SNF

Harkin: Divert funds from SNF settings

Harkin: Divert funds from SNF settings

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Medicaid funds would more easily flow toward people wanting home- and community-based services — and away from nursing homes — under a new bill unveiled by Sen. Tom Harkin (D-IA).

Nursing home population tumbles 20%

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The number of Americans 65 or older residing in a nursing home fell from 1.6 million to 1.3 million during the decade ending in 2010, according to a new federal report.

Medicare SNF rate finalized, reimbursements to increase by $750 million next year

Medicare SNF rate finalized, reimbursements to increase by $750 million next year

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Medicare skilled nursing facility reimbursements will increase by $750 million next year under a final payment rule announced Thursday by the Centers for Medicare & Medicaid Services.

Hospitals in the Midwest refer patients to the broadest networks of skilled nursing facilities, study finds

Hospitals in the Midwest refer patients to the broadest networks of skilled nursing facilities, study finds

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Midwestern hospitals spread referrals to the greatest variety of skilled nursing facilities and tap their favorite SNFs least often, according to a recently published analysis of nationwide referral patterns.

'The Great Perhaps' in LTC

'The Great Perhaps' in LTC

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In post-acute care, particularly the SNF future, it can be "Great" but there are so many "Perhaps" that the definition of what "Great" is going to be is unclear.

Expanding horizons to include telemedicine in skilled nursing facilities

Expanding horizons to include telemedicine in skilled nursing facilities

In a recent Wall Street Journal article, the author described how hospitals are using interactive video to give patients more access to medical care. So why not nursing homes?

Also in the news for July 11, 2014 . . .

Genesis nursing home fired dietary worker due to her disability, government alleges ... Rehabilitation provider groups brief Senators, present findings that IRFs outperform SNFs ... Medicare accounted for the most improper payments the government made last year

Referrals funnel duals into lower quality nursing homes

Referrals funnel duals into lower quality nursing homes

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Government health programs could save money and health outcomes could improve if more dual-eligible beneficiaries were to go from hospitals to well-staffed long-term and post-acute facilities, according to research from Brown and Harvard universities.

Thorofare Capital arranges $9M loan for CA facilities

Thorofare Capital has arranged a $9 million short-term loan for a Los Angeles-based healthcare operator to refinance two of its LA-based skilled nursing facilities. The financing was used to fund nearly $300,000 in planned capital improvements for both properties and to retire existing senior secured term loans.

 New payment models present opportunities for SNFs

New payment models present opportunities for SNFs

For skilled nursing facilities, the Medicare SNF 3-day rule can make it difficult to place the right patients in the right setting at the right time. The 3-day rule requires that a Medicare beneficiary spend three nights in a hospital as an inpatient — observation stays do not count — before becoming eligible for Medicare-covered SNF care. This rule creates a challenge for SNFs as hospital lengths of stay decline for many of the conditions that SNFs treat.

Nursing home nurses most likely to want other work setting, survey finds

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Long-term care nurses are more likely than their colleagues in other settings to be looking to transfer into a different healthcare realm, a recent poll showed.

Managed care experts wanted

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Skilled nursing facilities could take major hits to their bottom lines unless a coordinator is on top of managed care contracts, a prominent healthcare consultant said last month at the American College of Health Care Administrators annual meeting in Las Vegas.

State News

State News

PENNSYLVANIA - The state's nursing home operators say they are approaching fiscal disaster as facilities look at razor-thin margins half the national average.

House to vote on skilled nursing facility readmissions penalties, ICD-10 extension

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Skilled nursing facilities could see reimbursements tied to their number of hospital readmissions starting in 2018, under Medicare legislation announced by House and Senate leaders Wednesday. The bill also would delay the transition to the ICD-10 coding system for a year and prevent scheduled payment cuts to physicians.

Part A claims under scrutiny

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Government investigators will issue a report on skilled nursing facilities' Medicare Part A billing practices later this year, according to the latest annual work plan from the Department of Health and Human Services Office of the Inspector General.

