Healthcare Reform Update: Inside Baseball Time

If you are a baseball fan, you’ll appreciate the correlation between a baseball game and the present course of healthcare reform.  A baseball game starts with anticipation and fanfare; speeches, the throwing out of the first pitch, the national anthem and the players taking the field.  The fans settle in and the game begins with cheers … Read more

OIG Reports Published on Hospice

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

Skilled Nursing Facilities, Healthcare Reform and Gloomy Propsects

On October 1, the SNF industry received a 1.1% reduction in Medicare payments.  On October 13th, the Senate Finance Committee passed its version of Healthcare Reform, commonly known as the Baucus Bill.  While the Baucus Bill is the least penalizing to the industry, of the major health reform bills waiting in Congress, it is destined for the Senate shredder … Read more

Baucus Bill Survives Committee: What Next

The Senate Finance Committee this afternoon, on a vote of 14-9, approved the Baucus Bill out of committee, sending it theoretically to a floor vote. Sen. Olympia Snowe, a Republican from Maine, was the lone Republican vote in support.  The Bill, a center of recent controversy in terms of its lack of reported details, incomplete … Read more

Senate Reform Bill Budget Neutral?

This afternoon, the Congressional Budget Office released a statement saying that the Senate Finance Committee Reform Bill (the Baucus Bill) prices out at $829 billion over ten years.  At this price-tag, given the revenue assumptions (fees, cuts, taxes, etc.) contained in the Bill, the CBO estimates that the Bill actually produces a modest deficit reduction … Read more

Senate Health Reform Bill Loses Public Option

The Senate Finance Committee voted yesterday to eliminate the public option from its reform bill (aka the Baucus Bill) by a margin of 15 to 8. All Republicans and a hand-full of Democrats voted against inclusion. Of note, the Bill’s author, Senator Baucus voted for the removal of the public option stating that in his … Read more

Reform: The Senate Version

After weeks/months of meetings, Senator Baucus of Montana representing the “gang of six” (three Democrats and three Republicans) released the Senate Finance Committee version of “healthcare reform”.  What started as a bi-partisan sub-committee alternative to the House version (HR 3200) ended as essentially, a Baucus bill; legislation lacking any real support from Senate Democrats and … Read more

Deficits and Health Care: Economics Redux

I know this is supposed to be a blog about healthcare issues, primarily that which falls in the post-acute, long-term care and senior housing world but some stuff in the news right now is just too hard to ignore.  After all, healthcare reform does affect long-term care and post-acute care directly and economics, especially the … Read more

Translating “Washington” Speak

Not unexpectedly, the politicians are all a “buzz” about healthcare reform right now.  The President even did a live radio/television talk-show to “clarify” what healthcare reform is really about; to translate as it were.  From CNN to Fox to certainly every Sunday talk show, politicians or members of the President’s cabinet are trying desperately to … Read more