ACA

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

By

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?

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

Affordable Care Act laws targeting elderly could harmful consequences, study suggests

Affordable Care Act laws targeting elderly could harmful consequences, study suggests

By

Three Affordable Care Act initiatives often touted as coordinating care and improving outcomes for elderly adults could actually make their circumstances worse, a new study suggests.

Obama administration has missed half of health law's legal deadlines, report claims

By

The Department of Health and Human Services missed roughly half of its legal deadlines for implementing the Affordable Care Act, a new report from a right-leaning advocacy group asserts.

Affordable Care Act designates $52 million to help disabled, veterans avoid nursing homes

Affordable Care Act designates $52 million to help disabled, veterans avoid nursing homes

By

Additional government funding is being distributed for a program to keep seniors, disabled individuals and the veterans in their homes, and out of institutionalized long-term care facilities.

TN providers team up with insurers for bundled payment program for joint replacements

By

In anticipation of payment reforms centering on coordinated care, health systems and a major Tennessee insurer are establishing a bundled payment system for joint replacements.

Unsustainably high healthcare costs paint bleak long-term budget outlook

Unsustainably high healthcare costs paint bleak long-term budget outlook

By

Passage of the Affordable Care Act and the Budget Control Act of 2012 improved the budget outlook, but neither are enough to fix the gap between spending and revenue, according to a report by the Government Accountability Office.

Why the Supreme Court will vote in favor of the Affordable Care Act

Why the Supreme Court will vote in favor of the Affordable Care Act

By

You may not like — nay, hate — the Affordable Care Act. The U.S. Supreme Court may agree with you. That doesn't mean the justices will strike it down.

Supreme Court takes on the legality of Medicaid expansion while states grapple over funding

Supreme Court takes on the legality of Medicaid expansion while states grapple over funding

By

As state officials negotiate their fiscal 2013 budgets, more than half are grappling with billions in shortfalls that put Medicaid funds at risk, according to a new report.

ONE DAY UNTIL ONLINE EXPO; Medicaid policy in flux

ONE DAY UNTIL ONLINE EXPO; Medicaid policy in flux

By

The federal government is readying for the expansion of Medicaid under the Affordable Care Act, but what that will mean for long-term care funding remains uncertain.

Don't miss any McKnight's news

Featured Articles