Operators treating Medicare Advantage enrollees for depression, dementia and frailty are unfairly penalized: viewpoint
Operators who serve a disproportionate share of beneficiaries with these conditions are penalized twice, argue researchers.
Reimbursements
Looking at short stay assessments
In reviewing the MDS, there are several areas to check related to short stay requirements. First, is the Start of Therapy assessment checked in A0310C? If there is not a 5-day scheduled assessment or readmission/return assessment checked in A0310B, has this already been done?
Report: Complex care management can succeed, reduced Medicare SNF expenditures 64% in one instance
Well-designed programs to coordinate care for patients with complex needs can reduce Medicare expenditures, including skilled nursing facility costs, according to an issue brief released Thursday by The Commonwealth Fund.
MedPAC recommends reimbursement freeze for hospice providers
Policymakers should freeze Medicare hospice reimbursements for 2015, according to recommendations supported by the Medicare Payment Advisory Commission.
Long-term care leaders criticize Washington Post article on reimbursements
A recent Washington Post analysis of the use of “ultra-high” reimbursement categories for nursing homes “paints a negative, incomplete picture of the growing role and tangible benefits associated with skilled nursing facility (SNF) patient care,” two leading long-term care advocates said.
