ACA

Providers should pay special attention to what happens in the Senate tomorrow

Providers should pay special attention to what happens in the Senate tomorrow

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Tomorrow's the big day. All across this nation, voters will go to the polls to decide thousands of races and issues. But providers should care the most about the various U.S. Senate race outcomes because they could potentially change the way many operators do business.

The nursing home survey system is about to get a much closer look

The nursing home survey system is about to get a much closer look

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You had to know this was coming. Earlier this week, the New York Times reported that many nursing homes are submitting massaged staffing and quality indicator data to the feds. The alleged reason? So facilities could pull better Five Star ratings.

Also in the news for July 23, 2014 . . .

Joint Commission releases free nursing home resource on preventing infection ... ACA in the balance again as two courts issue contrary rulings on subsidies ... Obama's executive order on LGBT workplace rights extends to some nursing homes

Long-term care facilities refusing free CMS resource on dementia, nurses association says

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Some nursing homes are not accepting a dementia training resource sent by the government, even though it is free and recommended, according to the American Association for Long-Term Care Nursing.

Nursing homes in large insurance network temporarily spared from ACA contraceptives rule

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Skilled nursing facility Villa St. Francis and other members of the nationwide Catholic Benefits Association do not have to offer health plans covering contraception while they pursue litigation against the government, a federal judge has ruled.

Three tips for understanding the ACA

Three tips for understanding the ACA

Know your options if you are working at a company with less than 50 employees, and make sure you know whether you qualify for tax credit.

The countdown is on for the ACA Employer Mandate

The countdown is on for the ACA Employer Mandate

The Affordable Care Act (ACA) is law. And, for employers with 100 or more full time equivalent employees (FTE), the employer mandate is scheduled to take effect on January 1, 2015. With the deadline for compliance pushed out until January 2015, some organizations may still think they have time. Not true, the pressure is on — and the extra time must be used to take a more thoughtful and strategic approach to ACA compliance.

Employers face monthly fees of $260 per worker if they don't offer Affordable Care Act-compliant insurance plans, analysts say

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Some long-term care providers could face monthly penalties between $170 and $260 per employee if they do not meet the Affordable Care Act's so-called "employer mandate" next year, according to recently released estimates from global consulting firm Mercer.

Medicaid hypocrisy 2.0, or the art of not giving credit where it's due

Medicaid hypocrisy 2.0, or the art of not giving credit where it's due

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Hypocrisy, thy name is Republican governor taking more Medicaid funding.

Part Two: Have we not been through this before?

Part Two: Have we not been through this before?

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Initially many thought that the Medicare Catastrophic Coverage Act will be a popular piece of legislation. However, while provisions were popular with providers and some seniors, many were not especially among seniors who had coverage, those who will pay more (so-called wealthy seniors), and the insurance lobby. So what has changed and what will lead us to believe that ACA will last?

Long-term care provider avoids contraception insurance mandate

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An Evangelical Christian who runs senior care facilities does not have to provide free contraception or sterilization for his female employees for the time being, a judge ruled Friday.

GOP lawmakers want to defund Affordable Care Act

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A group of House Republicans has told their leadership to defund any implementation of the Affordable Care Act in appropriations bills brought in the next Congressional session.

Providers may need more than a 'wizard' to demystify Obamacare

Providers may need more than a 'wizard' to demystify Obamacare

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Did you hear the one about life's great lies? Here's part of the punch line: "I'm from the government and I came to help you." Providers familiar with the joke may have experienced a vague sense of déjà vu last week when the White House made this announcement: They are launching a healthcare reform website for business owners

Bill to redefine full-time employment would ease nursing homes' ACA compliance

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A recently introduced House bill would change the Affordable Care Act's definition of full-time employment, which has been a sticking point for long-term care providers seeking to comply with the healthcare law's employer mandate.

Mandate delay gives prep time

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The Obama administration has delayed implementing a key part of the Affordable Care Act, and a legal expert said operators should seize this opportunity.

Bold legislative proposals could prevent deep reimbursement cuts, AHCA leader says

Bold legislative proposals could prevent deep reimbursement cuts, AHCA leader says

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Long-term care providers are offering lawmakers policy ideas aligned with the changing healthcare landscape in the United States, in an effort to control costs and improve quality while avoiding slashed reimbursements, according to Mark Parkinson, president and CEO of the American Health Care Association. The leader of the nation's largest long-term care provider organization spoke out this week for legislation based on $2 billion in savings through reduced hospital readmissions.

