Affordable Care Act

CMS: Hospice quality reporting to begin July 1, will require admission and discharge records

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Providers will have to report certain hospice quality measures to the federal government starting July 1, the Centers for Medicare & Medicaid Services formally announced in a recent Federal Register notice.

CMS to weigh comments on disqualifying convictions in crafting background check regulations

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Long-term care stakeholders generally support proposed regulations on background checks of direct care workers, according to an informational memorandum issued Friday by the Centers for Medicare & Medicaid Services.

Catholic long-term care provider claims free speech violations in its full appeal against Affordable Care Act contraception policies

Catholic long-term care provider claims free speech violations in its full appeal against Affordable Care Act contraception policies

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A Catholic long-term care provider is claiming freedom of speech and religious freedom violations in a much-anticipated legal appeal over the Affordable Care Act's contraception mandate.

Mid-sized employers receive insurance reprieve from White House

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Long-term care providers with between 50 and 99 employees received an unexpected reprieve yesterday, as the Obama administration announced it would give them an extra year before having to offer health insurance

HHS wants civil monetary penalty rules changed

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Civil monetary penalties for providers will be revised if two proposed rules from the Department of Health and Human Services Office of the Inspector General are approved.

March 6 webcast: Getting quality staffing right in 2014

March 6 webcast: Getting quality staffing right in 2014

What does quality staffing look like in 2014? A free McKnight's webcast March 6 will sort through facts and myths to help providers better understand what they should be doing to keep themselves at the quality forefront.

OnShift reaps $7M in financing

OnShift has closed $7 million in Series C financing, the company announced Tuesday.

New model of care presents new risks

New model of care presents new risks

Whether you're a long-term care leader who has already made the decision to align your organization with an ACO or are still in the process of weighing the decision, one thing everyone can agree on is this operating model will entail a significant amount of change in several key areas for participating long-term care providers.

CBO: Affordable Care Act will reduce full-time workforce by more than 2 million in the next decade

CBO: Affordable Care Act will reduce full-time workforce by more than 2 million in the next decade

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The full-time work force will lose roughly 2 million people overall by 2024 as a result of the Affordable Care Act, according to new figures from the Congressional Budget Office. The CBO report, released Tuesday, came one week after an expert told lawmakers that nursing home staff are among those most likely to have their hours reduced due to the ACA.

Provider networks: Too big to succeed?

Provider networks: Too big to succeed?

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At this point, you're well aware that the Affordable Care Act is putting pressure on post-acute providers to partner with hospitals and physician groups. A recent whistleblower case in California highlights just how important this systemic transformation is — but another legal battle making headlines underscores how difficult it might be to "right size" the U.S. healthcare system.

Long-term care services are a-changin'

Long-term care services are a-changin'

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With the advent of the Affordable Care Act, the healthcare field is attracting a lot of attention these days. Young adults starting their professional lives, as well as mid-career adults seeking change in their careers are entering healthcare professional programs seeking meaningful employment and plentiful job opportunities.

Managed care plans will account for 75% of Medicaid beneficiaries by 2015, analysts estimate

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Three-quarters of Medicaid enrollees will receive their benefits through a managed care organization (MCO) as of 2015, according to a new report from healthcare advisory company Avalere Health. Because Medicaid is the primary payer for long-term care in the United States, LTC providers are carefully monitoring the shift to a managed care environment.

Little Sisters are behind the curve in a changing church

Little Sisters are behind the curve in a changing church

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Challenging the Affordable Care Act's "contraception mandate" in court is a matter of conscience, according to The Little Sisters of the Poor. It's hard to fault people for following their moral compass. But I wonder if the Catholic long-term care provider has gotten the latest memos from Rome.

Nursing home does not need Supreme Court intervention to avoid birth control mandate, feds say

Nursing home does not need Supreme Court intervention to avoid birth control mandate, feds say

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The federal government defended the Affordable Care Act's so-called "contraception mandate" Friday in a Supreme Court filing against a Catholic long-term care provider. The ACA requires that health plans provide birth control to women at no cost to the beneficiary, under preventative health services.

