Affordable Care Act

Analysis shows Obamacare has had little effect on large employers

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The Affordable Care Act has prompted few large companies to change or begin offering health insurance plans to their employees — because most already comply with the president's signature healthcare law, according to Mercer, a national human resources firm.

More than 40% of sepsis re-hospitalizations preventable: JAMA

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As long-term care providers face looming pressures to avoid re-hospitalization under the Affordable Care Act, new research has found that over 40% of all return visits among severe sepsis patients are for diagnoses that could have been prevented.

Bill to repeal Medicare payment panel reintroduced in Congress

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Opposition to a proposed independent payment advisory board (IPAB) continued to swell this week following re-introduction of a bill in Congress to repeal a portion of the Affordable Care Act that houses it. Skilled nursing providers have been among providers who do not favor IPAB, which would largely supplant the Medicare Payment Advisory Commission (MedPAC).

NAACP: Medicaid expansion would negate lost subsidies in NC

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The NAACP is pushing hard for lawmakers to approve Medicaid expansion efforts in North Carolina to give half a million state residents an alternative should they lose private insurance subsidized by the government under the Affordable Care Act.

White House defends MedPAC 'replacement' panel in Supreme Court brief

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The federal government this week argued to the Supreme Court that a lower court was correct when it dismissed challenges to a payment review provision in the Affordable Care Act. Long-term care providers are among those who had hoped the challenges would be successful.

Medicaid expansion plans fade in several states

Medicaid expansion plans fade in several states

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Several so-called "red states" are leaning toward or have outright abandoned plans to allow expansion of their Medicaid programs, bucking a nationwide groundswell of program enrollment under the president's signature healthcare reform law.

CBO: Federal deficit decreasing, but expected to rise with baby boomer retirement

CBO: Federal deficit decreasing, but expected to rise with baby boomer retirement

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Medicare reimbursements grew modestly in 2014, according to a government report that focused on the decrease in the federal deficit.

Not time to pull the plug on hospital readmissions program ... yet

Not time to pull the plug on hospital readmissions program ... yet

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It's hard to sit on one's hands when caregiving issues are in play. Yet, that's exactly what I'd recommend with regard to at least one initiative aimed at lowering hospital readmissions.

A workweek tweak that's worth the fight

A workweek tweak that's worth the fight

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The new Congress hadn't even officially started and already a major fight over stipulations for a new work-week threshold was heating up. Obamacare doesn't have the answer this time.

Republicans gain Senate control; McConnell puts ACA provisions in crosshairs

Republicans gain Senate control; McConnell puts ACA provisions in crosshairs

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Congress will try to dismantle some parts of the Affordable Care Act now that the Republican Party has the majority of seats in both chambers, prospective Senate Majority Leader Mitch McConnell (R-KY) said Wednesday.

LTC-related deals took the lead in the second quarter

LTC-related deals took the lead in the second quarter

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Long-term care bucked healthcare industry trends with strong merger and acquisition activity in the second quarter, according to newly released data from professional services firm PricewaterhouseCoopers.

Stars aligned for shift

Stars aligned for shift

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The Five Star rating system is about to get retooled, thanks to a scathing report in The New York Times. The only real question is how extensive the changes will be.

ACA hasn't created more part-time workers, analysis says

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Despite fears to the contrary, there's no evidence that the Affordable Care Act increased part-time work before 2014, according to a new analysis.

Little Sisters of the Poor presses contraceptive mandate case, says government's latest solution isn't good enough

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The Little Sisters of the Poor is not satisfied with the federal government's recent regulations and will continue its challenge against the Affordable Care Act's contraception mandate, the Catholic long-term care provider stated in a legal brief filed Monday.

Why the survey system may never be fixed

Why the survey system may never be fixed

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Given certain realities about skilled-nursing facility inspections, we should not be wondering why cheating has occurred. Rather, we should be amazed it hasn't been more rampant.

Providers warming up to free dementia resource, feds note

Providers warming up to free dementia resource, feds note

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Nursing homes are no longer returning or refusing a free dementia care training resource, according to the Centers for Medicare & Medicaid Services.

Long-term care continues to lead in deal volume and value: PwC report

Long-term care continues to lead in deal volume and value: PwC report

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Long-term care bucked healthcare industry trends with strong merger and acquisition activity in the second quarter of 2014, according to newly released data from professional services firm PricewaterhouseCoopers.

Readmission penalty categories inspire more analysis and opportunity

Readmission penalty categories inspire more analysis and opportunity

The Medicare stakes are about to get higher.

Pierson oversees healthcare group at Squire Patton Boggs

Pierson oversees healthcare group at Squire Patton Boggs

Eugenia Pierson become the chairwoman of the Health Care Policy practice at Squire Patton Boggs last month. She represents a range of healthcare clients, including hospitals, physicians, post-acute care providers, manufactures and coalitions.

New plan to revamp the ACA would transfer federal funding of long-term care

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Better outcomes and cost savings could be achieved if states exclusively funded long-term care for Medicaid beneficiaries, a prominent expert has proposed in a plan that would comprehensively transform the nation's healthcare system.

Why be optimistic when anxiety is an option?

Why be optimistic when anxiety is an option?

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Depending on how you like to interpret the news, nursing home operators are either facing some of the worst of times, or they've been infused with new life.

Skilled nursing facility trends contribute to improved Medicare outlook, Congressional report says

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The Medicare trust fund is on track to remain solvent until 2030, trustees of the program stated in a Congressional report released Monday. This improved outlook is due in part to revised expectations about the case mix in skilled nursing facilities.

Best practices to advance palliative care and hospice training

Best practices to advance palliative care and hospice training

The goal of palliative care is to provide patients of all ages and in any stage of illness with relief from the pain and stress they're experiencing.

Aligning talent for Affordable Care Act compliance the focus of Aug. 13 webcast

Aligning talent for Affordable Care Act compliance the focus of Aug. 13 webcast

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The Affordable Care Act presents providers with many challenges, including some that aren't being well met yet. A McKnight's webcast on Aug. 13 will discuss the fundamentals needed — including strategy, data and technology — that can help your organization stay ahead.

More registered nurses are delaying retirement, researchers say

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Despite "imminent retirement" of baby boomers, more registered nurses are working longer after age 50, researchers find.

CBO: Medicare spending growth will slow down over the next 25 years, despite pressures from aging population

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Medicare and Medicaid spending will grow at a slower rate than past predictions indicated, the Congressional Budget Office stated Tuesday. However, an aging population will put increasing pressure on government healthcare programs.

Long-term care leaders watchful after Supreme Court limits the Affordable Care Act contraception rule

Long-term care leaders watchful after Supreme Court limits the Affordable Care Act contraception rule

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Two hotly anticipated Supreme Court rulings handed down Monday elicited measured responses from prominent long-term care stakeholders. In one case, Hobby Lobby succeeded in its battle against the Affordable Care Act's rules over contraception coverage. The other decision dealt a blow to home healthcare unions.

ACO proposed rule coming soon, official says

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Centers for Medicare & Medicaid Services announced that a proposed rule addressing changes in the Accountable Care Organizations program is coming soon, an official said at the Accountable Care Organization Summit on June 19.

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.

AMA to submit information to federal regulators regarding end-of-life care planning

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The American Medical Association is expected to release recommendations soon for what physicians should be reimbursed for end-of-life medical consultations. The physicians group issues advisements regularly to the Centers for Medicare & Medicaid Services, which typically adopts them for its programs, the Pew Charitable Trust noted on Monday.

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