October 2019 - McKnight's Long Term Care News

Print Issue: October 2019

Dave Sedgwick

Early PDPM numbers not the whole story, Parkinson notes

Capital providers were warned recently about investing or refinancing too quickly after the start of the Patient-Driven Payment Model on Oct. 1.  “I’m really urging the investment community that if we have an increase in the aggregate, do not refinance on that,” said Mark Parkinson, president and CEO of the American Health Care Association, in…

Medicare Advantage inflicting pain: CFOs

A majority of provider CFOs surveyed in August said their organizations are being hurt by Medicare Advantage plans. About 70% reported a moderate to significant negative impact, while just 6% reported a moderate to significant positive impact. About 24% said they felt little impact.  “Any Medicare Advantage billings that we have had have been terrible.…

Leah Klusch

60 seconds with … Leah Klusch

Leah Klusch, Executive Director for The Alliance Training Center Q: What’s vital for dealing with the Patient-Driven Payment Model? A:Are you on time with your assessment process? Being late in this process is going to be extremely costly and could be very caustic as far as the overall operation of your SNF is concerned. You…

LTC attacks overuse of observation stays

The American Health Care Association is again seeking change to a rule that requires an individual to spend three consecutive days as a hospital inpatient in order to receive Medicare skilled nursing coverage.  The provider campaign was revived after CMS Administrator Seema Verma tweeted on Aug. 4 that “Govt doesn’t always make sense. We’re listening…

Feds fix incorrect VBP reports

The Centers for Medicare & Medicaid Services have issued corrected value-based purchasing (VBP) reports for skilled nursing facilities following a calculation mistake.  The agency said the error was caused by a “small number of stays that were either erroneously included or excluded from the calculations,” said Nicole Fallon, LeadingAge’s lead on health policy and integrated…

Mammograms may be moot

Providers may want to consider stopping routine mammograms for women age 75 and older after a study found that they’re 123 times more likely to die from causes other than breast cancer.  Among 220,000 women who had one or more mammograms between 66 and 94 years of age over the span of a decade, researchers…

Brief bursts normalize BP

Brief bursts of high-intensity exercise on a stationary bike have been found to bring blood pressure back to normal in older adults in as few as 10 weeks. This happened without any change to medication or diet, said researchers from Abertay University in Scotland. Participants in their 60s with diagnosed hypertension underwent sprint interval training…

Job seekers often unfit

More than 25,000 job applicants were deemed ineligible to work in long-term care through the federal background check program over the last two years. The nationwide number is estimated to be much higher. A report by the Office of Inspector General assessed the participation of 11 states using the National Background Check Program for Long-Term…

PDPM effects will be known in six weeks

It should take only about 50 days to clearly understand the ramifications of nursing homes’ new Patient-Driven Payment Model, a top provider leader said. “We’re going to know five or six weeks into it how we’re doing,” Mark Parkinson told attendees at the fall meeting of the National Investment Center for Seniors Housing & Care…

Better Medicaid managed care oversight needed to protect providers serving high-risk populations: OI

CFOs: Feeling less viability

Fully 70% of skilled nursing chief financial officers said they were optimistic about their organizations’ ability to compete in their respective local markets — but that represents a slide from 78% the year before. More than a quarter (26%) said they were unsure about their facilities’ competitiveness, double the percentage of a year earlier, while…

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