Health Care Reform Implications: SNFs

The following is a summary of the major provisions in the recently passed health care reform bill.  Please note: I have not attempted to cover every nuance in detail but to provide a highlight for a point of reference.  If any reader has additional questions or wants additional insight on any particular provision, please let … Read more

Health Care Reform Implications: Medical Device and DME

Over the next few days I’ll be pushing out a series of posts as my schedule permits, on the implications of health care reform for various industry segments.  These are not meant as in-depth analyses, more of a “summary” of the key points. Reconciliation Act: This Bill has yet to pass the Senate and as a … Read more

Health Care Reform Updates and Analysis

I am writing various updates and analysis on the health care reform legislation as it moves toward a potential weekend vote in Congress on the Apex Healthcare E-News site.  Readers can follow this link to read my analysis http://wp.me/PD9Ac-3A.   Check back often throughout the next few days as comments/updates will be added as important news … Read more

Medpac Report to Congress: 2011

Earlier this week, Medpac (Medicare Payment and Advisory Commission) released its report to Congress.  Primary among Medpac’s duties is its provision of recommendations regarding payment updates under Medicare.  Below, I have broken out and summarized the recommendations. Hospice (the points below the first bullet are continued recommendations from 2009) 2011 rate is the market-basket less a … Read more

Hospital Re-Admissions: Update to an Earlier Post

Last week I wrote about hospitals using “observation stays” as a means of dealing with the potential risk of reimbursement penalties imposed by CMS for certain re-admissions.  The focus of my post was on how the trend of hospitals using observation stays to avoid CMS scrutiny (and penalties) was impacting Medicare admissions at SNFs.  I … Read more

New HIPAA Provision Now in Effect

In August of 2009, the Department of Health and Human Services issued an interim final rule requiring that all HIPAA covered entities and their business associates develop notification requirements for a breach of unsecured protected health information (PHI).  These new requirements are part of the Health Information Technology for Economic and Clinical Health Act (HITECH).  In … Read more

Non-Profit Health Care Outlook for 2010

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

CMS Releases Annual Report on Health Spending

Earlier today, CMS released its annual report on national health spending for the year 2008.  In summary, health spending grew at a rate of 4.4% (over 2007), equating to a per capita cost of $7,681 and a total cost of $2.3 trillion.  This rate of growth, per CMS, is the slowest increase since 1960 although … Read more

Health Care Reform: The Senate, the President and the Truth

In an effort to salvage some hope for the flagging Senate health reform bill and to provide sustenance for the neutered Harry Reid, President Obama convened all Democratic senators at the White House earlier this week for a strategy session.  Per Mr. Obama, this activity was not a roll call to establish a majority but … Read more

Health Care Reform: Back to the Senate and All that Jazz

Watching this reform process, at least for me, is now like watching a Ping Pong match or a Nascar race (sorry Nascar fans); back and forth and round and round.  Even for someone who watches and interprets health policy for a living, this stuff is getting boring, monotonous and frankly, now somewhat nauseating, content wise.  Maybe the … Read more