Baseline proficiency for success with managed care payers
By
Susie Mix
Mar 11, 2024
Setting up a building with proficiencies in working with managed care payers is a key to success at this midpoint of the 2020s. Fifty-one percent of Medicare-eligible Americans are covered by Medicare...
Campaign 2012 boosted importance, value of nursing home care in public policy dialogue
By
Alan G. Rosenbloom
Nov 12, 2012
Despite the customary complaints about negativity and the avalanche of TV ads, the 2012 campaign was unusually substantive from the standpoint of the entitlement reform discussion because both sides were...
Are narrow networks going to yield the best result?
By
Steven Littlehale
Jun 11, 2015
In the future, the skilled nursing facility of choice (by other provider partners) won’t be defined by a single metric but rather by a multifaceted scale that considers resident needs, strengths...
Regaining an appreciation of prevention
By
Tara Roberts
Feb 05, 2015
Healthcare is mandated to reduce spending. The problem is that the Centers for Medicare & Medicaid Services and others are so blinded by the “reduce spending” element that we have lost our...
PEPPER Report: Target areas for rehab
By
Renee Kinder
May 26, 2022
It’s been a little over a month since the Q4FY21 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER). Have you downloaded your reports yet?...
How to survive the likely shift to bundled payments
By
Anthony Laflen
Dec 14, 2016
Shifting the focus from the volume of services provided to the patient outcomes achieved is remarkably beneficial to both parties.
Another way to capture ADLs
By
Stacy Darling
Nov 18, 2014
The conventional wisdom for improving Activities for Daily Living is to educate and re-educate and then educate again.
Caring for a senior after hip replacement surgery
By
Michelle Y. Llamas
Dec 07, 2012
In the United States, nearly half a million hip replacement surgeries are performed every year because of trauma and various forms of arthritis. These conditions tend to affect older adults, and as a long-term...
CMS should be careful in what it asks for
By
Brendan Williams
Dec 23, 2022
Those in the nursing home sector are worried a potential staffing mandate imposed by the Centers for Medicare & Medicaid Services could be the ruination of a reeling sector. However, there is an argument...
Conversations nursing home management should not have via emails
By
Howard Kurman
Jun 09, 2014
There have been countless nursing home managers, supervisors, and even HR executives, who have committed impolitic comments about employees in email messages. Those comments often become evidence in cases...