CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
By
Kimberly Marselas
May 05, 2021
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
Cutting with a plan — it applies to you too
By
Renee Kinder
Aug 16, 2018
With all the buzz, excitement, and, need I say, even moments of panic around the final rule and clarifications for the Patient Driven Payment Model (PDPM), we as an industry need to remain purposeful in...
LTC truths you just can’t ignore
By
James M. Berklan
Nov 07, 2018
I bring you some of the striking tidbits from frantically filed notes on the road that might or might not have already seen the light of day. Some of this is just too good not to share, or share again.
Research those CMS dinner invitations thoroughly
By
James M. Berklan
Aug 13, 2021
I don’t know what was more shocking this week: A warning that federal regulators might actually double the amount they could trim from nursing home reimbursement rates next year or the way some veteran...
The value of therapy in the New World Order of PDPM
By
Jean Wendland Porter
Apr 10, 2019
Rationing care may benefit the facility’s bottom line in the short term, but will not generate positive outcomes and good will in the community. As I advise and sometimes lecture, we need to do the right...
The top lessons learned from the AHCA’s 2021 Convention and Expo
By
Tamar Abell
Nov 05, 2021
Attending the American Health Care Association’s (AHCA) 2021 Convention and Expo this year felt like reuniting with friends after spending two years on the frontline of a battlefield. The...
Understanding PDPM in value-based purchasing
By
Joel VanEaton
Jul 15, 2019
CMS has been clear that a major aspect to the design of the PDPM is payment that is quality informed. That cannot be overstated.
Spring cleaning 2021: Will your rehab team pass the white-glove review?
By
Renee Kinder
Apr 22, 2021
Spring is in the air. Time to open the doors, let some fresh air in, and clean above, under and between every surface in our homes. Spring is a season that allows my obsessive cleaning habits to become...
A hopeful day at LeadingAge 2018
By
Eleanor Feldman Barbera, Ph.D.
Nov 07, 2018
I headed to the 2018 LeadingAge convention last week looking for a fix of long-term care enthusiasm and that’s exactly what I got.
The PDPM EDGE: New therapy model research study results