Ground-level falls lead to high rates of SNF admission, return trips to the hospital, study finds

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Even if they do not hit the ground from a great height, elderly people who seek hospital care for a fall commonly go on to a skilled nursing facility, according to a recently published study. These seniors also have a greater risk of returning to the hospital and have a significantly elevated risk of dying, the researchers found.

Borrowing to build

Borrowing to build

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New construction funding for skilled nursing facilities remains scarce, but lenders say they will listen if operators present a convincing case for building.

Doctor admits kickback role in sending homeless people to nursing homes, hospitals

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A California physician received kickbacks from skilled nursing facilities as part of a large-scale scheme to defraud government health programs, authorities announced Friday. Ovid Mercene, M.D., pleaded guilty to the fraud and related tax charges in U.S. District Court.

Ask the care expert ... about hospice rules

Ask the care expert ... about hospice rules

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I heard the rules recently changed related to hospice. Do you know what will be included?

Chair-lift death might hit SNF

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A Colorado facility might have to pay punitive damages because a supervisor put the wrong safety clip on a lift that malfunctioned and led to a resident's death, a federal court recently ruled.

CMS clarifies Medicare payment rules for SNF to SNF ambulance transportation

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A skilled nursing facility discharging a Medicare Part A resident to another SNF is responsible for ambulance transportation fees, and no separate Part B claim should be made for that service, the Centers for Medicare & Medicaid stated in a recent memorandum.

SNF discharges tied to income

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The rate at which nursing home residents are hospitalized is linked to how well a state provides healthcare for low-income people, according to a report from The Commonwealth Fund. Minnesota was the top performer for its low percent of hospitalizations within a 30-day period, at 7%.

Close, specific hospital-SNF partnerships drive down readmission rates, researchers find

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A strong relationship between a hospital and a skilled nursing facility reduces the readmission rate among patients discharged to that SNF, according to recently published research.

Omnicare reaches $120 million settlement in whistleblower suit over SNF drug prices

Omnicare reaches $120 million settlement in whistleblower suit over SNF drug prices

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Omnicare, the nation's largest provider of long-term care pharmacy services, has agreed to pay $120 million to settle a False Claims Act lawsuit over Medicare Part A drug pricing, the company announced Wednesday. The settlement likely is one of the largest in a whistleblower case in which the government did not intervene, according to Frederick Morgan, one of Gale's attorneys at the firm Morgan Verkamp LLC.

SNFs with satisfied workers report fewer deficiencies, earn better marks from customers: report

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Skilled nursing facilities with a high rate of employee satisfaction also have fewer survey deficiencies and a higher Five-Star quality rating, according to research announced yesterday at the American Health Care Association annual meeting in Phoenix.

People don't 'get' me: Tips for the misunderstood long-term care provider

People don't 'get' me: Tips for the misunderstood long-term care provider

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Do you ever feel that people don't really "get" what you do as a long-term care provider? You might take heart from the fact that professionals in other fields also feel this way, according to a recent study. And you might be disturbed at how this lack of understanding affects job performance.

CMS 'arbitrarily' approved SNF Medicaid cuts in Pennsylvania, appeals court rules

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A group of nursing home operators has won a moral victory over the Centers for Medicare & Medicaid Services, with a federal appeals court saying the agency made Medicaid reimbursement cuts without considering the consequences, but without the court ordering financial relief.

Readmission fines target skilled care

Readmission fines target skilled care

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Skilled nursing operators often want the same treatment as hospitals. They might get their wish soon, though not necessarily in the way they hoped.

Limits on telehealth will stay, CMS says

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Medicare will stick with reimbursing only one telehealth visit per month for skilled nursing facility residents, according to a proposed rule from the Centers for Medicare & Medicaid Services.

Kindred teams with Omnicare, splits with skilled nursing pharmacy PharMerica

Kindred teams with Omnicare, splits with skilled nursing pharmacy PharMerica

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Major long-term care provider Kindred Healthcare will split with its current pharmacy partner, PharMerica, and team with the sector's largest pharmacy, Omnicare, at the end of 2013, according to documents filed with the Securities and Exchange Commission.

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