Payment

McKnight's Online Expo, a valuable learning opportunity

Liza Berger March 11, 2010

Hungry for information? We thought so. That's why we're offering our fourth annual online expo later this month.
 

Court: Medicare hospice provider cap calculated improperly

March 04, 2010

The federal Medicare hospice provider cap is calculated in a way that is "arbitrary, capricious, an abuse of discretion, and unlawful," a federal court recently ruled.
 

McKnight's to hold fourth annual Online Expo next month

February 08, 2010

Healthcare reform has been a big topic this year. But not everything demands reform. That could certainly be said for the McKnight's Online Expo.
 

From MedPAC to IMAC: Obama would hand Medicare pay rate decisions to new independent council

July 17, 2009

The Obama administration has begun the process of shifting control over Medicare rate adjustments for nursing homes, hospice and other providers away from Congress and toward a new, five-member independent executive agency, according to recent reports.
 

CMS notifies providers of Medicare scam at doctors' offices

June 19, 2009

The Centers for Medicare & Medicaid Services alerted healthcare providers Thursday to a scam involving fake Medicare faxes to physician offices.
 

Obama opens the door for drastic new Medicare, Medicaid cuts for nursing homes

June 16, 2009

Frayed nerves were showing in the provider community Monday after President Obama announced his intentions Saturday to cut $313 billion more from Medicare and Medicaid over the next 10 years. The proposed new cuts are in addition to the $635 billion in Medicare and Medicaid spending reductions already included in the president's FY 2010 budget, and include billions in potential payment reductions.
 

Study suggests reducing number of Medicare Part D plans could save beneficiaries money

June 09, 2009

The Medicare Part D prescription drug benefit is too confusing for seniors, often leading beneficiaries to choose unnecessarily expensive plans, according to a new study. What's more, seniors may not even realize they're overpaying.
 

Obama endorses letting Medicare Payment Advisory Commission set payment rates

June 08, 2009

The move to empower the Medicare Payment Advisory Committee to enact its own policy proposals gained significant traction last week when President Obama said in a letter to lawmakers that he would be open to the idea as a way to reduce healthcare costs.
 

Potentially inappropriate nursing home payments spur increased Medicare Part A, Part D oversight

June 08, 2009

Tens of millions of dollars were likely inappropriately paid to skilled nursing facilities through the Medicare Part D prescription drug program in 2006, according to a recently released report from the Department of Health and Human Services Office of the Inspector General.
 

Nursing home lobbyists urge lawmakers for change but don't expect long-term care reform

June 05, 2009

Hundreds of nursing home owners and operators blitzed congressional buildings in Washington on Thursday, pressing lawmakers for better Medicare payments, a halt to post-acute payment bundling system talk and other improvements. But one thing they weren't expecting to make much progress on was long-term care reform.
 

Kohl introduces bill to increase long-term care insurance use but cautions about over-reliance

June 05, 2009

Sen. Herb Kohl (D-WI) has introduced legislation that would encourage the purchase of long-term care insurance. But he also emphasized during a Wednesday hearing of the Special Committee on Aging, which he chairs, that long-term care insurance still may not be for everyone and "should not be considered as a cure-all."
 

SEIU recommends changes to long-term care as way to reduce healthcare costs

June 03, 2009

When President Obama announced May 11 that six leading healthcare industry groups would band together to reduce healthcare costs by $2 trillion over the next decade, many were skeptical. On Monday, however, those groups submitted their proposals--and one has suggested changing care delivery in the long-term care field.
 

Nursing home advocates converging on U.S. lawmakers to demand better Medicare reimbursement

May 29, 2009

More than 300 nursing home owners and operators are expected to meet in Washington on Wednesday and Thursday to try to persuade lawmakers to be generous with Medicare funding. The Obama budget proposal for fiscal 2010, combined with a standard marketbasket update, would leave providers about $330 million, or about $17 per resident day, below this year's payment levels. Providers will be taking their cues from top lobbyists at the American Health Care Association's spring conference before storming Capitol Hill for visits with their Congressmen and Senators. "Top policy issues will be Medicare funding, the proposals for bundling of post-acute payments, and defeating arbitration legislation that would prohibit the use of pre-dispute arbitration agreements," an AHCA spokeswoman said.
 

Rockefeller introduces bill making MedPAC independent executive branch agency

May 27, 2009

The Medicare Payment Advisory Commission (MedPAC) is a legislative entity whose purpose is to advise Congress on matters of Medicare reimbursement rates and coverage policies. Now, one senator has introduced legislation that would transfer the agency to the executive branch and give it more political muscle.
 

Quality improvement program for Missouri nursing homes leads to cost savings, analysis finds

May 14, 2009

Nursing homes and long-term care facilities in Missouri showed significant care improvements and cost savings over the last three years as a result of the Quality Improvement Program of Missouri (QIPMO), according to an analysis of the program.
 

