Home Health Update

As is/was the case with SNFs and Hospices, CMS and Congress have formulated a series of proposed rules and legislation that reflects the ongoing trend under Medicare of reimbursement reductions.  On July 30 (followed by the August 6th Federal Register publication), CMS announced its proposed rule for FY 2010 for Home Health PPS reimbursement and … Read more

SNF Update

What looks like the beginning to a rough late-summer/early-fall period, there are now numerous pending and current policy and reimbursement events that are breaking in the SNF industry.  From the July 31 CMS announcement regarding Medicare payment reductions to the release of the marked-up House Tri-Committee bill on Health Care Reform (HR 3200) on the … Read more

Hospice Update

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

Duties of Boards: An OIG Perspective

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

The Federal Healthcare Abyss

Fresh off an oversea tour and a visit to France no less, the President returns promising to become more engaged and agressive in getting his healthcare plan passed; ideally says he, by this summer.  The reasons Mr. Obama proffers are many and urgent.  Chief among the reasons is that the system (healthcare) is broke (and … Read more