I hold in high esteem many of the long-term care leaders I’ve come across during more than 22 years covering the sector. But they’ve all got it wrong.
The threat hiding in plain sight
By
Brendan Williams
Jun 05, 2023
Through overpayments, the federal government has effectively created unbeatable competition to the Medicare Fee For Service model, but at what cost to consumers and providers?
Unlocking the value of ISNPs: Elevating resident care and financial results in a post-PHE era
By
Michael Bailey
May 19, 2023
The expiration of COVID-related waivers and the challenges that lie ahead necessitate a re-evaluation of strategies to embrace value-based care and secure partnerships that can help navigate these uncertain...
More nursing homes should provide residents with I-SNP option
By
John Capasso
Apr 17, 2023
The Medicare Modernization Act of 2003 established a Medicare Advantage Coordinated Care Plan intended for individuals with special care needs, including nursing home residents with lengths of stay over...
When one dangerous compromise leads to another
By
James M. Berklan
Jun 28, 2021
Sometimes providers are backed into a corner and must do non-preferred things. But the big question becomes what’s the next step after the first concession?
Understanding consumer choice
By
Betsy Rust
Betsy Rust
Feb 13, 2015
If you operate a senior living facility, here is something to put at the very top of your to-do list: Survey your residents to understand the choices they have made in the Medicare open enrollment period,...
Coordinated care programs: A lifeline for patients and your facility
By
Ronald Shumacher, M.D.
May 08, 2014
If you serve elderly populations in a long-term care or nursing facility, you have my respect — for the compassion you bring to work each day and the challenges you must face.
Final rate notice signals continued pressure on Medicare Advantage payments
By
Jennifer Rak
Apr 21, 2014
CMS recently finalized Medicare Advantage plan payment rates for Calendar Year 2015 and announced other changes to payment and program policies for MA and Part D plans. Although the announcement included...
The ACA’s ‘comprehensive’ long-term care failure
By
Tim Mullaney
Nov 19, 2013
There’s been a lot of talk lately about what constitutes “comprehensive” health insurance coverage — and long-term care notably has not been part of this national conversation.
I pay dead people
By
Jacqueline Vance, RNC, CDONA/LTC
Nov 12, 2013
On Oct. 31 (an ironic coincidence?) a report from the Office of inspector General frighteningly said Medicare paid some $23 million in benefits for more than 17,000 dead people in 2011. And my husband...