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Room charge rises to $84k

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Long-term care providers have been able to sustain modest room-rate hikes, according to the 10th annual Cost of Care Survey from insurance company Genworth.

Drug withdrawals are advised

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Providers should be taking most of their dementia residents off antipsychotics — and can generally do so without fear of relapse to dementia-related behaviors — researchers say.

AGS reverses aspirin vote

AGS reverses aspirin vote By

Elderly people with type 2 diabetes should not take aspirin to prevent cardiovascular disease, according to draft guidelines from the American Geriatrics Society. This reverses its previous recommendation.

Early dementia, diabetes linked

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Diabetics are at risk of developing dementia earlier and dying sooner, according to research in the American Journal of Epidemiology.

Sequester cuts are bringing changes to survey process

Sequester cuts are bringing changes to survey process By

The Centers for Medicare & Medicaid Services will change some nursing home survey procedures in response to budget cuts from sequestration, according to memos released April 9. The CMS Survey & Certification budget has been reduced 5% from 2012, the agency announced.

SNFs' role in end-of-life care is growing

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The number of people dying in hospitals decreased 8% from 2000 to 2010 even as overall hospitalizations rose, suggesting nursing homes, hospices and home health providers are playing larger roles in end-of-life care. These numbers appeared in a recent Centers for Disease Control and Prevention report.

Tech stars to be recognized

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Applications are now being accepted for the second annual McKnight's Excellence in Technology Awards program.

Antipsychotic goals missed, officials say

Antipsychotic goals missed, officials say By

Skilled nursing facilities are expected to have missed their overall goal of reducing off-label use of antipsychotics by 15% for 2012, but they should continue to push for reductions, provider leaders said.

Obama's cuts draw hot provider rebuke

Obama's cuts draw hot provider rebuke By

President Obama's proposed budget is dead in the water as long-term care providers see it. They stand to lose $81 billion over 10 years if the measure is approved.

Sequestration and Ryan plan seen as big fiscal challenges

Sequestration and Ryan plan seen as big fiscal challenges By

Last month, the skilled sector figured out sequester cuts would cost providers more than $782 million in payments. Then Paul Ryan broke out the meat cleaver.

'Targeted' EHR upcoding audits on the way

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The Centers for Medicare & Medicaid Services will undertake targeted audits focused on upcoding in electronic health records, according to Acting CMS Administrator Marilyn Tavenner.

AHCA makes push for immigration reform

AHCA makes push for immigration reform By

Saying the current permanent visa programs for immigrants are "insufficient and inadequate" to meet long-term care staffing needs, the American Health Care Association outlined in March a vision for immigration reform.

Hospice saves Medicare dollars

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Increasing hospice enrollment would save the Medicare program millions of dollars annually, according to a new report.

Diabetes drugs under scrutiny

Diabetes drugs under scrutiny By

Diabetes medications Januvia and Byetta significantly increase the risk of pancreatic inflammation, according to Johns Hopkins University School of Medicine researchers.

Combo therapy aids nutrition

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Memory training combined with a Montessori-based approach to daily living can improve nutrition and reduce depression among those with dementia, a study in the Journal of Advanced Nursing finds.

Lethal bacteria hits facilities

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Providers must act to prevent the spread of antibiotic-resistant bacteria killing about half of all people who become infected, the Centers for Disease Control & Prevention said in March.

Obama backs state-set rates

Obama backs state-set rates By

States can and should exercise "wide discretion" in setting Medicaid payment rates, the White House said in a court brief supporting reimbursement cuts in California.

Ryan's budget targets Medicare and Medicaid

Ryan's budget targets Medicare and Medicaid By

The House Budget Committee approved the latest spending plan from Chairman Paul Ryan (R-WI) in March. The vote was 22 to 17 along party lines.

Painkiller distribution could be curtailed

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An advisory panel has recommended making it more difficult for long-term care residents and others to receive certain painkillers. Providers criticize the proposal, saying it could leave seniors suffering for long periods.

Obama seeks bipartisanship, so long as it happens his way

Obama seeks bipartisanship, so long as it happens his way By

In a State of the Union address that largely touted objectives favored by Democrats, President Obama called on Republicans to be less partisan.

McKnight's Online Expo returns

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An immediate jeopardy citation can throw a long-term care facility into a crisis, but providers can use the government's guidelines as a quality assessment tool. That's the topic of one of the presentations at the seventh annual McKnight's Online Expo. Additional sessions will give an update on the Minimum Data Set, offer insight into relational agents in a healthcare setting, target wound care research and describe the current outlook for obtaining capital.

Feds change 'onerous' rules

Feds change 'onerous' rules By

Long-term care facilities that are undergoing a major renovation or are in the process of building a new structure may be eligible for a sprinkler system extension.

Biomarkers not the endpoint

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The Food and Drug Administration issued guidance in February for clinical trials for early-stage Alzheimer's medications.

Settlement will expand therapy

Settlement will expand therapy By

It's official: A federal judge approved a settlement agreement the last week of January that will allow Medicare patients to continue receiving therapy services even if they are not making measurable improvement.

Urge focus on whole person

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Long-term care providers should treat residents holistically, rather than narrowing in on an illness, to reduce rehospitalization rates, researchers recommended recently.

Medicare concessions possible, Obama says

Medicare concessions possible, Obama says By

President Obama touched on several issues that matter to long-term care operators during last month's State of the Union address. His most urgent message to lawmakers: Do not not allow sequestration cuts to kick in. Otherwise, providers will feel the pinch of an automatic 2% Medicare funding cut.

