A Congressional watchdog group this week criticized the Department of Health & Human Services for failing to keep its improper payment rates low in its Medicare fee-for-service and Medicaid programs.
One of the nation's largest nursing home chains is looking to thwart what it alleges is a conspiracy by private law firms trying to convince state officials to sue large corporations. Texas-based Preferred Care Partners Management Group also is arguing to dismiss a lawsuit the state Attorney General filed against it last March.
A skilled nursing home and rehabilitation facility in Indiana is under investigation after inappropriate photos of a resident were allegedly posted by employees on social media.
Nurse arrested for alleged painkiller theft ... Medicare Advantage Overbilling needs tightening, Grassley says ... Hackers could have reached 1.1 million CareFirst customers
The nursing home industry's largest trade group is pushing back hard against MedPAC's recommendation that the Centers for Medicare & Medicaid Services forego its planned request for $500 million in increased nursing home funding for fiscal 2016.
Hospital observation stays leave a Medicare beneficiary in a "medical twilight zone," Sen. Susan Collins (R-ME) said at the Senate Special Committee on Aging committee hearing Wednesday.
Nursing homes' loss would be home healthcare's gain under a controversial plan that would create site-neutral payments for post-acute care.
Researchers say hospital re-admissions tend to worsen existing disabilities in people during their last year of life. The investigators are advising a more "palliative care approach" as a way to avoid exacerbating such problems.
Resident died due to lack of ventilator attachment, employee testifies ... Vermont replaces MN as healthiest state for seniors ... Rhode Island continues fight over Medicaid
On a big-picture level, nursing homes would seem to fare better if more and more prospective residents would enter their facilities with private insurance instead of Medicaid.
Depression can cause irreversible damage leading to stroke even after depressive symptoms have subsided, according to new research.
The Centers for Medicare & Medicaid Services has clarified catheter collection guidelines in its most recent DMEPOS fee schedule announcement.
Adults at risk of late-onset Alzheimer's disease who ingest more omega-3 fatty acids perform better in cognitive flexibility tests and have bigger anterior cingulate cortices, according to a new study conducted at the University of Illinois-Champaign.
Home health in NH says nursing home allotment belongs to them ... Sanders pushes for lower drug prices ... Long-term care investigations vary in CA, report finds
Conservative governors who shunned Medicaid expansion in their states are feeling vindicated in light of unexpectedly huge surges in Medicaid enrollment in neighboring states.
National pharmacy services provider PharMerica said it has entered into separate agreements with the government and revised its controlled substances dispensing policies following a whistleblower lawsuit filed in 2009.
New university-based research claims employees such as nursing home caregivers, factory and shipping workers who work outside normal 9 a.m.-5 p.m. schedules could be suffering a disproportionate share of serious sleep- and weight-related health problems.
Accents may not be so memorable, study shows ... Long-term care center put residents' health in 'immediate jeopardy' ... Residents evacuated from home due to broken boiler hose
Pennsylvania nursing home resident who sued for neglect was recently ordered by a federal judge to submit to binding arbitration instead, even though the document authorizing it was not signed by a facility representative.
Scott Tittle has been named the new executive director of the National Center for Assisted Living. He will succeed Dave Kyllo, who will become vice president of its parent group's insurance and membership programs.
New Medicaid rules could be 'epic' ... Illinois paid more than $300,000 for dead people through Department of Aging ... Depressed elderly have twice the risks for stroke, even after symptoms subside ... DME fraudster gets 4 years in prison.
A new report to Congress says more justification is needed for the $146 billion being spent on demonstration projects, most of which have not been clearly shown to further the objectives of the Medicaid program. Medicaid funds more than two-thirds of U.S. nursing home care.
Huge numbers of dual-eligible beneficiaries are leaving a demonstration project that hopes to improve payments for people eligible for both Medicare and Medicaid.
Sooner or later, skilled nursing providers will have to submit staffing data tied to payroll. Those who want to get a jump on working out kinks can start submitting their data voluntarily this October, the Centers for Medicare & Medicaid Services said Thursday.
