Category: Medicare and Medicaid

NY Times: Navigating a World of ‘Unthinkable’ Nursing Homes

Though roughly 1.4 million Americans are living in nursing homes today, this segment of senior housing isn’t exactly attractive to the average person, The New York Times writes in a recent article.  In fact, nursing homes have developed a bad reputation as “smelly, indifferent places where people go to die,” according to the article, “Nursing Home… Read More »

E-Sign Tech Helps Senior Housing Navigate Home Health Care Services

Independent living operators are looking more and more like assisted living facilities by partnering with home health care agencies to offer additional care services to their residents. But these providers may face compliance issues if their home health care partner is not up to speed with the Affordable Care Act’s face-to-face encounter requirements. So with… Read More »

Medicare Home Health Cuts to Spur More Short-Term Consolidation

The future may not seem so clear in an industry rife with federal funding cuts, but those in the home health field are certain that the latest batch of rollbacks will signal at least one thing: short-term consolidation among providers. Regulatory cuts to home health Medicare payment rates, such as the 3.5% rebasing cut each… Read More »

CMS Outlines $58 MIllion in Medicare Home Health Cuts for 2015

Changes that could go into effect next year would reduce Medicare payments to home health agencies by .3%, or $58 million, the Centers for Medicare & Medicaid Services (CMS) announced Tuesday. The proposed rule that cuts the Medicare home health prospective payment system (HH PPS) reflects the effects of the 2.2% home health payment update percentage… Read More »

Omnicare to Pay $124 Million for Nursing Home Kickbacks

Omnicare Inc., the nation’s largest provider of pharmaceuticals and pharmacy services to nursing homes, will pay more than $124 million to settle claims that it allegedly offered improper financial incentives to skilled nursing facilities, the Department of Justice recently announced.  The company gave discounts in return for the opportunity to provide medication to Medicare and… Read More »

CMS to Raise Skilled Nursing Payments by 2% in 2015

Skilled nursing facilities will see a 2% increase in reimbursements in fiscal year 2015 thanks to a proposed rule from the Centers for Medicare and Medicaid Services. CMS on Thursday issued a proposed rule outlining fiscal year 2015 Medicare payment rates for skilled nursing facilities. Aggregate payments to skilled nursing facilities in 2015 will increase by… Read More »

CMS Ramps Up Nursing Home Quality Control Program

The Centers for Medicare & Medicaid Services (CMS) is ramping up a program that focuses on nursing homes with serious quality issues after a sequester-induced reduction, the Department of Health & Human Services announced in a recent memo. Effective in April, CMS adjusted the number of designated slots and facility candidates so states can resume selecting… Read More »

CMS To Scrutinize Memory Care in Nursing Homes

The Centers for Medicare & Medicaid Services (CMS) will scrutinize dementia care provided in nursing homes and Minimum Data Set coding practices under a new pilot program it is rolling out.  Federal oversight from CMS will arrive in the form of two surveys beginning in mid-2014 that will document dementia care practices in nursing homes… Read More »

Jefferies: Doc Fix Delay a Godsend for Healthcare REITs, SNFs

The so-called “doc fix” bill passed by Congress on Monday represents a “win” for healthcare providers with meaningful exposure to medicare, especially real estate investment trusts (REITs) and skilled nursing facilities (SNFs), suggests a recent Jefferies LLC report. The “doc fix” is a temporary solution to curb Medicare spending on physician services under the Sustainable… Read More »

CMS: CCRCs Count as Community-Based Care Settings

In updating guidance from a final rule published in January, the Centers for Medicare & Medicaid Services rule that continuing care retirement communities (CCRCs) do count as community-based care settings. Unlike more institutionalized settings such as nursing homes, CCRCs do not raise the same concerns regarding isolation, particularly since CCRCs “typically include residents who live… Read More »

Five Reasons Healthcare Reform Can't Ignore Assisted Living

Five Reasons Healthcare Reform Can’t Ignore Assisted Living

Assisted living hasn’t been a major focus of healthcare reform and how it fits into the nation’s healthcare system, but industry stakeholders say that doesn’t mean it won’t be impacted. Healthcare reform is poised to make a splash in the assisted living world for a number of reasons, including more acute care knowledge of what… Read More »