James Lomastro

Over the last 20 years, there is a movement to assign elders to units that specifically address their need.

We can learn a lot by examining Massachusetts, a state that has embraced healthcare reform and currently working to transform its Medicaid program.

As with other social movements – think about civil rights related to disability or race – change requires the engagement of those involved in it

Healthcare reform, especially the expansion of Medicaid, will bring into focus the fragility of the safety net. This is a system that is for vulnerable seniors, but which has not been adequately financed.

Home- and community-based care advocates seek a total rebalance of care. They want the care dollars to be shifted to home- and community-based care, which has been historically short-shifted. However,...

Initially many thought that the Medicare Catastrophic Coverage Act will be a popular piece of legislation. However, while provisions were popular with providers and some seniors, many were not especially...

Recently, the former head of the Centers for Medicare & Medicaid Services indicated that the agency should scrap a rule requiring three days as a hospital inpatient to qualify for Medicare coverage of...

Leadership, governance, talent (people) services and safety programs supports efforts in performance improvement and outcome assessment. The purpose of the outcome assessment system is to increase value...

Outcome assessment should be seen as a tool for change management and will likely become the new standard for assessing resident care under the Affordable Care Act.