House and Senate ACA-replacement bills propose universal long-term care coverage

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Lawmakers in both houses of Congress have introduced a bill to institute a single-payer healthcare system that would include universal long-term care coverage.

CMS announces declining readmission rate for Medicare patients, credits Affordable Care Act

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Improved transitions between acute and post-acute settings are partly responsible for continuing nationwide declines in hospital readmission rates, according to the Centers for Medicare & Medicaid Services.

'Self-reliance' a key to long-term care financing reform, experts say

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The United States is likely to favor an approach to long-term care financing reform that values self-reliance but includes some form of social safety net, according to a new report from a panel of experts.

The ACA's 'comprehensive' long-term care failure

The ACA's 'comprehensive' long-term care failure

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There's been a lot of talk lately about what constitutes "comprehensive" health insurance coverage — and long-term care notably has not been part of this national conversation.

Long-term care financing reform - progress is possible

Long-term care financing reform - progress is possible

When the federal Commission on Long-term Care issued its report last month, there was a sense of déjà vu all over again. Sixteen years ago, in New York State, we were staff person and task force member, respectively, for New York's Task Force on Long-term care Financing. Despite the passage of time, there were some interesting similarities between the federal Commission and the New York State Task Force -- these included the compressed time frame for deliberations and the issuance of dissenting reports.

McKnight's Roundtable: Changes ahead

McKnight's Roundtable: Changes ahead

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Top long-term care officers tackled some of the field's main challenges, exchanged perspectives on new opportunities and shared ideas on what the future might hold.

Close, specific hospital-SNF partnerships drive down readmission rates, researchers find

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A strong relationship between a hospital and a skilled nursing facility reduces the readmission rate among patients discharged to that SNF, according to recently published research.

Long-term care pharmacy association presses Congress for flat-fee prescribing

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Nearly 500 long-term care pharmacies signed a letter urging Congress to prohibit certain Medicare reimbursement practices, the Senior Care Pharmacy Alliance announced Thursday.

Report: Providers should prepare for managed care partnerships for dual-eligibles services

Report: Providers should prepare for managed care partnerships for dual-eligibles services

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Managed care organizations are set to play a bigger role in how long-term care is provided for people currently eligible for both Medicare and Medicaid, and providers should focus on having the right capabilities in place for them, according to a new report. Released by merchant bank TripleTree, it also identifies technology vendors enabling these capabilities in the long-term and post-acute care settings.

The impact of the employer mandate delay

The impact of the employer mandate delay

October has proven to be a big month for the Affordable Care Act (ACA) with the launch of the public exchanges and the political maneuverings in Washington. Although many in the healthcare industry welcomed the delay of ACA's employer mandate, it's important to understand how decisions your organization makes in 2014 will impact 2015.

Omnicare will benefit from the Affordable Care Act, GOP opposition is 'perplexing,' CEO says

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Omnicare, the nation's largest long-term care pharmaceutical services provider, is positioned to be successful as insurance coverage expands under the Affordable Care Act, according to CEO John Workman.

Providers prep for NASL annual meeting

Operators, including many providers of ancillary services, are getting ready for the 24th annual meeting of the National Association for the Support of Long-Term Care. The event will take place Oct. 6-8 at the Phoenix Convention Center. Recently confirmed as a featured speaker is David W. Saÿen, administrator for the San Francisco Regional Office of the Centers for Medicare & Medicaid Services. He'll address implications of the Affordable Care Act, including insurance exchanges. Other sessions will tackle CMS' "expanding audit empire," health data exchanges and other top issues.

Tea Party attacks Senate GOP leader over Obamacare

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In a preview of what may be coming in 2014, the Senate Conservatives Fund has booked a $340,000 television ad attacking a Republican leader over Affordable Care Act funding.

IRS issues guidance on employer mandate

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The Internal Revenue Service handed down instructions for following the Affordable Care Act's employer mandate Thursday, and encouraged insurers and employers to start following draft rules in 2014 on a voluntary basis.

More hospice info wanted

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Federal regulators have added another layer of bureaucracy for hospice providers operating within skilled nursing facilities.

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.

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