Understand what the changes to the Five-Star Rating System mean to your organization.
Centers for Medicare and Medicaid has changed the way it calculates the Five-Star Rating System for all facilities serving Medicare and Medicaid residents across the US. Two new Quality Measures were added for psychotropic treatment, the thresholds for Quality Measure scoring were changed to raise performance expectations, and the staffing algorithm was adjusted to award four stars only to those who achieved a score of four in either or both of the RN and Overall Staffing measures.
Read this article to gain perspective on the specific changes that have been made to the rating scale, the effect it is having on the long-term care industry, how it is impacting payment models, and how to address referral partners about the change.
The U.S. House of Representatives Committee on Veterans’ Affairs Subcommittee on Health deliberated today about a bipartisan bill that would expand veterans’ access to skilled nursing and other healthcare options.
Four large healthcare trade organizations have sent letters to the Senate and House expressing concerns over a plan to use healthcare dollars to fund provisions in trade bills, resulting in cuts to Medicare.
The federal government says that HCR ManorCare routinely submitted false claims for rehabilitation therapy services that were not medically reasonable and necessary, but ManorCare asserts that the lawsuit boils down to a “billing dispute.”
Do the actions of a state governor foreshadow the approach he would take and the policies he would advocate if elected to this country’s highest office? If so, then those in long-term care may want to pay attention to what’s going on in the Badger State.
Negligence has specific legal definitions—and personal injury lawyers love to muddy them. Long-Term Living legal blogger Alan C. Horowitz, RN, JD, explains what nursing homes can do to protect themselves.