Close relationships with local educational institutions – colleges and high schools included – and a reinvented company culture five years in the making have helped Indiana operator Providence Health Care at the Woods recruit and retain staff. Providence president and CEO Mandy Lynch and Jessica Zook, director of health information, shared details on these initiatives […]
HealthAffairs
Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure noted higher participation in value-based payment models like Institutional Special Needs Plans (I-SNPs) during a recent discussion with HealthAffairs, but also hinted that consolidation of such programs may be needed. “Too many models in too many places that aren’t coordinated with each other,” is how […]
A federal judge this week ordered that a long-running lawsuit against the government over Medicare skilled nursing benefits must go to trial, citing the very real risk that residents have been wrongly denied coverage. U.S. District Judge Michael Shea rejected the Department of Health and Human Services’ (HHS) request to dismiss the class action suit, […]
The Department of Health and Human Services (HHS) made a splash last month when it claimed that skilled nursing facilities received $84 million in Medicare payments for treatments that didn’t qualify — but now a group of doctors claims that the proposed cures might be worse than the disease. Writing in a blog post for […]
Overall spending on skilled nursing care slowed in 2016, according to the most recent report from the Centers for Medicare & Medicaid Services (CMS). In all, payers spent $162.7 billion on care at nursing homes and continuing care retirement communities (CCRCs), an increase of 2.9% from 2015. That’s slower than the 3.7% growth between 2014 […]
Over the past decade, the behind-the-scenes relationship between hospitals and skilled nursing facilities has warmed through more common investors, and researchers from Harvard University are raising questions about competition and antitrust regulations. The percentage of acute care hospitals having common investor ties to the post-acute or hospice sectors increased from 24.6% in 2005 to 48.9% in […]
Getting on a preferred provider list with a hospital as a skilled nursing partner is no easy feat, as it can require proving high-quality clinical outcomes. However, information about provider quality often never makes it to a patient who is discharged from a hospital, according to a recent study. This leaves the patient with a list […]