The Centers for Medicare & Medicaid Services has released its proposals for rate and payment changes for 2014. Seniors may be happy about the Part D drug changes, but insurers aren't as pleased with their end of deal. Read More »
President Barack Obama addressed challenges and opportunities facing the federal Medicare program, citing value-based purchasing in particular as an important change to the U.S. healthcare system, as well as proposing changes in pharmaceutical policy and in Medicare rules for wealthy seniors. Read More »
With the Centers for Medicare and Medicaid Services' mandated penalties at issue, hospitals and long-term care organizations are strategizing ways to reduce readmissions. Local communication and partnerships can go a long way in cutting down on traffic through the emergency room's "revolving door." Read More »
Hospitals made little progress on hospital readmission rates between 2008 and 2010, and some regions have far more readmissions than the national average. Read More »
A San Diego hospice company files for bankruptcy protection amid federal investigations, while Scripps Health steps in to cover hospice needs in the region. Read More »
The Congressional Budget Office lowered spending expectations for Medicare and Medicaid for 2013-2023, according to a report released Tuesday. Read More »
Modern detergents and new laundering technologies have prompted the Center for Medicare & Medicaid Services to revise the laundry notes under F tag 411. Read More »
How much do you know about your GPO? CMS has instituted stricter disclosure rules pertaining to the financial relationships between providers and drug and device manufacturers. Read More »
The Affordable Care Act requires states to have policies to combat fraud, but each state can choose how to do it. A new database shows what each state is doing to combat Medicaid fraud on their home turf. Read More »
Hundreds of provider sites are ready to test the Centers for Medicare & Medicaid Services’ four new models for restructuring the way episodes of care are paid for. Read More »
Although therapy billing has taken a lot of the heat lately in CMS’ hunt for fradulent billing practices, the next big target might be something more durable. Read More »
Most nursing home providers understand the importance of auditing the MDS against the medical record to ensure that the chart supports the coding decisions represented on the MDS. But analyzing MDS responses in the context of quality seems to be a missed opportunity for many providers. Read More »
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 »
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 »
Congress is considering new legislation that would erase many of the barriers to telehealth adoption and create better incentives for providers. Read More »
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 »
In many LTC facilities, nurse aides and practical nurses don't always have the benefit of regular contact with physicians and registered nurses. Do your NAs and PNs have the training they need to recognize skin conditions and administer the best wound care? Read More »
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 »
The long-term care industry was buffeted by forceful winds of change in 2012. Regulatory, political, economic and societal transitions tested providers’ mettle as the LTC landscape struggles to evolve and adapt. Technological advances and an improving senior housing market were bright spots in a busy news year. Read More »
