Top Tips for Securing PPE — and Avoiding Scams — as Nursing Homes Navigate COVID-19 Backlogs

As skilled nursing operators battle to elevate their place on the priority list for personal protective equipment (PPE) and other resources to battle the COVID-19 pandemic, they have to combat the forces of supply and demand that have ravaged health care facilities across the world. This includes problems with prices skyrocketing and supplies plummeting, as […]

CMS Releases Blueprint for Lifting COVID-19 Ban on Elective Surgeries

The federal government this week offered a glimpse into how non-emergency medical procedures, temporarily banned amid the COVID-19 pandemic, may resume in certain parts of the country. The Centers for Medicare & Medicaid Services (CMS) released guidance for how health care providers should prioritize non-coronavirus care once their specific region hits Phase I of the […]

Medicare Advantage Plans Provide Some COVID-19 Relief, But Big Questions Remain

The federal government has granted Medicare Advantage plans significant leeway when it comes to setting payment rates and other rules for skilled nursing facilities. In normal times, the crazy quilt of managed-care policies and exceptions creates headaches for operators and their billing teams. Amid the ongoing COVID-19 crisis, widespread variations in Medicare Advantage behavior add […]

SNFs Could Face Fines of $1K Per Week For COVID-19 Reporting Violations

Nursing homes will soon have to start reporting all positive COVID-19 cases to the Centers for Disease Control and Prevention (CDC) – and could face civil monetary penalties (CMPs) for not meeting the reporting requirements. Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma said on a Monday morning call with reporters that skilled […]

CMS Orders Nursing Homes to Report All COVID-19 Cases to CDC, Plans Public Data Release

Following weeks of pressure from industry leaders, resident advocates, and the media, the federal government on Sunday night ordered the nation’s nursing homes to begin reporting all positive COVID-19 cases directly to the Centers for Disease Control & Prevention (CDC). Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma described the move as a […]

Multiple States Take Steps to Shield Nursing Homes From Liability Amid COVID-19 — But Rules Vary

Health care providers across the continuum have grappled with major challenges in providing care for patients with COVID-19, and several states have taken steps to shield them from lawsuits related to care provided during the national emergency. Skilled nursing facilities are often included in those liability protections, but the extent to which the protections apply […]

White House: Senior Care Facility Visits to Remain Banned Until Final Phase of COVID-19 Reopen Plan

Blanket restrictions on non-essential visits to senior living and care properties should remain in effect until the very last phase of the federal government’s plan to gradually reopen public places and restart the economy, the White House announced this week. Designed to prevent the spread of COVID-19 to vulnerable populations, the visitation ban for nursing […]

How Allina Health, Presbyterian Homes Created a Skilled Nursing COVID-19 Cohort

Over the last few weeks, the concept of “cohorting” nursing home residents has emerged as a key, but potentially fraught, strategy for blunting the spread of COVID-19. In theory, the concept makes complete sense: If providers and health officials can separate residents who test positive from those without COVID-19, they can provide safe, uninterrupted care […]

COVID-19 Crisis Reveals Deep Cracks, Conflicting Priorities in Nation’s Nursing Home Infrastructure

Over the course of decades, lawmakers have built a jury-rigged structure to support the American post-acute and long-term care landscape. At the base, Medicaid supports long-term care residents who can no longer live on their own without around-the-clock care. Medicare dollars pay for higher-acuity care that seniors require after hospital stays — and prop up […]

Harvard Researchers: Officials Should Order Operators to Convert Certain SNFs for COVID-19 Care

In communities where the peak of the illness caused by the novel coronavirus hasn’t yet arrived, authorities should start designating specific skilled nursing facilities as specialized COVID-19 facilities to ease hospital capacity, according to a Wednesday essay in the journal Health Affairs. And as they look to make those designations, authorities should not wait on […]

CMS Doubles Payment Rate for COVID-19 Tests to Expand Nursing Home Access — as Verma Blames Labs for Shortfalls

The Centers for Medicare & Medicaid Services (CMS) will increase its reimbursements for high-volume lab tests used to rapidly diagnose COVID-19 cases as part of the federal government’s push to expand testing access — particularly among the vulnerable skilled nursing population, the agency announced Wednesday. The reimbursement for COVID-19 diagnostic lab tests that use certain […]

PPE Shortages to Play Central Role in Future Nursing Home Lawsuits

Problems with securing sufficient quantities of personal protective equipment (PPE) span the health care continuum, but in the skilled nursing setting, many providers are grappling with severe shortages — even as they try to contain a contagious disease that presents unique dangers to their patient population. Widespread shortages of masks and gowns, coupled with a […]

CMS: Licensed Nursing Homes Don’t Need Approval to Transfer Residents Amid COVID-19 Cohorting

The federal government on Monday released updated guidance indicating that nursing homes do not need any additional approval before transferring or discharging residents for the purposes of creating separate spaces for residents with COVID-19 and those without the infection. In a Monday memo to state survey agencies (SSAs), Centers for Medicare & Medicaid Services (CMS) […]

Officials Turn to Analytics to Predict COVID-19 Hotspots in Nursing Homes

An analytics company that provides data in real time about changes in patient conditions has launched an infectious disease surveillance program in the wake of the COVID-19 national emergency, with the goal of identifying hot spots for the disease before they gather steam. Real Time Medical Systems, a provider of interventional analytics software based in […]

As Death Toll Tops 3,000, CMS Could Release New COVID-19 Reporting Guidance for Nursing Homes This Week

The Centers for Medicare & Medicaid Services (CMS) could formally release new COVID-19 reporting guidelines for nursing homes as soon as this week, sources told the Wall Street Journal Sunday. The publication had few other details about the exact scope of a potential CMS order, with a spokesperson telling the Wall Street Journal that “the […]

AHCA Urges Nursing Homes to Report COVID-19 Cases to State Survey Agencies

As calls for the federal government to release lists of nursing homes with confirmed COVID-19 cases grow louder, the industry’s largest trade group on Saturday urged members to report cases to state survey agencies — as well as local health authorities and family members. American Health Care Association president and CEO Mark Parkinson framed the […]

CMS Clears Nurse Practitioners to Perform Some Medical Exams in SNFs in Response to COVID-19

The Centers for Medicare & Medicaid Services (CMS) on Thursday suspended several rules with the goal of maximizing the frontline healthcare workforce during the COVID-19 emergency, with the result that nurse practitioners can now perform some medical exams in the skilled nursing setting. “It’s all hands on deck during this crisis,” CMS Administrator Seema Verma […]