Healthcare, Senior Living, Economics
Updates, policy and news in the Hospice industry.
Moody’s Investor Service released their annual sector outlook today for not-for-profit health care organizations, stating that they (Moody’s) continue to maintain a “negative” outlook on the industry. Important to note in this report is that the focus is principally on hospitals and since the report is produced by Moody’s, its primary perspective is on credit … Read more
I lost track this past year of how many people I talked to that told me that, “organizationally, we are kind of stalled in developing new business because of the economy and health care reform”. I know that in down economic periods, promotion budgets (advertising, sponsorships,etc.) are some of the first line items trimmed but … Read more
For the vast majority of providers, productivity and retention are ongoing labor hassles. Salaries and benefits are typically, the single largest expense item for health care providers and when analyzed by all of the components, a surprising percentage is allocated for labor related expenses that can and should be, reduced. Expenses such as Worker’s Compensation, recruitment, turnover, … Read more
Within the past two weeks, CMS released data from 1998 to 2008 for length of stay and diagnosis trends. What is interesting to note is the utilization trends (length of stay and numbers) over the period as well as the diagnosis correlated to utilization. For CMS and in particular MedPAC, the prevailing concern has been … Read more
Healthcare is a risky business; particularly in heavily regulated environments such as nursing homes and home health and hospice. The fact that a certain level of risk is omnipresent means that the opportunity constantly exists for an organization that improperly identifies and manages its risks, to suffer expensive damages ranging from financial loss to loss … Read more
In a post I wrote at the end of July concerning CMS’ 2010 rate announcement and compliance and regulatory trends, I indicated how the OIG was becoming more vigilant in reviewing hospice utilization, lengths of stay and in particular, the correlation between lengths of stay and hospice patients in an SNF. This past month, in mid-September, the … Read more
In March, I wrote about the MedPAC recommendations to change the Medicare Hospice program and payment system. Yesterday, CMS announced the final (2010) payment for Hospice as well as the implementation structure of some key MedPAC recommendations. The final rule will be published August 6th in the Federal Register. For FY 2010 (commencing October 1), … Read more
This seemed to be a natural successor topic to my last post, “Why Quality Matters”; principally arising out of recent press releases from the OIG. For example, in June the OIG reported that it had recovered $2.4 Billion in fraud, waste and abuse. In July, an OIG release reported that a Nursing Home Executive was banned … Read more