American Nurse

MARCH 13, 2024

A recent JAMA Network study found that sick people 85 and older were less likely than younger Medicare patients to get covid therapies like Paxlovid. In fact, the drug is still free for those who are uninsured or enrolled in Medicare, Medicaid, or other federal health programs, including those for veterans.

Medicare 111

Medicare Medicaid Senior Living Long Term Care 111

IntelyCare

MAY 1, 2024

Nearly eight months have passed since The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to set minimum staffing standards for nursing homes. Providing individual notice of its exemption status to all current and prospective residents and to the Office of the State Long-Term Care Ombudsman.

Long Term Care 101

Long Term Care Licensing Medicaid Medicare 101

Capitol Beat

JANUARY 4, 2024

Not surprisingly, the main focus of advocacy is the federal Department of Health and Human Services (HHS) and its subagency, the Centers for Medicare and Medicaid Services (CMS). CMS is strengthening the Medicare Diabetes Prevention Program (MDPP) , which ANA supports.

APRN 73

APRN Medicare Long Term Care Medicaid 73

American Nurse

SEPTEMBER 18, 2024

Supporting the CMS Long-term Care (LTC) Staffing Rule: The new regulations require LTC facilities have a RN on site 24/7 and establish minimum staffing levels. Improving Care and Access to Nurses (ICAN) (H.R. The issues prioritized for discussion with our legislators were: Restricting Mandatory Overtime for Nurses (H.R.

APRN 52

APRN Long Term Care Medicaid Medicare 52

CynaMed

DECEMBER 16, 2022

3 minute read Long-term care refers to a selection of services that help meet the medical and non-medical needs of people with chronic illnesses or disabilities. The services may provide physical and/or emotional support and are typically expected to be required for a long time. What is Custodial Care?

Long Term Care 52

Long Term Care Medicare Licensing LPN 52

Healthcare Law Insights blog

OCTOBER 17, 2023

Many long-term care residents live in Missouri nursing homes for years. But occasionally circumstances may change such that it is no longer appropriate for the resident to continue to reside at the facility. 19 CSR 30-82.050(2)(A)-(F). What documentation is required before sending the notice of discharge?

Long Term Care 59

Long Term Care Medicaid Medicare Communication 59

IntelyCare

SEPTEMBER 13, 2023

With the end of this fiscal year approaching, The Centers for Medicare and Medicaid Services (CMS) decided to set off its New Year’s fireworks a little early. Almost two weeks ago, it announced a proposed rule that would establish national minimum staffing standards for long-term care (LTC) facilities.

Long Term Care 52

Long Term Care Medicaid Medicare LPN 52

American Nurse

FEBRUARY 16, 2024

In 2012, the Centers for Medicare and Medicaid Services implemented the Hospital Readmissions Reduction Program (HRRP). PACE Your LIFE, a program of all-inclusive care for the elderly, provides comprehensive medical and social services to Kent and Sussex County community members aged 55 or older in their own homes. Karmarkar, A.,

Medicaid 52

Medicaid Medicare Long Term Care Self-Care 52

Daily Nurse

APRIL 24, 2023

Many older Americans receive care from aging services facilities across the United States. There are currently about 14 million people receiving some form of long-term care services. Centers for Medicare and Medicaid Services. That number is expected to double by 2050, according to the U.S.

Malpractice 145

Malpractice Nurse Practitioner Long Term Care Medicaid 145

Healthcare Law Insights blog

JULY 17, 2023

Last week, the Centers for Medicare & Medicaid Services issued a Proposed Rule that, if finalized, would extend the application of the “36-Month Rule” from home health agencies (“HHAs”) to also include hospice agencies as well. The 36-Month Rule, found at 42 C.F.R.

Medicare 52

Medicare Medicaid Business Licensing 52

Relias

APRIL 28, 2023

The Centers for Medicare and Medicaid Services (CMS) requires all health facilities in the Medicare program to track and report data reflecting pressure injury development on all clients. Caregivers can take action to prevent pressure sores in older clients and avoid negative outcomes that can follow.