Lawmakers have proposed changes that would significantly alter the way sensitive health data is prepared, managed and exchanged.
The head of a new long-term care pharmacy advocacy group urged Congress on Thursday to exempt Medicare beneficiaries in nursing homes and assisted living facilities from a plan that would require them to use a single pharmacy for all medications.
More than one-third of the nation's 15,500-plus nursing homes now bear the stigma of poor quality as a result of a tough new star ratings system implemented in February by the Centers for Medicare & Medicaid Services and posted on its Nursing Home Compare website.
Congressmen push for IPAB repeal ... Nursing home LPN accused of swapping Tylenol for Percocet ... Predictive analytics could help with congestive heart failure readmissions rates
The ink is barely dry on the historic Medicare Access and CHIP Reauthorization Act of 2015 and long-term care and other lobbyists are already voicing concerns about what ominous funding threat might come next.
Georgia's governor went on a recent veto spree, striking down 11 separate laws, one of which would have created a separate state agency designed to serve older citizens.
A great deal of recent research has explored the link between repetitive brain injury and dementia but a new study claims to have found the onset of the disease occurs much earlier than suspected.
Medical transport company failing to get patients to appointments on time, audit says ... Ohio settles Medicaid lawsuit ... Nursing home owner charged in Mohawk case
Assisted living quality initiatives will focus on increasing satisfaction while reducing turnover, re-admissions and antipsychotics use, the National Center for Assisted Living announced on Tuesday.
Chicago's massive suit over OxyContin alleges painkiller drug companies have misled prescribers and patients, leaving many woefully addicted and the city with enormous costs for treating them.
An assisted living facility was willing to look the other way whenever one of its residents would return from a "booze run" to pander liquor to other residents, but not when its staff discovered a prostitute under the man's bed, authorities said.
States look at protection for long-term care insurance buyers ... Right-to-die trial underway in Minnesota ... Unionized nursing home workers push legislators on Medicaid reimbursements
Over the next few weeks, the Centers for Medicare & Medicaid Services is expected to unveil an ambitious and comprehensive policy-making effort that promises to completely transform and radically overhaul the Medicaid managed care marketplace.
Medicaid provider payments are seriously hindered by limited data and "unclear policy," according to a new report to Congress that calls for greater oversight at numerous government-owned facilities where payments far exceed actual costs.
Several long-term care facilities across Oklahoma and Nebraska were damaged by flash floods after severe weather and high winds tore through the nation's midsection last weekend, forcing resident evacuations.
Audit says it's easier to get nursing home care than home care in Georgia ... Wyoming weighs options for troubled nursing homes ... Osteoporosis tied to hearing loss
The 2015 McKnight's Excellence in Technology awards program is now accepting submissions from skilled nursing, assisted living and continuing care retirement community operators.
The leading causes for breaches and attacks on healthcare organizations Ponemon identified are (in order of severity): theft, employee negligence and malware. The biggest vulnerability for each of the past four years: Lost and stolen computers and paper files.
The Government Accountability Office last week released findings showing 5% of Medicaid-only eligible enrollees accounted for nearly 50% of the billions of government dollars paid in Medicaid-only eligible claims.
The Health & Human Services' Inspector General is advising the agency to have its Medicare contractors chase down more than $33 million that might have been overpaid to physicians as a result of seemingly innocent coding errors for services.
Nursing home residents lead Medicaid protest ... Pharma company sues FDA over off-label use .. AHCA, NADONA among groups celebrating Nurses Week
When Community Consolidated School District 93 in Bloomingdale, IL, upgraded its computer hardware, it wanted to know if it could donate 25 laptop computers to Windsor Park, a continuing care retirement community in nearby Carol Stream.
Due to economic hardship, Hebrew Hospital Home is seeking a New York court's permission to sell its 160-bed senior residence facility in Westchester County.
