Payment

MedPAC suggests 2-year, incremental transition to new post-acute pay plan

MedPAC suggests 2-year, incremental transition to new post-acute pay plan

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Long-term care providers could see changes to their payment system as early as 2019 under an incremental transition period being considered by the Medicare Payment Advisory Commission.

CMS wants more comments on possible overhaul of therapy pay rules

CMS wants more comments on possible overhaul of therapy pay rules

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Despite the closing of the official comment period, the Centers for Medicare & Medicaid Services officials said Thursday they will still accept feedback from providers on a proposal to replace the current skilled nursing therapy reimbursement method.

Pay rates for lab tests threaten access for long-term care beneficiaries, group warns

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Long-term care beneficiaries may be at risk under proposed reimbursement rates for clinical laboratory tests, the ​National Association for the Support of Long Term Care said on Tuesday.

Hospital group: MedPAC's proposed post-acute payment system 'unworkable'

Hospital group: MedPAC's proposed post-acute payment system 'unworkable'

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A unified post-acute payment system proposed by the Medicare Payment Advisory Commission is "unworkable as a foundation" the American Hospital Association maintains.

The Hiker's Guide to the Long-term Care Galaxy

The Hiker's Guide to the Long-term Care Galaxy

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Much of what I know about success (or failure) in life, love and long-term care has been reinforced by lessons learned over years of hiking. As a result, I now take it as a point of professional pride that regardless of the challenge facing our profession, I can always find an analogy to the trail.

Surviving risks, mining opportunities in regulatory and payment reforms: May 23

Surviving risks, mining opportunities in regulatory and payment reforms: May 23

Attendees will learn to navigate today's dramatically shifting regulatory landscape, and reap maximum payments, at a special McKnight's webinar on May 23. "Regulatory and payment reforms: Surviving risks, mining opportunities" will start at 1 p.m. Eastern and offers 1 free continuing education credit.

Your money's no good here

Your money's no good here

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I'd say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.

Be careful about showing appreciation during unstable times

Be careful about showing appreciation during unstable times

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Sometimes well-meaning supervisors (and sometimes leaders who don't want to do the hard work of dealing with problems) try to use appreciation as a "quick fix" for deeper issues that need to be addressed.

Now that was one tough week

Now that was one tough week

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Most long-term care facilities would probably like to forget about last week. That's because two figurative bombshells exploded.

2016 ASCP Forum fast approaching

Final preparations are underway for the 2016 ASCP Forum, an annual meeting of long-term care stakeholders. The American Society of Consultant Pharmacies event takes place April 11 and 12 at the Hilton Baltimore.

Equal pay for equal work? Has MedPAC lost its mind?

Equal pay for equal work? Has MedPAC lost its mind?

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If you are a post-acute provider, the big health news last week was not Donald Trump unveiling his post-Obamacare blueprint. It was the fact that MedPAC is getting closer to a rather brazen new approach to post-acute payments: equal pay for equal work.

Study reminds providers about the tough prospect of putting up or stepping aside

Study reminds providers about the tough prospect of putting up or stepping aside

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My friend Rich admittedly didn't know much about the group of school kids he was about to oversee. But as a business manager, he told me he had his own favorite method of ironing out disagreements between two squabbling parties. Stop the emails, third-party negotiating and excuse-making. Just put them face-to-face in a room together.

Online Expo, free CE credits around the corner

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Providers have an outstanding chance to polish their knowledge and skills in three key areas of long-term care Wednesday. McKnight's 3rd Annual Fall Online Expo features nationally respected speakers addressing staffing, payment and quality delivery issues. All events, including up to three continuing education credits are free.

CMS lowers pay hike for skilled nursing facilities to 1.2%

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Medicare skilled nursing facilities would get a net 1.2% pay increase — totaling $430 million — in fiscal 2016 under a final rule issued by the Centers for Medicare & Medicaid Services late Thursday.

Providers challenge proposal that adjusts payments, care

Providers challenge proposal that adjusts payments, care

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Providers in the post-acute care sector seem to be united in wanting BACPAC to take a hike.

Patient CARE Act is probed

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Because it does not allow for states' consent, the proposed Medicaid Patient CARE Act block-grant program likely will be considered unconstitutional, say two public policy authorities.

Ask the payment expert ... about quality metrics

Ask the payment expert ... about quality metrics

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A metric is a measurement of some sort of factor. For a quality metric, we are measuring quality in your facility. Companies measure performance against quality standards to determine whether they're meeting expectations. This measurement may be compared to benchmarks by labor market, by state or by national prevalence.

Dates, accurate data remain problems, MDS expert warns

Dates, accurate data remain problems, MDS expert warns

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Accuracy mistakes in MDS 3.0 data may cause additional payment problems, a reimbursement expert warns.

Fee-for-service still consumes most Medicare outlays: Report

Fee-for-service still consumes most Medicare outlays: Report

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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.

CMS plan would hike hospice rates in 2016

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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.

What will it cost you to stay in the post-acute care game?

What will it cost you to stay in the post-acute care game?

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More than just collecting data, providers need to use standardized, nationally recognized measures. Especially in this era of ACOs and alternative payment models. In the past, many individual providers used their own methodology to create their own "data driven" story.

Nursing home operators hail 'historic' Senate passage of permanent 'doc fix' bill

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The Senate overwhelmingly voted to pass H.R. 2 Tuesday night, paving the way for repeal of the Medicare Sustainable Growth Rate and drawing the praise of the largest nursing home association in the country.

Online Expo begins Wednesday

It might still be snowing in some parts of the country, but there's no better sign of spring than the beginning of the McKnight's Online Expo.

ONE DAY TO GO: 9th Expo tackles rehospitalization rates, pay worries, pressure ulcers

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McKnight's 9th Annual Online Expo kicks off Wednesday, and organizers are bracing for record numbers of attendees.

Joint HHS, Justice efforts recoup $28 billion in Medicare payments

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The Justice Department announced on Thursday it had captured $3.3 billion from healthcare fraud prosecutions and other deals in 2014, bringing to nearly $28 billion the total amount it has recouped since the beginning of its 18-year-old Health Care Fraud and Abuse Control (HCFAC) Program.

Regaining an appreciation of prevention

Regaining an appreciation of prevention

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Healthcare is mandated to reduce spending. The problem is that the Centers for Medicare & Medicaid Services and others are so blinded by the "reduce spending" element that we have lost our ability to appreciate prevention.

Operators need to start asking a fundamental question: How they gonna pay?

Operators need to start asking a fundamental question: How they gonna pay?

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Conventional wisdom tells us that many existing options will not cut it as more discriminating customers arrive in long-term care. But maybe it's also time for operators to start giving more thought to a fundamental question: Will my future customers be able to pay?

Why providers aren't elated about new pay-for-quality goals

Why providers aren't elated about new pay-for-quality goals

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You can forgive long-term care providers if they weren't outwardly jumping for joy at Monday's announcement that Medicare is going to start paying for quality, and not quantity, of services.

Making the case: It's been a wild year

Making the case: It's been a wild year

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As the sands of the year race to their finish, there is one certainty about the long-term care news in 2014: It's been wild and trying.

New payment models clash with fraud laws; waivers might not be the answer, official says

New payment models clash with fraud laws; waivers might not be the answer, official says

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Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.