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Top 10 Hospices by Total Medicare Payments

October 24, 2017 BY Alanna Moriarty

Top 10 Hospices by Total Medicare Payments

Hospice care, unlike other varieties of long-term care, does not aim to cure a patient’s terminal illness. Caregivers instead focus on providing support for patients while treating their daily symptoms. Hospice services are primarily provided in a patient’s home, but can also be available in hospitals, nursing homes, and hospice centers. Most payors include hospice care in their insurance coverage, including Medicare, Medicaid, and health maintenance organizations (HMOs).

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Who Receives Care at Assisted Living Facilities?

October 19, 2017 BY Alanna Moriarty

Who Receives Care at Assisted Living Facilities?

As the population of Americans over 65 grows, the healthcare industry must respond to increased demands for affordable, comprehensive long-term care. Assisted Living Facilities (ALFs) are playing a specialized role in the long-term care industry for older Americans seeking to live independently while also having access to limited daily assistance and on-call medical care.

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Skilled Nursing Facility Reimbursement: Trouble Ahead?

September 21, 2017 BY Alanna Moriarty

Skilled Nursing Facility Reimbursement: Trouble Ahead?

The American Hospital Association (AHA) is urging CMS to implement an alternate Medicare reimbursement model for skilled nursing facilities (SNFs) before a new clinical groupings model is in place. The current model of Resource Utilization Groups (RUGS) has been criticized as incentivizing the overutilization of resources, as well as demanding reimbursements that exceed actual care costs.

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CMS Proposes Change in HHA Reimbursements

September 13, 2017 BY Alanna Moriarty

Earlier this summer, the Centers for Medicare and Medicaid Services ( CM)S proposed payment updates for various sites of care. One of the most dramatic proposals will affect the home health agency prospective payment system (HHA-PPS). One of the primary differences in the payment update emphasizes a shift away from using therapy services as a replacement for patient acuity. HHAs will now be receiving reimbursements based on patient information and clinical metrics.

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Making SNF Care More Cost-Effective with Better Outcomes

September 1, 2017 BY Alanna Moriarty

Making SNF Care More Cost-Effective with Better Outcomes

Skilled Nursing Facilities (SNFs) are an important long-term care option for the aging U.S. population. They are essential in delivering quality care that is cost-effective.

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