Implementing an efficient preadmission screening process to determine potential revenue under PDPM

Source: The Bottom Line
Most hospitals like for facilities to respond to referrals within 15 minutes, and that can be a very ambitious goal. It usually includes running insurance, speaking with the director of nursing, or calling the pharmacy to get an idea of drug costs. Facilities are used to relying on their admissions coordinator to conduct many of these tasks, but under the Patient Driven Payment Model (PDPM), providers will have to involve more team …

Key elements of ACO program overhaul

Source: The Bottom Line
CMS finalized a rule with new requirements for accountable care organizations (ACO) last week, reducing the amount of time an ACO is allowed to stay in the program without assuming risk and expanding the three-day stay waivers for nursing homes. “Most Medicare ACOs do not currently face financial consequences when costs increase, but a review of the data on ACO performance shows that over time those ACOs that take accountability for costs …

Federal judge finds Obamacare unconstitutional; law remains in effect pending further decisions

Source: Home Health Line
A federal judge has ruled that the entirety of the Affordable Care Act aka Obamacare is unconstitutional, though he did not order a remedy and an appeal is already being assembled.
Texas v. United States was filed in February in U.S. District Court for the Northern District of Texas, seeking declaratory and injunctive relief from the ACA on several grounds, including that, in its 2012 National Federation of Independent Business (NFIB) v. Sebelius …

LTC Institute is asking for your complaints

The TRECS Institute, a non-profit dedicated to improving the care of seniors, with support from the Leonard Davis Institute of Health Economics (LDI) has announced the launch of a national, grassroots initiative designed to identify and address “No Brainers” within our long-term care system.
The goal of this initiative is to identify “No Brainers,” defined as any practice that negatively effects the quality of care in long-term care facilities, and to estimate the overall negative economic …