Outcome assessment and the Affordable Care Act

Outcome assessment and the Affordable Care Act

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Outcome assessment should be seen as a tool for change management and will likely become the new standard for assessing resident care under the Affordable Care Act.

ACA-mandated cuts will not hit Medicare, official asserts

ACA-mandated cuts will not hit Medicare, official asserts

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Because Medicare's growth rate will not eclipse a certain threshold, the program will be spared from potential Medicare cuts called for in the healthcare reform law, a top government official said.

Managing high rates of hospital readmissions

Managing high rates of hospital readmissions

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According to a recent study by NEHI - a national health policy institute, entitled Improving Medication Adherence and Reducing Hospital Readmissions almost 20% of hospitalized Medicare beneficiaries are readmitted within 30 days - of which over half are potentially avoidable. A significant portion of hospital readmissions are caused by non-compliance to care plans.

Long-term care makes ADP's list of industries most challenged by upcoming health benefits requirements

Long-term care makes ADP's list of industries most challenged by upcoming health benefits requirements

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Long-term care is one of seven employment sectors likely to see significant challenges based on health benefits requirements in the Affordable Care Act, according to payroll services provider ADP.

New ATRA cut to Medicare Part B Therapy Payments latest destabilizing blow to spector

New ATRA cut to Medicare Part B Therapy Payments latest destabilizing blow to spector

With $9 billion in Budget Relief Act sequester cuts to the U.S. skilled nursing facility (SNF) sector now just weeks away following the latest cut of at least $600 million in Medicare Part B therapy payments after passage of the American Tax Relief Act of 2012 (ATRA), we are making it a priority this month to ensure Congress carefully reviews the cascade of budget and regulatory changes since 2009 that leaves the nation's second largest health facility employer facing a staggering $65.6 billion in Medicare funding reductions over the next ten years.

ACA proposed rules announced on pre-existing conditions, wellness programs

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Government officials moved forward with Affordable Care Act provisions Tuesday that include banning health insurance companies from discriminating based on pre-existing conditions, outlining standards for coverage, and promoting employee wellness programs.

Presidential election, Medicaid expansion crucial to future of nursing home funding

Presidential election, Medicaid expansion crucial to future of nursing home funding

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If President Obama is re-elected in November, governors who have resisted implementing the Affordable Care Act's Medicaid expansion will likely change their tune, a former government official speculated last week.

Affordable Care Act's Medicaid expansion still vulnerable to court challenges, experts say

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Legal experts say the Affordable Care Act's maintenance-of-effort (MOE) requirement — which prohibits states from tightening Medicaid eligibility — remains vulnerable to legal challenges.

States see spike on supplemental Medicaid spending

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States spent $9 billion more on supplemental Medicaid payments in 2010 than it did four years previously, according to a government investigation requested by Congress.

CMS adds new providers to care transition program

Seventeen new sites, which includes some skilled nursing facilities, were added to the Centers for Medicare & Medicaid Services care transitions program, the agency announced Friday.

CMS still working on terms of flexibility within Medicaid expansion

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Government officials are reportedly undecided as to whether states can implement partial Medicaid expansions, according to reports.

The Medicaid fog keeps rolling in

The Medicaid fog keeps rolling in

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When the Supreme Court ruled that most of Obamacare could stay on the books, it included a notable caveat: States couldn't be forced to participate in its expanded Medicaid provisions. Since then, this program's boundaries have become foggier than an al fresco breakfast in San Diego.

Long-term care operators must engage states to ensure Medicaid reimbursement following ACA ruling, provider group says

Long-term care operators must engage states to ensure Medicaid reimbursement following ACA ruling, provider group says

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While the Supreme Court upheld the Affordable Care Act, it struck a provision that said states would lose their Medicaid funding if they don't comply with the planned expansion.The ruling means progressive action on maximizing Medicaid reimbursement is still needed, a top long-term care advocate told McKnight's.

ACOs could thrive even if healthcare law is overturned, experts say

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Accountable care organizations are expected to thrive even if the Supreme Court throws out the Affordable Care Act, healthcare law experts said Tuesday.

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