The federal budget deal struck last week will squeeze nursing homes tighter than ever, advocates said as they began strategizing about how to stem the damage.
Long-term care providers will be among the Americans especially interested Monday to learn what President Obama will include in his 2016 budget proposal.
The federal government is reactivating the special focus facility program for nursing homes with quality issues, the Centers for Medicare & Medicaid Services has announced. The program was minimized due to budget cuts last year.
The Senate has passed a bill to extend 2% cuts to Medicare reimbursements for an additional year, and the measure now is headed to the White House for President Obama's signature.
Providers are likely looking forward to a fiscal 2014 with generally stable funding sources and no repeat of a government shutdown. The Senate was expected to vote on and pass a massive $1.1 trillion government spending bill as early as late this week. The House overwhelming passed it on Wednesday. The bipartisan agreement would keep payment levels to providers stable with those from 2013, which included sequestration cuts across most sectors. At 1,583 pages, the omnibus bill is a compromise for both major political parties. It funds the government through September and also sets overall spending limits for the next two years.
A bipartisan budget deal is on the verge of becoming law, after being passed by the U.S. Senate in a 64-36 vote on Wednesday. Long-term care leaders called for passage of the two-year spending plan after it was released last week, saying it will provide needed stability and end the type of political brinkmanship that closed the government in October.
Prominent long-term care provider associations registered support for a bipartisan budget deal being considered by Congress this week, despite the fact that it would extend a period of reduced Medicare reimbursements.
Top House and Senate budget negotiators have carved out a deal that would end many parts of the across-the-board spending cuts known as sequestration, but long-term care providers would face an additional two years of reduced Medicare reimbursements.
Skilled nursing facilities will see $470 million in aggregate 2014 Medicare reimbursements, which is $30 million less than projected in a proposed rule, according to the Centers for Medicare & Medicaid Services.
A Medicare payment rate update will increase aggregate skilled nursing facility reimbursements by $470 million during fiscal year 2014, according to a final rule issued by the Centers for Medicare & Medicaid Services.
Government officials released good news about the long-term solvency of the Medicare program Friday. The projections were based in large measure on lower projected reimbursements for skilled nursing facilities.
For many long-term care providers, dealing with funding cuts that began in March has amounted to making the best of a bad situation. Automatic sequestration cuts are trimming Medicare payments by 2%, while many complementary programs are being held back or halted. That's the bad news. The really bad news is that things are likely to get worse.
The Centers for Medicare & Medicaid Services has updated the online Medicare Provider Reimbursement Manual, modifying instructions related to the 2% reimbursement reductions resulting from sequestration.
The years of cuts to federal scientific grants has been a travesty, and I don't use that word lightly. The often-mocked duck reproduction project is an example of putting a small amount of money to fund basic scientific knowledge.
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.
By now you've heard plenty about Medicare sequestration cuts. But you might not realize that some projects not only survived cuts, but they are getting money for projects while more important ones are slashed.
The Centers for Medicare & Medicaid Services will change some nursing home survey procedures in response to budget cuts from sequestration, according to memos released Tuesday. The CMS Survey & Certification budget has been reduced 5% from 2012, the agency announced.
The 2% reduction in Medicare payments known as sequestration began Monday. Providers should begin to see the impact by mid-April. The reductions will affect claims with dates of service or discharge on or after April 1, 2013.
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.
House Budget Committee Chairman Paul Ryan (R-WI) is working on a proposed budget that would revamp the Medicare program. Republicans believe the option of turning Medicare into a voucher program may win support despite uncertainty over the effects of $85 billion in automatic spending cuts that began last Friday, the Los Angeles Times reports.
Well, here we go again. Less than three months after President Obama and Congress narrowly avoided walking off a fiscal cliff, we're bracing for Round 2. Only this time, we're all a bit worse for wear.
All eyes will be on Congress when it reconvenes Monday. Lawmakers will have just four days to act if they are to derail automatic spending cuts that would take 2% off the top of Medicare reimbursements. Senior housing and home- and community-based care funding would have it worse, both facing funding cuts of 5.1%. Many are resigned to the idea that the highly partisan Congress will not stop the "sequestration" from hitting, unlike late last year. But how badly it will ultimately affect long-term care and other services, no one really knows. There also has been speculation that lawmakers will let the sequestration cuts hit but then act to soften their blow in the near future. One silver lining for providers: Medicaid funding would not be affected by sequestration.
Deficit-reduction plan to gain $600 billion from lower provider payments and higher beneficiary premiumsFebruary 21, 2013
The co-chairs of President Barack Obama's deficit reduction commission are promoting a way to achieve $600 billion in healthcare "savings" in a new version of their deficit reduction plan. Medicare and Medicaid cuts would be targeted over the next 10 years.
Should a person be congratulated and backslapped for simply doing his or her job? That's the question that should be on people's minds today as they ponder what has happened with fiscal cliff negotiations.
As fiscal cliff negotiations continue, nine state chapters of the American Health Care Association/National Center for Assisted Living have sent representatives to meet with lawmakers in the nation's capital.
We're hearing much out of Washington these days about the looming fiscal cliff. Assessments about its impact run the gamut from no big deal to very big deal. As is usually the case, the truth is probably somewhere in between
LTC, other healthcare sectors to blitz administration about sequestration cuts, possible alternativesNovember 09, 2012
When President Obama speaks today about mandated sequestration cuts to Medicare funding, he is expected to set off the most intense period of lobbying yet among healthcare providers. Long-term care stakeholders are especially fearful of the potential compounding effect the 2% across-the-board reductions could have, given other restrictions already in play. One solution LTC lobbyists are recommending: A massive exception them from the mandate, much as the defense sector enjoys. Congress put off taking action earlier on the funding cuts but now the piper must be paid — unless lawmakers somehow act to mitigate or otherwise postpone the cuts again.
Like a pedestrian at a dangerous intersection, long-term care providers find themselves waiting for the stoplight to change when it comes to reimbursement policy.
Skilled nursing facilities in the most populous states will be the hardest hit if Congress enacts the 2% across-the-board cut in Medicare payments to providers, two new analyses predict.
Failed budget deficit negotiations in Congress could result in an $11- billion reduction in payments to Medicare providers, a government analysis released Friday predicts.