Dual Eligible

Also in the news for Sept. 30, 2014 . . .

CMS clarifies appropriate use of power strips in long-term care resident rooms ...GAO: Integrating Medicare and Medicaid may not reduce costs on dual-eligible care ... Brookdale discriminated against worker with fibromyalgia, EEOC claims ... State standards for physician access under Medicaid managed care vary widely, OIG finds

Also in the news for May 29, 2014 . . .

TX joins dual eligibles demo ... Hospitals continue to improperly code for post-acute transfers, OIG finds ... Home hospice owner gets 14-year sentence, $16M fine ... Deadly nursing home fire in South Korea

Dual eligibles more likely to go from hospitals to lower quality nursing homes, referral process might need reform, researchers say

Dual eligibles more likely to go from hospitals to lower quality nursing homes, referral process might need reform, researchers say

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People eligible both for Medicare and Medicaid go to lower-quality nursing homes after being hospitalized at a rate higher than Medicare-only patients, according to researchers from Brown and Harvard universities.

House bill would ease readmissions penalties for hospitals that treat many dual eligibles and low-income seniors

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Hospitals that treat a high percentage of patients eligible for both Medicare and Medicaid would get a break on readmissions penalties if a new bill in the House of Representatives were to become law. Dual eligible beneficiaries have low incomes, are likely to have chronic or complex conditions, and often reside in long-term care facilities.

State News

State News

ARIZONA — U.S. Rep. Ann Kirkpatrick (D-AZ) has put forward a bill that would allow government funding for veteran nursing homes built on Native American tribal land.

Nursing homes beneficial for Medicare program, researchers find

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Nursing homes often decrease residents' need for services covered under Medicare, according to new research published by the Centers for Medicare & Medicaid Services. The results reinforce the idea that accountable care organizations can lower costs by partnering with long-term care facilities.

Quality measures recommended for dual eligible coordination programs

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Implementing an effective quality measurement system is paramount in improving care and lowering costs in the dual eligible population, according to a new stakeholder report.

Health insurer proposes plan for dual eligibles

Enrolling those dually eligible for Medicare and Medicaid in managed-care plans could save the United States up to $1.62 trillion over the next 25 years, according to health insurance giant UnitedHealth Group Inc.

MedPAC: Promising care models for dual eligibles face challenges

Problems persist when it comes to enrolling seniors dually eligible for Medicare and Medicaid into integrated care programs, Medicare Payment Advisory Commission staff recently said.

New law strives to keep older adults at home

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When you read between the lines of the healthcare reform law, its general intent becomes clear: The law is about increasing home- and community-based services (HCBS), and improving wellness and prevention.

Federal government gives states more than $4 billion to help with Medicare Part D 'clawback' costs

The Obama administration is granting $4.3 billion to states to help them offset the cost of Medicare drug coverage for those dually eligible for Medicare and Medicaid.

Governor makes case for transferring costs of dual eligibles to federal government

Governor makes case for transferring costs of dual eligibles to federal government

New York Gov. David Paterson (D) is attempting to build a "national, bipartisan movement" among big states to shift the costs of dual eligible beneficiaries to the federal government, according to recent reports.

Cardin amendment would work to expand assisted living residents' access to prescription drugs

Assisted living providers and advocates are cheering this week after Sen. Ben Cardin (D-MD) introduced an amendment to the healthcare reform bill that seeks to improve some assisted living residents' access to the Medicare Part D prescription drug program and Medicaid benefits.

Long-term care advocates applaud provisions in Senate healthcare reform bill

Long-term care advocates applaud provisions in Senate healthcare reform bill

The American Association of Homes and Services for the Aging gave kudos to Senate Majority Leader Harry Reid and others for including the Community Living Assistance Services and Supports (CLASS) Act in the newly introduced Senate healthcare reform bill.

Vote expected soon on Senate healthcare reform bill

A vote on Senate Finance Committee healthcare reform legislation could occur by the end of this week. The 262-page bill contains a number of amendments that could affect long-term care supports and services.

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