Medicare 98

Medicare Long Term Care Medicaid Promotion 98

Minority Nurse

MARCH 29, 2023

Meet Esther Conteh, BSN, MSN, Associate Vice President, Care Management at VNS Health, overseeing clinical care of VNS Health CHOICE Medicaid Advantage Plus (MAP) , and Medicaid Managed Long-Term Care (MLTC) plans. What is your title, and where do you work? That’s one thing I love about this work.

Long Term Care 52

Long Term Care Medicaid Medicare APRN 52

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

Medicare 52

Medicare Medicaid Self-Care Education 52

Relias

MARCH 1, 2023

Reduce readmissions The CMS Hospital Readmissions Reduction Program reduces payments to acute care facilities with a high 30-day readmission rate. One approach that hospital officials are using to manage the readmission risk and avoid Medicare penalties is establishing a preferred SNF network.

Medicare 52

Medicare Medicaid Patient Satisfaction Long Term Care 52

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Related Wound Care Liability Concerns.

Education 98

Education Communication Long Term Care Medicaid 98

American Nurse

FEBRUARY 21, 2024

Introduction SOUTH CAROLINA is predominately a rural state that consistently demonstrates poor health rankings, due to the lack of Medicaid expansion, healthcare deserts, and a decreasing physician supply. Quality of primary care provided to Medicare beneficiaries by nurse practitioners and physicians. 13 Buerhaus, P.,

APRN 52

APRN Nurse Practitioner Clinical Nurse Specialist Medicare 52

Nurse.com

APRIL 22, 2023

Perhaps one of the most impacted was nursing homes and long-term care facilities. According to 2023 data from the Centers for Medicare & Medicaid Services website, more than 1.5 Post-COVID-19 focus No matter the setting, COVID-19 had an impact on hundreds of thousands of patients and healthcare professionals.

Long Term Care 59

Long Term Care Medicaid Medicare Communication 59

American Nurse

OCTOBER 2, 2023

1980s: Kennedy lesion Fast forward to the 1980s, when Karen Lou Kennedy, a nurse practitioner in a 500-bed mid-Western long-term care facility, observed that some residents rapidly developed skin breakdown, usually on their buttocks, and died within 6 weeks to months.

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. Building wound care expertise and maximizing your organization’s reimbursements through the Patient Driven Payment Model (PDPM) is now more essential than ever.

Education 10

Education Medicare Medicaid Business 10

Healthcare Law Insights blog

JULY 14, 2022

In direct response to the significant challenges experienced by long term care (LTC) facilities throughout the COVID-19 pandemic, the Biden-Harris Administration announced its commitment to improving safety and quality of care. Background .

Long Term Care 52

Long Term Care Medicare Medicaid Licensing 52

Amercan Journal of Nursing

OCTOBER 19, 2023

On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities. The realities of today’s long-term care environment.

Long Term Care 97

Long Term Care LPN Medicaid Licensing 97

American Nurse

JULY 2, 2024

In a significant move toward achieving safe nurse staffing levels, the Centers for Medicare & Medicaid Services (CMS) established minimum staffing standards for nurses in long-term care (LTC) facilities across the country. ANA’s efforts helped make this new rule a reality.

Long Term Care 52

Long Term Care Medicaid Medicare Promotion 52

Capitol Beat

DECEMBER 14, 2023

More recently, ANA submitted comments on CMS’ proposal to institute the first-ever ratios for staffing in long-term care (LTC) facilities.

Long Term Care 81

Long Term Care Medicaid Medicare 81

Relias

JANUARY 16, 2023

A McKinsey & Company survey shows that up to $265 billion worth of care services could shift from traditional healthcare facilities to the home by 2025. Department and Human Services found that Medicare visits conducted through telehealth in 2020 increased 63-fold, from about 840,000 in 2019 to 52.7 Penalties rise to $1M.

