From Hospitals to Home: Paying for the Next Evolution of Post-Acute and Senior Care

Posted by Jason Greis on July 26, 2009 under Articles, Events, Industry News | Read the First Comment

From Hospital to Home: Paying for the Next Evolution of Post-Acute and Senior Care Read More...

To Bundle or Not to Bundle: Lawmakers Explore the Question

Posted by Jason Greis on June 2, 2009 under Whitepapers | Be the First to Comment

The current fervor to overhaul the nation’s health care delivery system has legislators discussing how to change the way post-acute care providers, including long-term acute care hospitals, home health agencies, skilled nursing facilities, and inpatient rehabilitation facilities, are reimbursed for treating Medicare beneficiaries. One potential solution endorsed by both President Obama and the Senate Finance Committee entails bundling payments for acute and post-acute care services provided within the first 30 days after a Medicare beneficiary is discharged from an acute care hospital. Read More...

Alternative Risk Solutions: Beyond Traditional Risk Transfer

Posted by Jason Greis on May 2, 2009 under Events | Be the First to Comment

Thursday, May 13, 2009
2 p.m. (ET) | 11 a.m. (PT)
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LTACHs Should be on the Lookout for Recalled Peanut Products

Posted by Jason Greis on March 31, 2009 under Articles | Be the First to Comment

LTACHs often subcontract their dietary services departments to national providers, host hospitals (for HwHs), or a host hospital’s contracted dietary service provider.  CMS recently urged nursing homes and other long-term care facilities to determine whether they are currently in possession of peanut butter and peanut butter products recalled by the FDA as a result of possible Salmonella contamination.  LTACHs should speak with their dietary department or dietary service provider to determine what steps are being taken to ensure that patients are not served potentially contaminated products. Read More...

CMS to Seek Recoupment of $25 Million from Acute-Care Hospitals (not LTACHs) under Medicare’s Post-Acute Transfer Policy

Posted by Jason Greis on March 20, 2009 under Articles | 2 Comments to Read

According to an audit report recently released by the Office of Inspector General of the Department of Health and Human Services (OIG), hospitals paid under the inpatient prospective payment system (IPPS) may have received an estimated $25 million in overpayments between fiscal years 2003 and 2005 as a result of noncompliance with Medicare’s post-acute transfer policy.  The purpose of this policy is to provide a disincentive for hospitals to discharge patients to another hospital, a skilled nursing facility, or a patient’s home early in a patient’s stay in order to minimize costs while still receiving a full diagnosis-related group (DRG) payment. Read More...

Alternative Risk Financing Mechanisms: The Financial Benefits Are Good For Post-Acute Care Providers, But Are Not the End of the Story

Posted by Jason Greis on March 3, 2009 under Articles | Be the First to Comment

The most common form of risk financing in the LTACH and post-acute care arena is commonly referred to as an organization’s “insurance policy.” Typically, we “finance” the chance that we may suffer a loss secondary to an accidental injury by paying for an insurance policy. Alternative risk financing mechanisms can offer a number of different types of insurance mechanisms that provide the same (and many times better) “coverage” as the typical insurance policy. They also allow you to realize some investment ownership of that mechanism. Because the incentives of “ownership” and “good risk management practices” are perfectly aligned, well-managed alternative risk finance mechanisms can return the fruits of successful risk management straight to your bottom line. In short, a successfully owned and managed alternative risk financing mechanism can take “insurance” from the cost side of your balance sheet to the asset side. They also have other benefits. Read More...