Policy

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 »

$30 million in funding earmarked for falls prevention study

A serious fall at home can have far-reaching consequences to a senior’s quality of life. A government-funded study will look into ways to reduce or prevent the instances of debilitating falls in community-dwelling seniors. Long-term care providers are asked to help. 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 »

The challenges of hiring or housing registered sex offenders

Even people with criminal histories grow old; others have served their time and need to work. Caroline Berdzik, Esq, offers some tips to follow in this tricky situation. Read More »

FDA: Boost drug research for C. diff, MRSA, pneumonia

The FDA wants to speed up research on new treatments for LTC’s drug-resistant infections. Read More »

Federal LTC Commission is set to begin its work

When the CLASS Act was kicked off the “fiscal cliff,” Congress established the Commission on Long-Term Care to serve in its stead. With a six-month lifespan, is the Commission a boon or a boondoggle? Read More »

Court of Appeals agrees with SNF, reverses HHS

Were the residents' eggs served runny or undercooked? Ambiguity in language convinces an Appeals Court to reverse a noncompliance ruling in a recent case where CMS had accused a nursing home of poor food preparation. 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 »

Nursing home associations merge

The new American Health Care Association will be a major force in Washington as it focuses on the challenges and issues of providing long-term care for America’s millions of elderly persons. 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 »

Congress updated on AHCA’s Quality Initiative

Earlier this month, long-term care leaders briefed Congress on the positive accomplishments and future goals to improving quality of care in skilled nursing facilities. Read More »

CMMI rethinks its innovation program, sharpens focus for Round 2 funding

CMS’ Center for Medicare and Medicaid Innovation (CMMI) announces a significantly smaller and more-focused project list for Round Two of the funding awards. Read More »

Senate confirms Marilyn Tavenner as permanent administrator of CMS

 Tavenner is the first permanent administrator of that federal agency to be confirmed in nearly a decade. Read More »

Medicare fraudsters nabbed in $223 million nationwide bust

This week’s Medicare fraud sting operation involved nearly 100 people across multiple states, including physicians, nurses and therapists. Read More »

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 »

CMS Publishes FY 2014 Proposed Payment Guidance

CMS publishes proposals for changes to FY 2014 payment rates, quality data collection and reporting requirements, and qualification criteria for long-term care providers in the Federal Register.  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 »

National hospice provider charged with false claims submissions

Vitas Hospice Services is charged by DOJ with engaging in business practices that resulted in inappropriate patient admissions and upcoded claims submissions to Medicare. 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 »