Healthcare Reform

Are you prepared? 5 questions you need to know the answers to

Are you prepared? 5 questions you need to know the answers to

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With all the recent regulatory changes that have come down the line, or are about to, we developed a simple five-question survey that each provider had to ask every therapy employee. If you can develop strong policies and procedures based on these questions, you will have a good offensive game plan in place.

Providers may need more than a 'wizard' to demystify Obamacare

Providers may need more than a 'wizard' to demystify Obamacare

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Did you hear the one about life's great lies? Here's part of the punch line: "I'm from the government and I came to help you." Providers familiar with the joke may have experienced a vague sense of déjà vu last week when the White House made this announcement: They are launching a healthcare reform website for business owners

Healthcare reform precipitates split in Extendicare's U.S. and Canadian operations, CEO says

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Extendicare Inc., which operates more than 240 senior care centers, will be splitting up its U.S. and Canadian businesses, the company announced Thursday.

Skyrocketing spending on post-acute care shows need for large bundled payment groups, researchers argue

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Post-acute care was the fastest growing major healthcare spending category for government programs between 1994-2009, according to recently released research. The results support large-scale bundled payments as a way to control costs, the researchers argued.

Savvy post-acute care providers are seeking creative partnerships with hospitals, experts say

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Post-acute care providers should be considering creative joint ventures with hospitals to best take advantage of evolving healthcare delivery and payment systems, healthcare finance and legal experts said Wednesday in an Avalere Health webcast.

Rapid (Rx) transit

Rapid (Rx) transit

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Time is a valuable and limited resource in long-term care. Caregivers often scramble to meet the varying needs of their residents and struggle to balance those duties against equally time-consuming regulatory requirements.

Compliance clock ticks

Compliance clock ticks

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Nursing facilities have always faced an array of obligations in order to provide services to Medicare and Medicaid beneficiaries, which can sometimes seem burdensome in comparison with other providers. The Affordable Care Act (ACA), commonly known as the healthcare reform law, is yet another example of how nursing facilities remain a target - the notable new obligation is the mandatory compliance program requirement. Adoption and implementation of compliance programs has previously been voluntary, although encouraged.

Leadership strategies for a changing healthcare world

Leadership strategies for a changing healthcare world

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Strong leadership is a vital ingredient to any successful organizational or system change. Increased consumer demands, strategic positioning and partnerships as well as an increased push towards community-based care are forcing post-acute leaders to serve as the catalyst for change.

Governors divided on Medicaid expansion, creating uncertain fiscal forecast for long-term care operators

Governors divided on Medicaid expansion, creating uncertain fiscal forecast for long-term care operators

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There are likely to be notable gaps in Medicaid coverage through the nation when major parts of the Affordable Care Act go into effect on the first day of 2014, according to a New England Journal of Medicine study released Wednesday.

OIG: Electronic health records vulnerable to mispayments

OIG: Electronic health records vulnerable to mispayments

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EMRs are expected to become the norm for healthcare providers in the future. But in the infancy of their use, they lack oversight and safeguards, a new report says.

Medical device tax could crimp long-term care supplies, hike cost, dampen innovation, expert says

Medical device tax could crimp long-term care supplies, hike cost, dampen innovation, expert says

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A medical device excise tax scheduled to hit Jan. 1 is causing uncertainty among manufacturers and providers, a healthcare expert said Monday.

Affordable Care Act's Medicaid expansion still vulnerable to court challenges, experts say

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Legal experts say the Affordable Care Act's maintenance-of-effort (MOE) requirement — which prohibits states from tightening Medicaid eligibility — remains vulnerable to legal challenges.

Former CMS boss says reforms underway, regardless of how Supreme Court rules

Former CMS boss says reforms underway, regardless of how Supreme Court rules

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Even if the Supreme Court repeals the Affordable Care Act, its early reforms have already delivered promising benefits, according to former Centers for Medicare & Medicaid Services Administrator Donald Berwick, M.D.