Florida-based Greystone Healthcare Management has forged ahead with its acquisition of Autumn Health Care despite the central Ohio chain's former owner being indicted on charges of Medicaid fraud, forgery and operating a nursing home without a license.
Post-surgical patients at a 140-year-old organization can bathe themselves in healing, natural light as they engage in therapy.
It's imperative to roll out an appeal for new long-term care digs in the right way, starting with a master plan, and a strategy to minimize disruption to residents
There are many sound reasons for long-term care providers to refinance, says Chris Taylor, managing director, Real Estate Finance, GE Capital, Healthcare Financial Services.
Female nurses may outnumber male nurses 10 to 1, but men in the profession still make more per capita, according to a report published in the Journal of the American Medical Association in March.
The National Quality Forum recently declared, "Person- and family-centered care emphasizes the inclusivity of recipients of healthcare services and their families and caregivers.
When it comes to bathing residents with special needs, many long-term care facilities find themselves in a slippery situation.
Providers found themselves holding their breath again at press time over a potential "fix" to a Medicare doctor payment formula that officially triggered a 21% pay cut April 1.
Providers may be under increased reimbursement restraints, but consumers might have a hard time believing it. The median charge for a private room in a skilled care facility exceeds $90,000 a year, a new survey finds.
Most nursing home residents with peripheral arterial disease (PAD) were not more mobile after lower extremity revascularization, according to a new analysis.
A COT is required when the RUG level increases or decreases. If you do not complete a COT when required, you will be considered to have a late or missed assessment.
Accuracy mistakes in MDS 3.0 data may cause additional payment problems, a reimbursement expert warns.
Patients need more information about pain control and opioid misuse, according to researchers at the University of Pennsylvania.
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.
Like many people, I often wonder what operators should be doing to prep for the road ahead. So when the final program for last month's NIC Capital Business Strategies Forum listed a session called "The Future of Skilled Nursing," I made sure to attend.
A nursing home owner whose former employee died of an overdose is being sued in San Luis Obispo (CA) Superior Court.
A Maine skilled nursing facility has agreed to pay $1.2 million to the federal government to settle allegations it did not prevent RehabCare Group East Inc. from providing unnecessary therapy.
Q: Do rising prices for properties in this field reflect an improving economy, or is something else going on?
Congress is getting more involved in healthcare interoperability. Lawmakers have proposed legislation calling for changes to the process in order to speed up and broaden provider inclusion by the end of 2018.
The mother of 5-year-old twins and president of the Front Porch Center for Innovation and Wellbeing in California, Kari Olson epitomizes work-life balance.
Only 45% of people with Alzheimer's disease or their caregivers say they were told the diagnosis by their doctor, according to the 2015 Alzheimer's Disease Facts and Figures report.
ILLINOIS — The state's House of Representatives will soon debate a new bill that would allow nursing home residents and their families to place video or audio monitoring devices in facility rooms.
Robert Reed clearly recalls the moment in 2012 when he and colleagues became impressed with a Novaerus air sanitizing system.
New software is helping financial advisors advise clients on their long-term care plans.
We don't have crickets in long-term care, but we should. They're very soothing insects. Experts on Crickipedia maintain that they actually emit four different sounds — a calling song, an aggressive song, a courting song and a copulatory song. Most human communication fits into those categories as well.
When it comes to treating chronic lesions such as postsurgical or stage IV pressure ulcers, one of the most effective treatments is negative pressure wound therapy.
Increasing staff stability, adopting a customer satisfaction questionnaire, reducing unintended healthcare outcomes, reducing hospital readmissions, improving discharges to the community, and adopting functional outcome measurements are the focus of the next round of quality improvement for the American Health Care Association.
Brown researchers examined the change in last-year-of-life Medicare expenditures during the most recent expansion of the program that began in 2004 and continued through 2009.
A former Kansas couple facing up to 20 years in federal prison and $1 million in fines are expected to plead guilty to at least some of the charges alleging they submitted fraudulent invoices to his former employer, Presbyterian Manors of Mid-America.
