Charles Grassley

AHCA: Managed care transparency needed

AHCA: Managed care transparency needed

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The government should collect and release more claims information from managed care plans, the nation's largest long-term care provider association stated in a recent letter to Senate leaders.

Increase managed care transparency, long-term care providers urge Senators

Increase managed care transparency, long-term care providers urge Senators

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The government should collect and release more claims information from managed care plans, the nation's largest long-term care provider association stated in a recent letter to leaders of the Senate Finance Committee.

Senators urge tougher LTC survey process

Senators urge tougher LTC survey process

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The Centers for Medicare & Medicaid Services said it plans to focus more on quality improvement initiatives rather than stricter surveys, but that didn't stop a pair of veteran U.S. senators from calling for more stringent measures.

Additional nursing home inspection rules are not the answer

Additional nursing home inspection rules are not the answer

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Many skilled care operators struggle to keep up with a seemingly never-ending array of survey and certification regulations. If two lawmakers get their way, providers can look forward to a large heaping of additional rules.

Senators press for SNF survey changes in light of adverse events report

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The skilled nursing facility survey process is failing to ensure resident safety and needs to be improved, two prominent senators said in a recent letter to the head of the Centers for Medicare & Medicaid Services.

Medicaid-only long-term care residents driving up state expenditures, report finds

Medicaid-only long-term care residents driving up state expenditures, report finds

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Among people eligible for Medicaid but not Medicare, long-term care residents are most likely to be among the costliest beneficiaries for a state, according to a new report from the Government Accountability Office. Sen. Charles Grassley (R-IA) requested the report, noting that much research has focused on those eligible for both Medicaid and Medicare, but has largely overlooked the Medicaid-only group.

Senators call for OIG review of nursing home trust fund practices

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Leaders in the U.S. Senate have called for a special review of how nursing homes handle residents' money placed in trust funds. The chairman of the Senate Special Committee on Aging, Sen. Bill Nelson (D-FL), cited a recent USA Today report as the reason for the request.

Law would require monthly reports on nursing home antipsychotic use

Law would require monthly reports on nursing home antipsychotic use

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A legislative proposal would require long-term care facilities to produce a monthly aggregate report of antipsychotic utilization in each facility, in addition to conducting a drug regimen review process.

Nursing home antipsychotic legislation set aside

Nursing home antipsychotic legislation set aside

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The U.S. Senate did not approve legislation that would strengthen regulations for antipsychotic use in nursing homes, despite overwhelmingly passing a bill it was attached to on Thursday.

Proposed legislation would regulate use of antipsychotics in nursing home residents

Proposed legislation would regulate use of antipsychotics in nursing home residents

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A proposed bill would require nursing home staff to obtain informed consent from a resident or their legally designated representative acknowledging the potential risks and side effects associated with the antipsychotic medications.

Welcome back to the game, Senators

Welcome back to the game, Senators

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If you were beginning to worry that some of long-term care's most prominent needlers had forgotten to show up for work for most of the last year, you weren't alone. Good news: They're OK and feeling back to their old selves. And it looks like they've recruited a new crony.

CMS needs to improve QIOs' reporting of cost, volume related to quality-of-care reviews

The Centers for Medicare & Medicaid Services cannot be certain that it is budgeting accordingly for Quality Improvement Organizations' (QIOs) quality-of-care reviews because of potential reporting errors. That is a according to a report released this week by the Government Accountability Office.

Senate votes to postpone payment cut to Medicare docs

Senate votes to postpone payment cut to Medicare docs

To the relief of physicians everywhere, the Senate voted Thursday to put off a 23% cut in Medicare pay for doctors until Dec. 31.

Grassley rips CMS Medicare contractors for inappropriate payments

The Centers for Medicare & Medicaid Services needs to have more oversight of Medicare contractors, Sen. Charles Grassley (R-IA) recently argued.

GAO: States' underreporting of nursing home deficiencies improving slightly

GAO: States' underreporting of nursing home deficiencies improving slightly

A new governmental report released Wednesday shows that federal nursing home surveyors continue to identify more deficiencies in care than state surveyors, but the discrepancy is shrinking.

CMS nominee Berwick may face questions on healthcare 'rationing' during confirmation hearings

CMS nominee Berwick may face questions on healthcare 'rationing' during confirmation hearings

Donald Berwick, the current nominee for administrator of the Centers for Medicare & Medicaid Services, likely will face questions over his views of end-of-life care during his Senate confirmation hearings, according to recent news reports.

Long-term care hospitals subject of Senate investigation

A recent New York Times article has sparked a Senate investigation into Select Medical Corp., one of the country's largest long-term care hospital providers.

Senate takes out therapy caps, physician pay provisions from jobs bill

Senate takes out therapy caps, physician pay provisions from jobs bill

Just hours after unveiling a jobs bill that would extend the therapy caps exceptions process and delay a pay cut for Medicare physicians, Senate leaders last week scrapped it in favor of a bill that contains neither of those provisions.

New draft legislation would extend therapy caps exceptions process

New draft legislation would extend therapy caps exceptions process

Senate Finance Committee leaders Thursday issued a draft of a jobs-creation bill. The legislation would extend the Medicare Part B therapy caps exceptions process and delay through Sept. 30 an impending 21% cut in payments for Medicare physicians.

Senators propose stop-gap measure on implementation of Medicare Part B therapy caps

Senators propose stop-gap measure on implementation of Medicare Part B therapy caps

One bipartisan group of senators is petitioning Department of Health and Human Services Secretary Kathleen Sebelius to postpone implementation of the cap on Medicare Part B outpatient therapy reimbursements.

Need grows for therapy caps resolution

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My how things change. Just a month ago a healthcare reform bill seemed en route to passage. Now its very existence is in question and, by extension, some key long-term care services are too.

Late release of CMS Medicare payment error report troubles Grassley

Late release of CMS Medicare payment error report troubles Grassley

An official Medicare payment error report is a month past due, and Sen. Charles Grassley (R-IA) is not pleased about it.

Providers praise Senate Finance Committee for retaining market-basket update in bill

Nursing home providers reacted positively to the release of the Senate Finance Committee's healthcare reform bill Wednesday. They were particularly pleased that the bill would not lower the market-basket update for nursing homes.

As recess winds down, Congress readies for healthcare reform battle

As recess winds down, Congress readies for healthcare reform battle

Congress is preparing to return to Washington D.C. after an eventful August recess. Democrats and Republicans are looking to ramp up efforts at passing, or, in some cases, derailing healthcare reform.

Senate to hold off on healthcare bill mark-up until after summer recess

Senate Finance Committee Chairman Max Baucus (D-MT) has made it clear that his committee would not finish deliberation on its healthcare reform proposal before the summer recess begins this Friday.

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