Antipsychotics used too often, study says

Antipsychotics used too often, study says By

More than one-fifth of U.S. nursing home residents took an antipsychotic drug as of 2010, according to research recently published in the Journal of the American Medical Association. The drugs often were prescribed for off-label uses.

Food costs may take a bigger budget bite

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Long-term care facilities should prepare to pay more for food in 2013, with prices going up as much as 4%, according to a prominent industry voice.

Long-term care commission's work unlikely to fuel changes

Long-term care commission's work unlikely to fuel changes By

The fiscal cliff avoidance deal seems to prove an adage about politics being the art of compromise. But as tradeoffs go, long-term care providers didn't fare too badly.

'Bed tax' reform threat looms

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Nursing homes could be hurt if the federal government lowers the Medicaid provider tax safe harbor threshold to reduce the national deficit, according to a January report from the Congressional Research Service.

More effective shots created

More effective shots created By

New strains of genetically engineered bacteria may improve the efficacy of vaccines for diseases that include the flu and pertussis, University of Texas at Austin researchers say.

Rising flu toll sparks tussle on shot rules

Rising flu toll sparks tussle on shot rules By

The contentious issue of whether healthcare workers should be required to be vaccinated against the flu gained new ferocity in January. Deaths caused by influenza hit 7.3% the first week of the month, triggering an automatic "epidemic" designation from health officials.

Therapy helps mend aphasia

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Aggressive therapy can improve language function and general cognition for seniors who have had aphasia for years, according to a study recently published in Brain and Language.

Inmates cause 'jeopardy' tag

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An Oklahoma provider is appealing after it was slapped with Immediate Jeopardy citations and $168,000 in fines for housing inmates injured in a prison riot.

Avatars in LTC to open doors

Avatars in LTC to open doors By

The role of avatars in senior care settings will be addressed during the 2013 McKnight's Online Expo technology session.

Latest funding deal sidesteps fiscal cliff

Latest funding deal sidesteps fiscal cliff By

Providers generally lauded a deal that kept the nation from going over the so-called fiscal cliff in January. Spared were automatic Medicare cuts to physicians and facilities.

60 Seconds with ... Joe Lubarsky, president Eljay LLC

60 Seconds with ... Joe Lubarsky, president Eljay LLC By

Q: What has this year's examination of state Medicaid rates shown?

Reach of ACOs hits 31 million individuals

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Accountable care organizations are already beginning to change the landscape of American healthcare, veteran observers say.

Harkin's fiscal cliff warning: Protect Medicaid, Medicare

Harkin's fiscal cliff warning: Protect Medicaid, Medicare By

As top Democrats and Republican attempted to deal with an impending fiscal cliff, they were given a strong rebuke by Sen. Tom Harkin (D-IA): Don't ruin two critical safety net programs that seniors depend on.

Feds lax on bedrails, Congressman insists

Feds lax on bedrails, Congressman insists By

Rep. Edward J. Markey (D-MA) called on federal regulators to step up oversight of bed rail regulations. The congressman spoke out in the aftermath of a tough investigation into bed rail entrapment.

McKnight's Online Expo is back

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The seventh annual McKnight's Online Expo will be held March 20-21. This online trade show has established itself as the field's premier digital event. One key reason: Participants can earn up to five hours of continuing education credit simply by attending free one-hour webinars.

Dogged pursuit sniffs out C. diff

Dogged pursuit sniffs out C. diff By

Another accolade for man's best friend: A new study finds dogs can sniff out the deadly Clostridium difficile bug with a high degree of accuracy.

3 test combo to treat AD?

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Combining diagnostic tests that include imaging and cerebrospinal fluid biomarkers can improve prediction of a patient progressing from mild cognitive impairment to Alzheimer's disease, according to a study published Dec. 11 in Radiology.

RAC audits often inaccurate, group claims

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A major hospital group has called for a federal investigation into mistakes made by recovery audit contractors.

AHCA sends strong message as fiscal cliff cuts get closer

AHCA sends strong message as fiscal cliff cuts get closer By

As lawmakers try to get "on message" about the looming fiscal cliff, the American Health Care Association sent a message of its own.

Study: Keep Risperdal use

Study: Keep Risperdal use By

Nursing home residents with dementia may benefit by staying on the antipsychotic drug Risperdal, a study finds.

Reform now likely here to stay

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With the November elections over, and with them the possibility of the Affordable Care Act's demise, providers likely are girding for more fights over reimbursement cuts, the debut of health insurance exchanges, and more health coverage for the uninsured.

MedPAC: Cut therapy caps 33%, hike audits

MedPAC: Cut therapy caps 33%, hike audits By

The Medicare Payment Advisory Commission has recommended that Congress drop the annual allowable limits for Medicare Outpatient Part B payments by one-third. It would mean caps at $1,270, down from $1,880.

Private rooms now top $90k

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The national average annual charge for a private nursing home room rose to $90,520 this year, while semi-private rooms climbed to $81,030 and assisted living residency jumped to $42,600, according to figures from the 10th annual MetLife survey of eldercare costs, which was released the first week of November.

SNF upcoding rampant: OIG

SNF upcoding rampant: OIG By

Nursing homes are overcharging Medicare around $1.5 billion annually, a federal report released in mid-November asserts.

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