Nursing Home Compare will now offer more data on the facilities it lists as the Centers for Medicare & Medicaid Services (CMS) seeks to increase transparency in data sharing to improve the health system. The revamped website now includes narratives that detail specific findings from inspections of nursing home facilities, along with two new measures […]
CMS
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on July 6 to update payment policies and rates that will go into effect for services furnished on or after January 1, 2013. LeadingAge has a list of some key provisions that will affect senior care providers: Primary Care and Care Coordination “For […]
Leading up to the Supreme Court’s ruling on the constitutionality of the Affordable Care Act, the fate of Accountable Care Organizations (ACOs) and the concept of coordinated care in general was somewhat uncertain depending on which side the decision would come down. But with healthcare reform upheld, ACOs are in full gear—in fact, there’s a […]
Long-term care providers on the receiving end of Medicare overpayments in 2007 may not have to worry too much about getting a knock on the door from a collection agency, if a recent Office of Inspector General (OIG) audit is any indication of the Centers for Medicare & Medicaid Services’ (CMS) efforts to regain those funds. […]
The way care is delivered and paid for under the Medicare system is in desperate need of restructuring in order to achieve good care coordination, but that might only happen if life under the current fee-for-service model gets “more difficult” for healthcare providers, said the chairman of the Medicare Payment Advisory Commission (MedPAC) in a June […]
President Obama’s fiscal year 2013 budget recommendations to Congress included provisions cutting “bad debt” reimbursements to nursing homes in an effort to save Medicare dollars, but it might end up backfiring and costing the system more. Let’s say Mrs. Smith, who is dually eligible for Medicare and Medicaid, goes to the hospital after breaking her […]
Senior care providers are lining up to partner with the Centers for Medicare & Medicaid Services (CMS) in its newly-announced initiative to improve dementia care in nursing homes. LeadingAge, a trade group representing nonprofit senior care organizations, for-profit nursing home trade group the American Health Care Association (AHCA), and others involved in the nursing home […]
A consumer group is pointing an accusatory finger at the nursing home industry for reporting “staggering” first quarter earnings, while more than a third are providing “lousy” care. In their first quarter earnings reports, many publicly-traded companies operating skilled nursing facilities spoke of “record revenues” and “operating profits that exceeded expectations,” points out Brian Lee, […]
Home health care fraud has made national headlines recently with multi-million-dollar fraud busts having taken place in Dallas and the Miami area in the past several months. A hearing held in late April before the Senate Finance Committee addressed the issue and brought a new—albeit old—potential solution to light. While many proposals have been made […]
Medicare-funded skilled nursing facilities are poised to absorb nearly $800 million in cut funding in fiscal year 2014 through mandated reductions under the Budget Control Act, according to a new Avalere Health Analysis funded by nursing home trade group The Alliance for Quality Nursing Home Care. The top ten states most affected by sequestration-related budget […]
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