Reimbursement

Intimate by design

Sex in nursing homes? You bet. How does your facility design support healthy residents' rights to intimacy and sexuality? Read More »

CMS proposes changes to SNF reimbursement

The Centers for Medicare & Medicaid Services is proposing changes to payment rules under the SNF prospective payment system, a wage index update, and a Change in Therapy assessment policy update. June 30 is the last day to comment. Read More »

CMS to take a closer look at dementia care practices

An upcoming CMS project will put dementia care practices in nursing home under the microscope. Read More »

New initiative looks for solutions to LTSS challenges

Several former government officials and policy experts are coming together in an effort to find a way to improve the financing and delivery of long-term services and supports for the country’s aging population and working-aged people with disabilities. Read More »

ACO model challenges Medicare: study

The accountable care organization model is presenting organizational accountability challenges to Medicare, according to a new study and related commentary, which suggest a solution, too. Read More »

NCOA: Medication therapy management programs ‘severely underutilized’

Older adults aren’t taking advantage of one of the most important benefits under Medicare Part D, the National Council on Aging says. Read More »

Feds keep the pressure on

A new “doc fix” law and MedPAC report seek to tighten spending for long-term care facilities. Read More »

LTC organizations react to HHS changes

Organizations serving those working in the long-term care industry are offering praise for the efforts of Kathleen Sebelius as secretary of the U.S. Department of Health and Human Services as she resigns, and they also are looking to the future. Read More »

CMS boosts Medicare Advantage reimbursements for 2015

The Centers for Medicare & Medicaid Services issues several changes to 2015 pay rates amid pressure from the insurance industry. Read More »

HR 4302: AHCA, LeadingAge express mixed feelings

Leaders in organizations representing long-term care providers expressed satisfaction with some parts of the proposed law but disappointment with others in this Long-Term Living exclusive. Read More »

Residents, nurses and too little time

Documentation and other paperwork are part of a nurse’s daily routine. It takes a toll on the personal quality of resident/nurse relationships, however. Read More »

SGR ‘doc fix’ bill could delay ICD-10 by a year

A bill up for vote this week could extend the current "doc fix" and could delay the ICD-10 implementation deadlines for a year. Read More »

My conversation with Seth Rogen

A funny man is tackling an unfunny disease. Seth Rogen's Senate committee testimony and charitable efforts—and their after-effects—are helping to bring attention to Alzheimer's and the need for more research funding. Read More »

CMS to test new hospice payment model

Hospice patients could receive curative care as well as palliative care under a new payment model to be tested by the Centers for Medicare & Medicaid Services. Here’s how the program would work. Read More »

LTC insurance premiums can be tax-deductible

If a prospective resident were to ask you about the tax deductibility of long-term care insurance premiums, would you know what to tell him or her? Read More »

LTC EHR vendor acquires financial software provider

Robust business intelligence tools will allow MDI Achieve to expand its portfolio for assisted living environments.  Read More »

CMS postpones some Medicare Part D changes

The agency will seek additional input before implementing several controversial proposals affecting the Medicare Advantage (Part C) and Part D prescription drug program. Read More »

AMDA has new name, plans membership changes

An organization focusing on medical directors in long-term care has changed its name to include post-acute care and will extend full membership to some non-physicians. Read More »

Long-term care policy lapses

Seniors and their families must take steps to ensure that plans they make to pay for care as they age do not get derailed unnecessarily. Read More »

Maine lawmakers mulling long-term care funding

Members of Maine’s legislature are considering the recommendations of its Long-Term Care Facilities Study Commission as the state grapples with how to pay for the care of its aging population. Read More »

Highmark and Blue Cross of NE Pennsylvania set to merge

Two insurers agree to merge, changing the payer landscape in Pennsylvania. Read More »

How to reduce variations in post-acute care

The Centers for Medicare & Medicaid Services is eyeing variations in treatments for those in post-acute care settings with similar medical conditions in an effort to mitigate negative clinical and financial effects. The scrutiny is call to action for LT/PAC operators. Read More »

Institute of Medicine names next president

An expert in hypertension, congestive heart failure and gene therapy for vascular disease has been named the next president of the advisory body the Institute of Medicine. Read More »

Challenging surveys

Deficiencies and enforcement actions don't always have to be accepted without a challenge. Long-Term Living's legal expert, Alan Horowitz, explains the steps to appealing state survey deficiency reports. Read More »

Reauthorizing OAA: Maintaining flexibility, addressing demographic changes

The Older Americans Act should be reauthorized with a focus on maintaining program flexibility and addressing demographic changes, according to policy and aging experts who testified during a recent government hearing on the matter. Read More »

Post-acute orgs fear financial decline/buyouts due to technology gaps

Long-term and post-acute providers who fail to adopt information technology may find themselves at a distinct disadvantage—or owned by someone else—down the road, one survey report suggests. Read More »

Legal logjam in Medicare appeals process

The Medicare appeals process allows providers to challenge payment denials—once you can get a hearing date. Read More »

Telehealth reimbursement reform gets major support

Three former senators and some major companies join forces in support of telehealth reimbursement reform.  Read More »

Study examines new payment model for dementia care

A new study seeks to show the value of home- and community-based care for those with memory disorders, in hopes that more insurers might cover the cost of such programs, leading people away from nursing homes and assisted living facilities. Read More »

Facility-to-community transition program success highlighted in report

A recent report highlights the success of a federal program to transition Medicaid recipients from long-term care facilities to home- and community-based settings, including reinstitutionalization rates and residential preferences of senior participants. Read More »