Providers

MedPAC discusses limiting patients' post-acute options

MedPAC discusses limiting patients' post-acute options

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Medicare rules might have to be relaxed to give hospitals more say in where patients go for post-acute care, members of the Medicare Payment Advisory Commission proposed at a recent meeting in Washington, D.C. It's likely that many hospitals already are "soft steering," some commissioners said.

Men are moving into memory care units at a 14% faster pace than women, referral service finds

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Men have been moving into memory care units at a faster rate than women, and providers are adjusting their services to this demographic shift, according to findings released Wednesday by a large senior care referral service.

Supreme Court to rule on whether providers can sue states over inadequate Medicaid rates

Supreme Court to rule on whether providers can sue states over inadequate Medicaid rates

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The U.S. Supreme Court will hear a case on whether private sector healthcare providers can sue states to increase Medicaid reimbursements, the high court announced Thursday. Based on previous rulings, the court is not likely to rule in favor of the providers, experts say.

LINK conference celebrates 10th anniversary

The Lincoln Intelligence Group will holds its 10th annual LINK Conference from July 21 to July 23 at the Sheraton Chicago Hotel & Towers. Ninety provider companies have been invited to participate.

New tool may help improve ostomy care

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Providers caring for ostomy patients can soon use an algorithm that helps improve care management and patient safety, its proponents claim.

Aging experts in Dallas, Washington broadcast the same message: Chronic disease is not inevitable with age

Aging experts in Dallas, Washington broadcast the same message: Chronic disease is not inevitable with age

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There was synergy between Dallas and Washington, D.C., on Tuesday. Prominent speakers at the LeadingAge conference in Dallas addressed what it means to age well and how people's understanding of aging is evolving — and their message happened to coincide with what experts said the same day at a Senate roundtable.

Bill would limit Medicare claim reviews for trusted providers

Bill would limit Medicare claim reviews for trusted providers

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A bill in the House of Representatives aims to create a "trusted provider" status in the Medicare program, which would potentially streamline the reimbursement and claims review processes for some long-term care operators.

High points from HIT summit provide provider lessons

High points from HIT summit provide provider lessons

To participate in these new payment models, LTPAC providers will need to evaluate their health IT infrastructure and make successful deployment a priority.

States have 'wide discretion' to cut Medicaid payments to providers, White House says

States have 'wide discretion' to cut Medicaid payments to providers, White House says

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The White House said states can reduce Medicaid payments to long-term care operators and other healthcare providers in a court brief filed Monday.

Can household models pay off?

Can household models pay off?

An increasingly popular theme among providers who are struggling with occupancy and looking to replace their outdated facility is that the current market demands privacy and is willing to pay for it.

Senator calls for an end to misleading wheelchair and scooter advertisements

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The aggressive marketing of power wheelchairs and scooters to seniors drives up Medicare costs and puts providers in a tough spot, says Sen. Richard Blumenthal (D-CT).

Medicaid providers with unpaid taxes should be barred from federal reimbursement, lawmakers say

Medicaid providers with unpaid taxes should be barred from federal reimbursement, lawmakers say

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The federal government should bar healthcare providers with large amounts of unpaid taxes from receiving Medicaid funds, incensed lawmakers said Thursday following the release of a government report.

Medicare payment reforms need to be based on more than geography, IOM says

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States should allow a broader scope of practice among healthcare providers to improve access to care, rather than have the federal government base Medicare payment adjustments around geographic locations, an Institute of Medicine analysis says.

Liability costs rising 4% annually for long-term care

Liability costs rising 4% annually for long-term care

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A new study shows that long-term care claim severity and loss rates have grown 4% each year since 2009, and the liability costs per bed is expected to be $1,540 by next year.

CMS issues final rule on provider identification number

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Providers and suppliers who submit claims to Medicaid and Medicare must include an identification number on enrollment applications and payment claims, according to a final rule.

Analysts disagree whether death of healthcare reform could mean recoupment of provider funding

Analysts disagree whether death of healthcare reform could mean recoupment of provider funding

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Healthcare analysts are proposing that Medicare providers, including nursing homes, could recoup millions of dollars if the Supreme Court strikes down the Affordable Care Act.

Study: Growing population of cancer survivors means more preparation needed by providers

The number of cancer survivors over the age of 65 is expected to increase by about 42% over the next 10 years, which could present new challenges to the healthcare community, study results show.

Blockbuster provider call Tuesday on 11.1% Medicare payment cut, MDS 3.0 changes

The Centers for Medicare & Medicaid Services will host a national provider call Tuesday on skilled nursing facility payment changes for 2012 based on the new MDS 3.0 assessment system. Officials have called for an average 11.1% payment cut to providers, causing an uproar in the long-term care community. A huge audience at this government-sponsored call is all but ensured. Pre-registration is necessary by Monday. EDITOR'S NOTE: This session has been filled; federal officials will be coming out shortly with details about another opportunity the afternoon of Sept. 1.

Providers hail nursing home eligibility in ACOs

Provider groups are applauding the Centers for Medicare & Medicaid Services' proposed accountable care organization regulations, which would allow nursing homes to participate.

McKnight's Newsmaker Videos: Post-acute care to create new environment for providers, Yarwood says

McKnight's Newsmaker Videos: Post-acute care to create new environment for providers, Yarwood says

Bruce Yarwood, president and CEO of the American Health Care Association, predicts that new concepts such as payment bundling will change long-term care. Yarwood, who also expressed concern about the future of the Medicaid program for providers, finishes his tenure at AHCA in January.

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