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

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