I found it stunning when I recently read that more than a half million people had taken advantage of new Medicare coverage that pays for end-of-life discussions with their doctors. And there was hardly a peep about it.
One of the biggest stories of the summer easily has been the news that full enforcement of nursing homes' new survey system will be postponed a year.
Make no mistake: Long-term care providers will take a victory wherever they can, and the Trump administration's move to rescind the Obama administration's ban on pre-dispute arbitration agreements is a win with a capital "W."
As a believer in starting the day bright and early, I often hit the McKnight's office by 7:30 a.m. That's why I was glad to see that one of the 20 tips from Richard Moran's "The Thing About Work: Showing Up and Other Important Matters" (Routledge, $22.95) includes DO get up and get going early.
With one son in college and another trying to figure out where to attend, the future job market is a topic near and dear to this writer's heart.
Finally. That was my immediate, silent reaction when I received the email from a top long-term care provider.
I have to admit it: My love for the game of golf has waned lately. My fascination with it started as a young boy, watching my father pick up the game in middle age after successful athletic runs with football, track, softball and other activities.
Chalk up another one for that famously disruptive New Yorker who crisscrossed the nation the last two years, speaking to big crowds, imploring change. His words are proving prophetic again.
Given the most recent report from Aon's Actuarial & Analytical Practice, a few stanzas of "Whistle While You Work" could be helpful. Either that or a stiff belt of Lynchburg, TN's finest export.
Politics truly can make strange bedfellows. A great illustration of this could be the many nursing home operators who might think they don't like President-elect Donald Trump but really could end up loving him.
Does the Centers for Medicare & Medicaid Services need its own deputy sheriff to set its house in order? Some seem to think so.
Long-term care providers and consumer advocates were able to celebrate a rare common victory over federal regulators in mid-August.
In olden days, if the leader of an army went down in battle, the rest of the troops were likely to founder because they were demoralized, directionless or simply had the fight taken out of them.
Like a kid who's staying up past his bedtime right in front of his parents' noses, long-term care operators have been enjoying a pass for at least a few years when it comes to HIPAA crackdowns.
erms about the value-based pay movement tend to spill into one another: bundled payments, accountable care organizations, managed care, site-neutral payments, and on and on.
Nursing home chain executives might have been wincing when they saw news of yet another study apparently finding that they're doing a poor job.
Long-term care operators have plenty of reasons to recoil and lick their wounds over the course of a year. But sometimes they need to seek the light and resist the "woe is us" mentality.
By the time you're reading this, the nation could have a much better idea who will be slinging mud at one another this fall for the top office in the nation. One way or another, it hasn't been looking good for long-term care interests. Unless I get my way.
It would be reasonable to think that a storm that caused dozens of deaths and the shutdown of federal government offices is a terrible event. But you would be only half right: A late-January blizzard in the mid-Atlantic states and its extreme conditions presented a prime opportunity to show the dedication of long-term care professionals.
Think back to when you were 10 years old. You still had a big future ahead of you, but you had already seen a lot, you were on a roll and, wow, were you full of energy!
The General Accountability Office typically features excellent researchers and writers. But it seems they might have "buried the lead," as we say in the journalism business, with their latest study concerning nursing homes.
Best-selling author Daniel Pink laid it on the line at the recent LeadingAge annual meeting to vividly illustrate why simple "if-then" reward scenarios — which are suitable for basic tasks — won't cut it in long-term care.
With the pending retirement of Larry Minnix as president and CEO of LeadingAge, I don't know whether to praise him or be fearful. I've always told him that he's such a good writer, he could take any journalist's job any time he wanted.
If you didn't work in long-term care and I asked you to specify what Illinois, Washington, Texas, Oklahoma and New Mexico have in common, we could be waiting for your answer for a very long time.
The lessons keep flowing from the political debacle that has been Sarah Palin's political career. You'll recall it was Palin who launched the irresponsible phrase "death panels" into the stratosphere back in 2009, a time when conservatives and liberals were battling over the very life of the Affordable Care Act.