A North Carolina pharmacy services company agreed Wednesday to pay a $5 million civil fine to settle federal anti-kickback violations alleged to have occurred under prior ownership, the U.S. Attorney's Office for the Eastern District of North Carolina announced.
FDA says there are 142 cases of infected duodenoscopes ... Nurses say EHRs help in patient safety in new survey ... Nursing home company hit with 45-count indictment .. New Hampshire nursing homes win back rate increase in budget
Far more than half of the $360 billion in Medicare payments made just two years ago were based on traditional fee-for-service models without regard to quality or value, according to an independent report released Tuesday.
The American Health Care Association is expected to announce today six new quality metrics, some of which raise the bar on nursing home staff turnover and hospital readmissions.
Mobility device use soared almost 50% among the over-65 population from 2004 to 2012, and researchers say the reasons are varied.
Nursing home chain accused of unfair labor practices; court date set for June ... Extra weight could help diabetes patients live longer ... Aging Committee hearing on tech helping seniors age in place
The Assisted Living Federation of America has unveiled plans to implement credentialing and new standards, as well as a six-month "listening tour" nationwide, as part of its Senior Living 2025 campaign.
The Centers for Medicare & Medicaid Services plans to raise hospice payment rates by nearly $200 million, or 2%, in fiscal year 2016. They come under a sweeping proposal establishing payment tiers based on length of stay and laying the groundwork for additional quality reporting measures.
The daughter of a Chicago nursing home resident faces multiple counts of aggravated battery and is being held in lieu of bail after stabbing a male nurse Saturday.
Washington University School of Medicine researchers believe they have found closer definitive links between diabetes and Alzheimer's disease after discovering elevated blood glucose levels stimulate the chemical culprit in the formation of AD's characteristic brain "plaques."
Senate passes budget bill, sets up Obamacare showdown ... New guide on catheter use ... Treatment cuts risk of C. diff recurrence ... Best and worst states for nurses.
Pending legislation would grant hospitals and other providers their wish of replacing percentage-based fees with flat fees on Medicare claims denied by recovery audit contractors.
As the Senate narrows in on its budget goals, details are emerging from Congressional budget negotiations that aim to disintegrate the Affordable Care Act piece by piece. Negotiators also hope to cut Medicare spending by $430 billion over the next 10 years.
McKnight's has been honored with Gold Awards for writing, design and overall publication excellence in this year's Hermes Creative Awards program.
A government-sanctioned study published Monday in the Journal of the American Medical Association declared Pioneer ACOs saved more than $385 million in a two-year period, prompting the Administration to announce the same day it will expand the program.
Frailty called better indicator than age for heart patients' outcomes ... 91-year-old who sang way out of nursing home now threatened with eviction ... Green tea product, exercise slow Alzheimer's (in mice).
A popular acid reflux medication was the costliest drug paid for by Medicare Part D in 2013, while a blood pressure medication was the most frequently prescribed, according to a new report on prescription drug prices.
McKnight's Long-Term Care News was honored as having the best news coverage among U.S. healthcare publications for the sixth straight year. The McKnight's editorial team earned five honors overall in the 2015 ASHPE national awards program, which announced winners Friday.
FDA examines safety of antiseptic products ... Routine preoperative testing not recommended before cataract surgery ... CMS proposes 1.3% increase for hospices
People who believe in the benefits of catching medical problems early or have friends or loved ones with Alzheimer's disease tend to openly embrace advanced screening for dementia, according to new research.
The U.S. Senate is scheduled to vote this week on a federal budget that promises to balance itself in nine years through billions of cuts in social programs and billions of extra dollars to defense.
Nursing homes with visiting physicians or providers would do well to uncover their troubled histories with Medicaid or Medicare programs in other states or face billing nightmares, and worse, federal scrutiny.
California Gov. Jerry Brown (D) is reportedly seeking to realign nursing home inspection and oversight duties to address a chronic backlog of investigations into abuse and other violations, while limiting enforcement requirements for entities charged with conducting them.