Hospital readmission penalties could transform relationships with SNFs, experts say

Hospital readmission penalties could transform relationships with SNFs, experts say

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Healthcare reform efforts targeted at reducing hospital readmissions are here to stay, experts told participants in a McKnight's webcast Tuesday.

Odds don't favor another round of Obamacare

Odds don't favor another round of Obamacare

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The Supreme Court may be two months away from announcing whether President Barack Obama's health care law is legal. But court watchers are already speculating on what will happen if the measure is overturned.

ACO book helps leaders prepare for future

ACO book helps leaders prepare for future

In the wake of healthcare reform, accountable care organizations continue to emerge as an increasingly likely care delivery option. The Healthcare Executive's Guide to ACO Strategy helps operators better prepare for this model. The book examines how ACOs have emerged. Several chapters also examine specific strategies operators can use to attract and retain new partners.

The real reason why the Supreme Court will trounce Obamacare

The real reason why the Supreme Court will trounce Obamacare

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I'm not sure why so much hand wringing is taking place over the Supreme Court's future decision about Obamacare. For as they like to say in Chicago, the fix is in.

Supreme Court to decide on whether to hear healthcare reform challenges

The U.S. Supreme Court has indicated that it will decide whether or not to hear challenges to the Affordable Care Act in a private conference on Nov. 10.

Staff stability and resident satisfaction are key goals for providers, quality guru says

Providers should be avidly trying to reduce rehospitalization rates as a measure of quality, according to an American Health Care Association executive.

Gingrich announces his presidential candidacy for 2012

Former Speaker of the House Newt Gingrich (R-GA) announced Monday on Facebook and Twitter that he is running for president in 2012 as a Republican, challenging President Barack Obama. This makes him the most recognizable Republican to officially enter the race.

Congressional impasse could lead to government shutdown in less than two weeks

Congressional impasse could lead to government shutdown in less than two weeks

With Congressional Democrats and Republicans failing to reach an agreement on proposed federal funding cuts—including possible reductions to healthcare reform and entitlements—analysts are predicting a government shutdown by April 9 unless a deal is reached.

Report: Medicaid overspent on brand-name drugs

Report: Medicaid overspent on brand-name drugs

State Medicaid programs spent $329 million more than necessary by allowing certain prescriptions for brand-name drugs to be filled instead of generics in 2009, a conservative think tank said this week.

What's in a name? We're about to find out—maybe

What's in a name? We're about to find out—maybe

Hope you have a pencil handy with your scorecard at home. One with a good eraser.

Obama reverses course on regulation allowing advance care planning

Obama reverses course on regulation allowing advance care planning

The Obama administration has opted to remove any mention of end-of-life care planning from a Medicare regulation that took effect at the beginning of the year, The New York Times reported.

Some healthcare reform provisions take effect

Some healthcare reform provisions take effect

A number of key healthcare reform provisions affecting the long-term care industry began Jan. 1, right before the new session of Congress comes back to Washington, according to The Hill.

Healthcare reform helps those near retirement, the unemployed

Individuals aged 50-64—especially people in that age group experiencing long-term unemployment—stand to benefit the most from the healthcare reform law, according to a new study.

Federal judge rules reform law's insurance mandate unconstitutional

A Virginia federal judge Monday ruled that the "individual mandate" aspect of the healthcare reform law violates the Constitution. It is the first such ruling among trial courts.

The road to the RUG-IV-related repeal

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Some good news—and just in time for the holidays. Nursing home providers can ring in 2011 knowing that residents will not be denied Medicare Part B outpatient therapy and the RUG-IV system won't change.

Lawmakers fail to repeal provision designed to help finance healthcare reform

Lawmakers fail to repeal provision designed to help finance healthcare reform

The Senate failed to muster the votes Monday to repeal an unpopular tax reporting mandate that was passed to help finance the healthcare reform law.

Ohio judge permits healthcare reform suit to proceed to trial, follows similar action taken in Florida case

Ohio judge permits healthcare reform suit to proceed to trial, follows similar action taken in Florida case

An Ohio federal judge recently allowed a lawsuit that challenges the insurance mandate of the healthcare reform law to proceed to trial.

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