A unified post-acute payment system proposed by the Medicare Payment Advisory Commission is "unworkable as a foundation" the American Hospital Association maintains.
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.
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.
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.
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.
Most long-term care facilities would probably like to forget about last week. That's because two figurative bombshells exploded.
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.
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.
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.
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.
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 in the post-acute care sector seem to be united in wanting BACPAC to take a hike.
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.
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.
Accuracy mistakes in MDS 3.0 data may cause additional payment problems, a reimbursement expert warns.
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.
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.
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.
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.
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.
McKnight's 9th Annual Online Expo kicks off Wednesday, and organizers are bracing for record numbers of attendees.
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.
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.
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?
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.
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.
Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.
The SNF Open Door Forum to be hosted Thursday by the Centers for Medicare & Medicaid Services should get the phone lines burning. PPS Payment reform, 2015 payroll staffing data collection, quality measures and more will be discussed.
I have been blessed with an astute business mind, and am always on the lookout for new pricing models for long-term care. I know we're in this profession for love, not money. But no margin, no mission, as they say. Which is much better than what they used to say — no profit, no point.
As value-based payment and delivery models take hold in Medicare, providers must shift their focus from managing stays to managing episodes of care. Experts from Avalere Health leading a McKnight's Sept. 23 free webinar will delve into how key episode-level data can help long-term care managers form strategies for participating in new models and networks.