ACE (Acute Care For Elders): Integrating acute, post-acute and LTC
By
James Lomastro
Jan 15, 2018
Over the last 20 years, there is a movement to assign elders to units that specifically address their need.
Looking at Massachusetts in LTSS reform
By
James Lomastro
Oct 20, 2017
We can learn a lot by examining Massachusetts, a state that has embraced healthcare reform and currently working to transform its Medicaid program.
The emerging role of the citizen in healthcare reform
By
James Lomastro
Jun 29, 2016
As with other social movements – think about civil rights related to disability or race – change requires the engagement of those involved in it
The safety net for seniors
By
James Lomastro
Jan 02, 2014
Healthcare reform, especially the expansion of Medicaid, will bring into focus the fragility of the safety net. This is a system that is for vulnerable seniors, but which has not been adequately financed.
Healthcare reform and the safety net: The rising tide
By
James Lomastro
Dec 06, 2013
Home- and community-based care advocates seek a total rebalance of care. They want the care dollars to be shifted to home- and community-based care, which has been historically short-shifted. However,...
Part Two: Have we not been through this before?
By
James Lomastro
Sep 19, 2013
Initially many thought that the Medicare Catastrophic Coverage Act will be a popular piece of legislation. However, while provisions were popular with providers and some seniors, many were not especially...
Have we not been through this before?
By
James Lomastro
Sep 16, 2013
Recently, the former head of the Centers for Medicare & Medicaid Services indicated that the agency should scrap a rule requiring three days as a hospital inpatient to qualify for Medicare coverage of...
Strategies to create outcome assessments
By
James Lomastro
Jul 08, 2013
Leadership, governance, talent (people) services and safety programs supports efforts in performance improvement and outcome assessment. The purpose of the outcome assessment system is to increase value...
Outcome assessment and the Affordable Care Act
By
James Lomastro
Jun 26, 2013
Outcome assessment should be seen as a tool for change management and will likely become the new standard for assessing resident care under the Affordable Care Act.