AHCA says

A bill approved by the House would require hospitals to notify Medicare beneficiaries of their outpatient status within 36 hours after the time of their classification or, if sooner, on discharge. Read More »

Dementia focus of WHO conference

Government officials and others from around the world have gathered in Switzerland to discuss the global problems posed by dementia at a World Health Organization meeting. Read More »

One-on-one with…Niles Godes

In September, Niles Godes became the first senior vice president of housing and capital for LeadingAge. Long-Term Living recently spoke with him about his role and why this work is especially important to senior housing and service providers now. Read More »

Alzheimer’s and memory care set to grow in 2015, providers say

Alzheimer’s and memory care will be the areas of senior care that will experience the most growth in 2015, according to senior housing and services leaders responding to a new survey. Read More »

Medication adherence metrics are focus of PQA, AllazoHealth partnership

The Pharmacy Quality Alliance and AllazoHealth have formed a formal research partnership to study and improve industry-wide medication adherence metrics. Read More »

CMS’ five-star changes overdue, groups say

Five groups advocating for residents of nursing homes say they “strongly support” the Centers for Medicare & Medicaid Services’ announced changes to its five-star rating system of the homes. Read More »

NCOA revamps Medicare information portal

A new online source of Medicare information for seniors includes personalized tools.  Read More »

5-star rating analysis tool for LTPAC providers

New analysis tool allows LTPAC providers to evaluate their five-star rating status and find ways to improve.  Read More »

CMS: Proof lacking that quality measures have unintended effects

The Centers for Medicare & Medicaid Services says it has found little evidence to support or refute the possibility that the use of quality measures has had unintended consequences in nursing homes and other settings.  Read More »

HHS creates forum related to payment models

The U.S. Department of Health and Human Services has formed the Health Care Payment Learning and Action Network to help the federal government move toward greater use of alternative payment models. Read More »

AHCA joins caregiver caucus

Four members of Congress have launched the Assisting Caregivers Today Caucus to focus on issues related to family caregiving, and the American Health Care Association has become a charter member. Read More »

Joint Commission issues first SNF memory care certification

A California nursing home is the first skilled nursing facility in the country to receive certification for memory care under the Joint Commission’s new program. Read More »

Medicaid is focus for Florida Health Care Association

Restoring Medicaid funding, improving Medicaid managed long-term care and protecting seniors from unexpected medical bills are the three legislative priorities set by the Florida Health Care Association for 2015, the organization has announced. Read More »