Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
Fasten your seatbelts: It MIGHT be a bumpy ride
By
Steven Littlehale
Oct 13, 2023
It’s been a flurry of activity leading up to the implementation of the “new MDS.” For months our industry has been doing what we do best — rising to the occasion. Countless MDS training sessions,...
Facts don’t support attacking nursing home care
By
Brendan Williams
Jul 26, 2023
We can probably assume no House Select Subcommittee will stage a showy hearing to examine the recent finding that the excess mortality rate was better during the COVID-19 pandemic for those with dementia...
If only nursing homes were banks
By
Brendan Williams
Mar 17, 2023
I went to high school in Iowa, where 19 nursing homes closed in 2022 alone. Surely, you might think, this has prompted a federal response.It isn’t. Instead, the federal government has chosen to bail...
Private equity in the crosshairs: Administration continues to question role of private equity in LTC
By
Tom Barnard
Alison Schurick
Kathleen R. Salsbury
Sabrina Marquez
Mar 13, 2023
Over the past year, the Biden administration has expressed serious doubts about the developing role of private equity investment in the long-term care industry. In a Fact Sheet released in late February...
Amendments to the public charge rule did not go far enough when it comes to LTC
By
Moroni Fernandez Cajavilca
Jan 27, 2023
Despite the Biden administration’s recent amendments to the criteria of what constitutes a “public charge,” non-citizens of the United States still cannot receive Medicaid-funded long-term care without...
Are you nostalgic at Christmas? Section G elimination may be the right gift for you
By
Joel VanEaton
Dec 21, 2022
I love Christmas! Ever since I was a child, I have resonated with the sentiment in the movie, “A Christmas Story,” where the narrator, articulating Ralphie’s thoughts states, “Oh, but no matter....
High-quality care for residents will NEVER exist unless we care for staff
By
Buffy Lloyd-Krejci, DrPH, CIC
Nov 30, 2022
Any employee who is satisfied in their position is more engaged and productive. The healthcare industry is no different. This is not controversial or shocking. I am not going out on a limb when I talk...
It’s back to school with final rules
By
Renee Kinder
Aug 04, 2022
Time to fire up the printer, break out the highlighters and get back in the groove of learning. Within a week’s time the Centers for Medicare & Medicaid Services issued final rules for: Fiscal Year (FY)...
Help for nursing homes? All we hear are crickets
By
Brendan Williams
Jul 11, 2022
Nursing homes were an early epicenter of the pandemic, as they were especially vulnerable to viral respiratory transmission due to chronic state Medicaid underfunding that kept infrastructure aged and...