New injection of concern: Medicare Part A to become insolvent in 8 years, report says

May 13, 2009

If current trends continue, the Medicare Part A trust fund will become insolvent in 2017, according to the new annual report from the Social Security and Medicare Boards of Trustees issued Tuesday.
 

Nursing home groups suggest $1 billion Medicare cuts could cost even more

May 13, 2009

Nursing home representatives and healthcare groups continued their attacks against a proposed FY 2010 $1.05 billion Medicare reduction on Tuesday with the release of a report indicating the cuts could carry additional billions of dollars in unintended costs and consequences for both patients and providers.
 

CMS threatens withholding stimulus funding if home health pay isn't reinstated

May 13, 2009

When the California state legislature act to reduce the state's maximum contribution to home healthcare workers' pay from $12.10 per hour to $10.10 per hour, it violated the terms of the recently passed federal stimulus package and therefore invalidates the state from receiving $6.8 billion in stimulus money, according to a Centers for Medicare & Medicaid Services ruling.
 

Obama proposes $17 billion in budget cuts, programs for the elderly and poor threatened

May 08, 2009

President Obama on Thursday proposed cuts of $17 billion from his new budget for both discretionary spending and entitlement programs, including Medicare and Medicaid. Various interest groups are expected to spar over which of 121 federal programs being eliminated or significantly curtailed should be spared.
 

Senate Special Committee on Aging addresses Medicare, Medicaid fraud in special hearing

May 07, 2009

The U.S Senate Special Committee on Aging met Wednesday to discuss prevention of Medicare and Medicaid fraud, which costs taxpayers more than $60 billion a year, according to Sen. Mel Martinez (R-FL), ranking member of the committee.
 

Nursing home operators howl as government proposes slashing Medicare payments by $1 billion

May 04, 2009

The Centers for Medicare & Medicaid Services set off a backlash from nursing home operators late Friday afternoon when it proposed "adjustments" that would cut Medicare payments by $1.05 billion in fiscal 2010. The 3.3% reduction will "largely" be offset by a 2.1% market basket increase, officials said.
 

Baucus, Grassley propose 'bundling' of post-acute payments; nursing home groups object

April 30, 2009

Sens. Max Baucus (D-MT) and Charles Grassley (R-IA) this week released several policy ideas for revamping America's healthcare delivery system. Many of these would affect the long-term care and post-acute care fields.
 

Report: Nursing home stocks weathering economy OK, but reimbursement concerns loom

April 27, 2009

At least a handful of for-profit nursing home companies' stock values are holding strong, despite an overall shaky economy, a new Dow Jones report notes. The key has been relatively stable Medicare and Medicaid payments, though there is concern about payment levels for fiscal 2010 that are expected to be announced around the end of the month, report authors note.
 

Most nursing home residents soon to receive $250 as part of stimulus bill

April 24, 2009

This time next month, long-term care residents should pay particularly close attention to their mail. That is because most are set to receive a one-time payment of $250 as part of the American Recovery and Reinvestment Act, also known as the stimulus package.
 

Budget amendment would end bonuses for nursing homes with violations

April 07, 2009

In the wake of the American Insurance Group (AIG) bonus scandal, the Senate approved an amendment to the budget bill that would eliminate bonuses paid to nursing homes and other government contractors that "fail to meet basic performance requirements."
 

AHCA: Medicare payment 'bundling' could have 'unintended consequences' for long-term care

April 02, 2009

The "bundling" of Medicare payments after a hospital stay could have negative repercussions for long-term care and merits further investigation, the American Health Care Association said Wednesday.
 

CMS to test cash incentives for nursing home quality, efficiency efforts

March 30, 2009

The Centers for Medicare & Medicaid Services on Friday announced a new, four-state demonstration project to test whether cash incentives will help improve quality and efficiency in nursing homes.
 

DAY 2: Last day of McKnight's Online Expo to feature webcasts on marketplace, and Medicare and Medicaid

March 26, 2009

President Barack Obama in a press conference Tuesday night argued that the only way to balance the budget is to address the nation's rising healthcare costs. Medicare and Medicaid, the big government payers of long-term care, and the housing market will be the subjects of McKnight's Online Expo on its final day today.
 

Leaders applaud Finance Committee's hearing on long-term care reform

March 26, 2009

Providers heaped praise on the Senate Finance Committee for its hearing Wednesday addressing the role of long-term care reform in general healthcare reform.
 

DAY ONE: McKnight's third annual Online Expo to kick off with webcasts on technology, wound care and payment

March 25, 2009

The third annual online trade show for the long-term care field starts today with a whole range of educational webcasts and virtual vendor booths. It's not too late to register for the two-day event at www.mcknights.com/expo.