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...
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...
Understanding and addressing pain: Thoughts for therapists
By
Renee Kinder
Feb 01, 2024
In my continued endeavor to win Mother of the Year, I really racked up some points this week. Isaac, my youngest son, took a nice spill last Friday while skiing. He suffered what we thought...
Decrease costs and boost morale by fostering a culture that prioritizes infection prevention and control
By
Buffy Lloyd-Krejci, DrPH, CIC
Aug 07, 2023
Before the COVID-19 pandemic struck, infection prevention and control (IPC) in long-term care facilities was usually relegated to the sidelines. If it was focused on at all, IPC often fell squarely on...
Infection control without adding staff — it’s not just a fluke
By
Mary Cole
Jul 26, 2023
In a recent letter to leaders in Congress, the Association for Professionals in Infection Control and Epidemiology (APIC) highlighted the “astonishing lack of attention to infection prevention and control...
Insurgence of leveled contracts
By
Susie Mix
Jul 14, 2023
By now, we’re all pretty familiar with the fact that managed care is altering the post-acute care payor mix with Medicare Advantage plans. This is a byproduct of national policy, intended to offset our...
‘God chose me for a reason’ — an LTC leader’s courage in facing cancer, global pandemic
By
Jennifer Jasper
Jul 27, 2022
I have been a licensed nursing home administrator since 2004, now in two states. I moved to the great state of North Carolina in 2019 and began practicing at a Principle LTC facility, Piney Grove Nursing...
Finally, a pod-based staffing solution
By
Gary Tetz
Jan 26, 2023
Finding warm-ish, semi-qualified bodies is just part of the long-term care staffing challenge. Without being psychic or subjecting each applicant to a full, military-grade psychological evaluation, how...
The allure of the money: Is it really about that when employees leave?
By
Martie Moore
Feb 10, 2023
“This makes me feel so valued.” Scrolling through social media, my eyes were drawn into the post and the picture. What made the individual feel valued? Her employer sent pizza on her birthday while...