The Centers for Medicare and Medicaid Services (CMS) has announced that Medicare payments to home health agencies will increase by 2.8 percent next year. Home health care providers, paid through a prospective payment system, can expect $370 million in payments in 2006. How are payment rates calculated? From the CMS web site: Home health payment rates are updated annually by either the full home health market basket percentage, or by the home health market basket percentage as adjusted … [Read more...] about Home Health Care Providers Can Expect $370 million in 2006
Capped Rental Option For Medical Equipment Eliminated
A few days ago I wrote about the Senate's budget bill, which will reduce Medicare and Medicaid spending by $10 billion over five years. According to Medical News Today, the bill will also eliminate Medicare beneficiaries' choice of continuing to rent medical equipment in the capped rental category because a section of the legislation would discontinue that option. How does this effect providers? If Medicare beneficiaries have to pay to maintain the equipment, providers can no longer offer … [Read more...] about Capped Rental Option For Medical Equipment Eliminated
Drunken Moose Invades Nursing Home
If you have fruit trees on your premises, don't let the fruit fall to the ground and ferment lest this happen: They rarely have problems with drunks or rowdy animals, but residents of an elderly home in southern Sweden had to deal with both when a pair of intoxicated moose invaded the premises. The moose _ a cow and her calf _ had become drunk over the weekend by eating fermented apples they found outside the home in Sibbhult, southern Sweden, said Anna Karlsson, who works there. … [Read more...] about Drunken Moose Invades Nursing Home
New Medicare Drug Program vs. Free Meds
Medicare beneficiaries may have to choose between the new prescription drug program or free medication from drug companies. I recently wrote about Medicare's new prescription drug program, which goes into effect in January 2006. From the New York Times (registration required): Mr. Bach, 65, who is blind, received worrisome news last month from Bristol-Myers Squibb. The free Plavix he gets from the company's charitable foundation will stop if he enrolls in the new Medicare prescription … [Read more...] about New Medicare Drug Program vs. Free Meds
It’s National Hospice Month
November has been designated National Hospice Month. As more families continue to face difficult decisions about hospice care, providers have an opportunity to raise awareness about end-of-life issues for the terminally ill and their care-givers. The National Association for Homecare and Hospice has written an informative fact sheet called Hospice Facts & Statistics (PDF). I'm also linking to a letter to the editor at the Journal Standard written by a woman who works at a hospice called … [Read more...] about It’s National Hospice Month
New Provider Letter for Adult Day Care Providers
The Texas Department of Aging and Disability (DADS) has issued a provider letter (PDF copy) on license capacity in adult day care facilities licensed and regulated by DADS and participating in the Day Activities and Heath Services (DAHS). The letter includes information on licensing criteria, an overview of the DAHS program, and general requirements for participation in the programs. … [Read more...] about New Provider Letter for Adult Day Care Providers
Cutting Medicare and Medicaid–Hurting Only Providers?
Last Tuesday, the Senate Finance Committee approved a bill that would reduce Medicare and Medicaid spending by $10 billion over five years. Exhibiting a stunning lack of knowledge about basic economics, Senate Finance Committee Chairman Charles Grassley, a Republican from Iowa, said the cuts will affect the health industry (including providers), and not the beneficiaries (Reuters). Republicans are looking to cut Medicare and Medicaid spending even more, while Democrats say they're concerned … [Read more...] about Cutting Medicare and Medicaid–Hurting Only Providers?
Walking the “Perp” on your Premises
Was this completely necessary. Click here: Tiffany Cunningham, 26, was indicted by a Lubbock County grand jury in September and charged with two counts of assault, allegedly for slapping Alzheimer's residents in January. Lubbock County Sheriff's Office deputies assisted the Attorney General's officers in making the arrest Thursday at Cunningham's place of employment in Brownfield. (emphasis added) Obviously, at the time of the arrest, Ms. Cunningham was no longer working at the … [Read more...] about Walking the “Perp” on your Premises
Star+Plus and Stents
I have two news items to share this morning. Regarding the Star+Plus Program, long term care providers with limited but relevant information about a client (Client Name, Social Security Number, Client Number, Date of Birth) can submit a Medcaid Eligibility Service Authorization Verification (MESAV), and Managed Care information will be available, effective November 4, 2005. As long as Managed Care information on a client (with valid information) exists, MESAV will return Medicaid and … [Read more...] about Star+Plus and Stents
Florida Allowed to Set Ceiling on Medicaid Spending
Last Wednesday, President George W. Bush approved a Medicaid plan for Florida that will shift from the traditional "defined benefit" plan to a "defined contribution" plan, allowing the state to set a ceiling on spending for each recipient. From the New York Times (free registration required): Joan C. Alker, a senior researcher at the Health Policy Institute of Georgetown University, said: "Florida's proposal is one of the most far-reaching and radical proposals we've seen to restructure … [Read more...] about Florida Allowed to Set Ceiling on Medicaid Spending