When President Obama took the podium on the morning of July 13, he thrust aging and long-term care into a reinvigorated spotlight.
It's an odd thing to see the king of the jungle become the hunted instead of the hunter. But that's what happened when CVS announced it was buying Omnicare.
I've learned after many years of covering long-term care that certain things are sure to arouse providers' anger — over-regulation, under-payment and reckless media accounts among them.
Never mind the mantras about the long-term care profession being "high touch." The focus has been hijacked and it appears most providers are now consumed by documentation.
One gets the feeling that federal regulators, no matter how proper the official talk went, took a bit of pleasure in sending a message to providers when recently rebasing their star ratings.
Long-term care providers weren't outwardly jumping for joy when it was announced that Medicare is going to start paying for quality, and not quantity, of services.
Growing up, we had a saying when we wanted to cross a busy street but couldn't catch a break from drivers. "C'mon," one of us would gamely yell, while pulling the others onto the roadway, "there's safety in numbers!" OK, so I still do it on occasion and sometimes we shout, "There's strength in numbers!"
Federal health officials have signaled that they are intent on getting this accountable care organization thing right.
There is a memorable scene in the movie "Forrest Gump" when Lt. Dan chews out the well-intentioned title soldier for saluting him while the enemy is likely watching. The implication is that if you want to strike a crushing blow to something, you take out its leader.
If there's anything that's become clear about this ACO business lately, it's that it's not going to be as simple as A-B-C.
Don't let anyone tell you that long-term care operators don't know how to read between the lines. They might not have known to fear a McKnight's Daily Update item before it appeared Sept. 8. But it quickly and definitely earned their attention — and apprehension.
As a long-term caregiver, you get yelled at, told off, put down and dumped on regularly — and that's during good weeks.
With another summer of huge movies nearly behind us, it's a good time for providers to exhale in relief. Or wonder anxiously if they have been on camera themselves. Especially if Mike DeWine would be the film's producer.
As spring blends into summer, some nursing home operators are going to start feeling more heat. The federal government is moving to reclaim some form of "normalcy" after sequestration cuts lopped funding for many things, including its "very bad boys" list.
It appears that the nation's largest association of nursing home operators has decided to buy itself a whole lot of credibility. I mean that only in a good way.
Hidden gems are often the best kind. They surprise us and keep us hopeful and optimistic for the future. This is how I feel about McKnight's Technology Awards, the third annual version of which is being sponsored by Tena and started accepting entries this month.
A funny thing happened on the way to a semi-annual eye rolling about a MedPAC report. It contained some information that could make long-term care providers happy.
As a parent looking at options for a high school student about to enter college, I know why it seems like everyone talks about the high cost of education. It is high.
Lost in the year-end shuffle was nursing home operators' most optimistic story of 2013: The public has an all-time high opinion of you.
What the long-term care insurance market could use right now is a healthy dose of capitalism. But it isn't going to happen.
Now, even three or four years down the road, the impression of the long-term care leader cowering like a guilty child is haunting.
When we at McKnight's host a special roundtable discussion, I look forward to getting to know the esteemed participants. Captains of the profession, they typically have evolved from nurses, business managers and doctors into C-suite inhabitants — extremely observant top executives, in fact.
Sometimes long-term care providers struggle to find meaning in the signs that are strewn in their path. Whether it's legalese, regulatory gobbledy-gook or some form of bureaucracy, uncertain messages confront providers seemingly every day.
When you complain about bizarre government conditions or regulations, as columnists are wont to do, you usually have to assume you're just whispering into a stiff wind. But now comes word that no less than the Office of Inspector General of your Department of Health and Human Services is jumping on the bandwagon to change the hospital "observation stay" madness.
Every enterprise needs worker bees. Clearly, if the work is going to get done, those on the frontline — and elsewhere — must soldier on. But if an enterprise — be it a company, industry or other entity — is going to survive into the future, it also needs a visionary. Without forward-looking inspiration, any enterprise will surely fade, just as a houseplant will shrivel without mindful tending.