Top House and Senate budget negotiators have carved out a deal that would end many parts of the across-the-board spending cuts known as sequestration, but long-term care providers would face an additional two years of reduced Medicare reimbursements.
The Centers for Medicare & Medicaid Services has revised the Medicare Benefit Policy manual to clarify that skilled care and skilled therapy may be covered even for conditions that will not improve, per the settlement in the high-profile Jimmo v. Sebelius case.
Specialized hospital units for patients under observation status could dramatically reduce the number of seniors forced to pay out-of-pocket for skilled nursing care, according to findings in the current issue of Health Affairs.
Medicare spending on nursing homes, home medical care and other outside care will increasingly come under the government microscope according to a Kaiser Health News/Washington Post report. Widely varied care, additional services and costs from state-to-state have drawn the attention of regulators.
A new policy meant to reduce the number of hospital observation stays should be delayed, and stakeholders should collaborate on a better way to achieve that goal, according to the American Medical Association and American Hospital Association.
On Oct. 31 (an ironic coincidence?) a report from the Office of inspector General frighteningly said Medicare paid some $23 million in benefits for more than 17,000 dead people in 2011. And my husband says I waste money.
A Florida-based hospice provider has agreed to pay $3 million to settle a whistleblower lawsuit alleging false Medicare claims, the U.S. Department of Justice announced Wednesday.
Younger people are more informed about long-term care financing and are more likely to be saving for their future needs than older Americans, according to a recent national survey.
Seniors who are neurotic are more likely to receive care in a nursing home, according to research in The Milbank Quarterly.
Rep. Jim McDermott (D-WA) has introduced legislation that would eliminate a major hurdle to rehabilitation care and payments: the "three-day rule."
It's hard to reflect on the Commission on Long-Term Care's recently submitted report without getting hacked off. To call it a fool's errand would be to insult misdirected dimwits.
Skilled nursing facilities account for few of the problematic Medicare claims that are related to beneficiaries who were deceased at the time they supposedly received services, according to a new government report.
Without solid research about how discharged hospital patients fare in various post-acute settings, cautious doctors are ordering more intensive and expensive care than is needed, according to medical experts writing in the Harvard Business Review.
What happened last week in Washington was not exactly highlight reel material. That is, unless you want to showcase public sector dysfunction.
As healthcare reform is implemented, a heightened emphasis on cost-containment is putting pressure on all healthcare providers. As hospitals determine how to reduce readmission rates and shift care to lower-cost providers, the alternate site infusion therapy sector will become even more important as a post-discharge option for patients.
Nursing home residents with advanced dementia who were covered under a Medicare managed care plan were more likely to have a do-not-hospitalize order and less likely to be transferred to a hospital, a new study finds
Medicare beneficiaries would be eligible for Part A coverage of skilled nursing care without a preceding hospital stay under a new bill introduced by Rep. Jim McDermott (D-WA).
A bill introduced in both houses of Congress seeks to expand Medicare coverage for dental services and provide more oral care in long-term care facilities.
The rate at which nursing home residents are hospitalized bears a close relationship to how well a state provides healthcare for low-income people, according to a new report from the private research foundation The Commonwealth Fund.
It's hard to comment on the Commission on Long-Term Care's just-submitted report without getting hacked off. Really, really hacked off. To call it a fool's errand would be to insult misdirected dimwits.
Long-term care advocates have praised a set of recommendations issued by the Congressional Commission on Long-Term Care, but some commissioners broke ranks, saying the panel did not fulfill its mandate.
Medicare is making questionable payments for diabetes test strips used by residents of skilled nursing facilities, according to a report from the Department of Health and Human Services Office of Inspector General.
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.
A Medicare payment rate update will increase aggregate skilled nursing facility reimbursements by $470 million during fiscal year 2014, according to a final rule issued by the Centers for Medicare & Medicaid Services.
Geographic variances in post-acute care largely account for differences in Medicare spending patterns, supporting healthcare reform measures that encourage better acute and post-acute coordination, according to a report from the Institute of Medicine.
A House of Representatives subcommittee has approved legislation reforming physician payments through Medicare. The bill passed out of the Energy and Commerce subcommittee on health by voice vote on Tuesday, after a two-day markup.
A New York company that provided psychiatry services to nursing home residents with dementia has settled a whistleblower Medicare fraud case for $1 million.
Mixed results from the first year of an ambitious accountable care organization program should not deter providers from moving toward coordinated care models, according to prominent observers. All 32 of the Pioneer ACOs met quality measures in their first year and earned associated incentive payments, according to a July 16 report from the Centers for Medicare & Medicaid Services.
Giving long-term care stakeholders a reason to cheer, California recently requested a federal waiver to implement Cal MedConnect, a demonstration project meant to improve care coordination for people who qualify for both Medicare and Medicaid.
The American Medical Association will work to change the 72-hour hospitalization requirement for Medicare Part A coverage of skilled nursing care. Delegates approved this resolution at the AMA annual conference in Chicago on Monday.