Medicare 52

Medicare Medicaid Telemedicine Nursing Burnout 52

Relias

APRIL 6, 2022

New requirements from the Centers for Medicare and Medicaid Services (CMS) announced in November 2021 and a new time-limited enforcement effort by the Occupational Safety and Health Administration (OSHA) announced in March call for focused inspections and put a higher level of scrutiny on nursing home compliance and the quality of care provided.

Medicare 52

Medicare Medicaid Business Education 52

American Nurse

MARCH 6, 2024

doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. Determine the impact of a structured pharmacist-led medication review—A controlled intervention study to optimise medication safety for residents in long-term care facilities. Silver Spring, MD: American Nurses Association ; 2021. 2020;368:m865.doi:10.1136/bmj.m865

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98

Capitol Beat

APRIL 30, 2024

Achieving safe staffing levels for nurses across care settings remains a top priority for ANA. That is why we are pleased about a recent regulatory win—the Centers for Medicare & Medicaid Services (CMS) issued a final rule aimed at bolstering nurse staffing at long-term care (LTC) facilities.

Long Term Care 92

Long Term Care Medicaid Medicare Licensing 92

Capitol Beat

APRIL 16, 2024

ANA Responds to Problematic Staffing Bill The House Ways and Means Committee recently approved the Protecting America’s Seniors’ Access to Care Act ( HR 7513 ), which would prohibit the U.S. Centers for Medicare and Medicaid Services (CMS) from finalizing its proposed long-term care safe staffing regulation.

Long Term Care 75

Long Term Care Medicaid Mental Health Medicare 75

American Nurse

DECEMBER 8, 2023

Expiration: 12/1/26 Sandra Long*, a 72-year-old woman, is admitted to the emergency department from a long-term care facility for fever, poor oral intake, new-onset confusion, foul-smelling urine, and incontinence. See the last page of the article to learn how to earn CNE credit.

Best Practices 82

Best Practices Self-Care Long Term Care Medicaid 82

Scrubs

JULY 16, 2024

Just setting a number doesn’t mean anything if you’re not going to enforce it,” said Mark Miller, former president of the national organization of long-term care ombudsmen, advocates in each state who help residents resolve problems in their nursing homes. What’s the point?” She left her job at a nursing home that paid $18.50

Medicaid 104

Medicaid Long Term Care Medicare Retirement 104

American Nurse

JULY 29, 2024

Just setting a number doesn’t mean anything if you’re not going to enforce it,” said Mark Miller, former president of the national organization of long-term care ombudsmen, advocates in each state who help residents resolve problems in their nursing homes. What’s the point?” She left her job at a nursing home that paid $18.50

Medicaid 59

Medicaid Long Term Care Medicare Retirement 59

American Nurse

JUNE 20, 2024

I applaud the Biden Administration for its new efforts to create minimal federal standards of care in these residences, most notably having one RN on staff 24 hours a day, 7 days a week with each resident getting 3.5 hours of nurse-provided care per week.

Long Term Care 105

Long Term Care Medicaid Medicare Licensing 105

American Nurse

FEBRUARY 29, 2024

This bipartisan bill would create a 5-year pilot project for schools of nursing to apply for grants from the Health Resources & Services Administration to supplement the difference between what faculty nurses are paid versus what equally trained critical care nurses earn. These issues have caused widespread and historic nurse strikes.

APRN 52

APRN Medicare Long Term Care Medicaid 52

Health Leaders | Nursing

DECEMBER 3, 2024

billion a year, a 2% increase in expenses, though the changes do not include increases in federal Medicare or Medicaid payments. Staffing is everything in terms of nursing-home quality," said R. The federal government estimates the average annual cost over a decade to meet the Biden mandate would be $4.3 based nonprofit.

Long Term Care 52

Long Term Care Medicare Medicaid 52