Medicare Advantage: A not-so-advantageous deal for beneficiaries and providers
By
Brendan Williams
Nov 29, 2023
Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell. Those ads must work. For the first time 2024 will see most Medicare...
A Medicaid conundrum
By
Stuart H. Shapiro, M.D.
Oct 03, 2012
The U.S. Supreme Court’s recent ruling on health care reform brings to mind Apollo 13 astronaut John Swigert’s understated line: “Houston, we have a problem.”
An insider’s guide to managed care contract exclusions
By
Susie Mix
Dec 18, 2023
There’s a key question more providers need to know the answer to: What is a contract exclusion? A contract exclusion details the medications and treatments that are not included in the levels of a managed...
The punitive fist versus the hand of support
By
Buffy Lloyd-Krejci, DrPH, CIC
May 03, 2023
In the late 2010s, the long-term care industry began to take action that would reflect the growing importance of incorporating robust infection prevention practices. Facilities were required to develop...
PDPM: Where providers should be now, on Oct. 1, and at 6 and 12 months post implementation
By
Steven Littlehale
Jul 31, 2019
“Tick, Tick … Boom!,” a lesser known musical by composer Jonathan Larson, who won a Pulitzer and three Tony Awards for his musical “Rent,” opens with a ticking sound.
Does cognitive impairment contribute to SNF-to-hospital transition?
By
Steven Littlehale
Feb 28, 2018
Exceptional SNF utilized appropriate structure, process and outcome measures. Despite this, however, it might have better been called “Mediocre SNF.”
The extraordinary view
By
Martie Moore
Jan 15, 2016
As healthcare providers today, we must be ready to view the changes at both a macro and micro level, and move and respond accordingly to the moment. The current movement requires both the utilization of...
How one SNF landed AHCA’s top distinction
By
Tom Boyes
Oct 08, 2014
This year, our Altercare of Louisville Center for Rehabilitation and Nursing became the first center in Ohio to earn the American Healthcare Association and National Center for Assisted Living’s...
The gems before you
By
Martie Moore
Jun 25, 2014
When I was a student nurse, I had a professor who said, “You will never know what gem is before you, unless you are willing to open your eyes and your heart.” Being young and excited about...
Pain: An LTC rehab perspective
By
Tara Roberts
Apr 11, 2014
LTC therapists seem to be stuck between a rock and a hard place when it comes to patient pain. Pain management is at the forefront of surveyors and scrutinized as a CMS quality measure.