Policy

Leaving life on your terms

As the boomers deal with aging parents, while they are aging themselves, dying with dignity has become a concern. Do your residents and their families have advance directives? If not, do they know what to do to create these documents? Read More »

Hospitals’ readmission rates not budging

U.S. hospitals are making little progress in reducing patient readmissions despite government initiatives and looming financial penalties, according to Medicare data released Thursday, reports Kaiser Health News. Read More »

The aftermath of the ACA: What a complicated mess!

It was a large group of states with GOP governors whose challenge of the ACA led to the Supreme Court’s ruling, and many of them have either decided, or reportedly may decide, to forgo the additional federal payments that would come from expanding Medicaid eligibility in their states. Read More »

MU Stage 2: Rule at final step before publication

The Stage 2 Meaningful Use rule has been submitted to the Office of Management and Budget--the last stop in the review process. Read More »

Widespread neglect, abuse reported in Calif. nursing homes

California Attorney General’s “Operation Guardians” find “terrible conditions” in 14 nursing home across the state. Read More »

Healthcare and drug costs still surprise retirees

What tops your retirement wish list? Most retirees would gladly trade the dream of a beach house in Florida for lower healthcare and prescription drug costs, as well as more education on financial planning, an insurer survey shows. Read More »

Overwhelming misuse, faulty documentation of antipsychotic drugs in nursing homes, OIG report states

A stunning 99 percent of nursing home records examined by the OIG failed to meet one or more of the federal guidelines for assessing and documenting the use of antipsychotic drugs. Read More »

CMS announces 89 new ACOs

As of July 1, 89 new accountable care organizations (ACOs) began serving 1.2 million people with Medicare in 40 states and Washington, D.C., the Centers for Medicare & Medicaid Services announced today. Read More »

Bill to repeal the ACA may reach House floor this week

Several U.S. House of Representatives committees plan to hold meetings this week on the Accountable Care Act, including a proposed bill to repeal the law. Read More »

Seniors in “doughnut hole” may cut back on their antidepressants, heart and diabetes meds

While trying to save on prescription costs, seniors in the Medicare Part D doughnut hole are skipping or reducing their maintenance medications for depression, chronic heart failure and diabetes, among other chronic conditions, recent data suggests. Read More »

CMS proposes higher pay rates for end-stage renal disease

The Centers for Medicare & Medicaid Services has proposed policy changes that would increase reimbursement rates for end-stage renal disease services. Performance data collected next year would affect the payment rates starting in 2015. Read More »

Are LTC settings prepared to deal with emergencies? The Office of Inspector General (OIG) thinks not.

Fire, flood, tornado, earthquake and tidal waves are just a few of the ways nature asserts itself to remind us of its power. Are you prepared to care and protect your residents if you get in Mother Nature’s way? The OIG doesn’t think so according to a recent study. Read More »

After the decision: Get your house in order

In the aftermath of last week’s 5-4 ruling by the U.S. Supreme Court to uphold the Affordable Care Act (ACA), long-term care providers are taking stock of the far-reaching ramifications for an industry in transition. Read More »

Compassionate LTC care for some prisoners in Connecticut

In Connecticut, the state has given permission to its corrections commissioner to release the sickest and most frail inmates to palliative or hospice care. Read More »

LTC leaders analyze impacts of ACA decision

Leaders digest: So the ACA stays. What now? Long-Term Living’s editors speak with leaders in the long-term and post-acute care industry the day the Supreme Court decision is announced. Read More »

Supreme Court upholds Affordable Care Act

BREAKING NEWS: Supreme Court has decided the Affordable Care Act will stay in place. The majority voted to keep individual mandate and the right for Congress to offer funding for state reform programs. Read More »

Private pay solutions bridge LTC funding gap

Private pay has become the holy grail of long-term care, and a powerful combination of industry leadership and political action is opening up access for the consumer to new funding options. Every owner of a life insurance policy has the legal right to convert their policy to pay for long-term care while still alive—but too few consumers and LTC industry professionals are aware of this fact. Read More »

Payors line up to carry the reform mantle if ACA falls

Some insurers aren't waiting for the Supreme Court's decision to show how they feel about some of the reforms within the Affordable Care Act. Read More »

Hospital readmissions won’t improve without better transitions of care

Solving the problem of hospital readmissions will take much more than follow-up calls at home. Each link in the care chain has quality improvements to make, say health IT experts at the 2012 LTPAC Health IT Summit. Read More »

MDS 3.0 updates require critical action steps

With the federal government’s escalating war on healthcare fraud and abuse, long-term care operators are on high alert in their efforts to be compliant in documentation and reporting. A leading educator pounds home the need for documentation and compliance. Read More »

HHS: Consumers will get rebates from payors who failed the “80/20 Rule”

HHS and the Office of Health Reform announced today that customers will get money back from insurers who didn’t meet 80/20 rule. Payors will also have to explain why they didn't meet the mandate. Read More »

eHDS User Group: While CMS continues to innovate, unpredictable Congress could cut healthcare funding

NASL’s Cynthia Morton shares insights on Congressional legislation and CMS innovation projects with attendees at this week’s eHDS User Group meeting. Read More »

The waiting game

It’s been a week of high anxiety for the long-term care industry as anticipation builds for the U.S. Supreme Court’s impending decision on the fate of the Affordable Care Act, expected to come down before the end of the month. Read More »

Long-term care scores big in Texas

Throughout the country, select organizations have received CMS Innovation awards for projects that aim to improve healthcare and access to people enrolled in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) programs. Read More »

ALFA recognizes World Elder Abuse Awareness Day, with online tools to combat abuse

Around the world, senior living communities are raising awareness of and education to prevent future elder abuse. Read More »

Medicaid fraud audits cost more than is recovered, CMS admits

Medicaid audit recovery is disappointing. A GAO report blames ineffective Medicaid Statistical Information System (MSIS) data. Read More »

Senate committee rejects attempts to shackle reform’s prevention funds

The Senate Appropriations Committee today struck down several amendments aimed at putting a chokehold on funds allotted by the Affordable Care Act, including a prevention fund containing millions for eldercare initiatives. Read More »

Seniors continue to fall victim to financial exploitation

America’s senior citizens continue to be the target of swindles and scams. According to e a recent online survey, nearly all respondents agree that older adults are vulnerable to financial exploitation. Read More »

MDS 3.0: Processing the flurry of updates

AANAC’s Judi Kulus provides a roadmap through the maze of recent MDS 3.0 updates and errata releases, while pointing out some potential pitfalls in handling resident interviews, assessments, file error correction and queries to CMS. Read More »

A bitter battle on Capitol Hill

Another bitter battle is brewing on Capitol Hill over how to prevent student loan interest rates from increasing from the current 3.4 percent to 6.8 percent on July 1, and believe it or not, nursing homes and other long-term care facilities may be asked to help pay the tab. Read More »