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VIDEO: LeadingAge Florida, FLiCRA, & Nursing Home Advocates Urge Caution with Proposed PPS Plan
Nursing home advocates oppose the Florida Senate version of the Prospective Payment System model that is included in the budget recommendation of the Senate Appropriations committee. CLICK HERE to watch video.
Senate must ask tough questions on Medicaid payment reform
By Steve Bahmer
Medicaid payment reform for nursing homes is both necessary and complex. And done well, it should be the result of clear policy objectives, careful consideration, vigorous debate and detailed modeling. On behalf of our 250 members across Florida, we encourage the Senate Appropriations Committee to ask tough questions and thoroughly vet the new nursing home payment system it will consider. CLICK HERE to read more.
VIDEO: Nursing Home Operators Call Proposed Plan to Change Medicaid 'Scandalous': A plan to change how nursing homes are reimbursed from Medicaid has many nursing homes very upset. "It is truly scandalous," said Elliot Palevsky. Palevsky is CEO Emeritus of River Garden Senior Services. Fifty-two percent of its clients now receive Medicaid-state funding. CLICK HERE to read more and watch video.
Nursing Homes: Bad Idea is Back Again: Bad ideas have a way of reappearing in Tallahassee, especially when someone stands to profit from them. In this case, an unfair new system of reimbursing nursing homes for care — once thought to be deferred — has reappeared in an even uglier costume. The Florida Health Care Association Medicaid Reimbursement Plan is scheduled to be heard by the Florida Senate Appropriations Committee on Wednesday. The innocuous change — paying upfront for Medicaid payments — has been constructed in a way that would devastate many high quality nonprofit nursing homes. While the new plan ostensibly rewards quality, that’s mostly window dressing. CLICK HERE to read more.
Nursing Home Groups Battle Over Payment Plan: Two nursing-home industry groups sparred publicly Wednesday about a Senate plan that would revamp payments in the Medicaid program. LeadingAge Florida and the Florida Health Care Association held back-to-back news conferences in the Capitol as they battle over part of the Senate's proposed budget that includes what is known as a "prospective payment system" in Medicaid. CLICK HERE to read more.
Florida Senate Budget Panel OKs Changes To Nursing Home Funding: Florida Senate budget chiefs Wednesday greenlit a spending plan that includes a new formula for reimbursing nursing homes. Opponents say the proposal would cut Medicaid dollars for top performing homes, while proponents argue it’ll result in a more equitable distribution of state funds. CLICK HERE to read more.
Impact Estimate for the Nursing Home Prospective Payment System Last year, the Florida Health Care Association/ Our Florida Promise proposed a nursing home prospective payment system that they tried to pass during the 2016 Legislative Session. That payment model would have significantly impacted many of our members’ ability to provide high-quality care to residents. LeadingAge Florida opposed that plan, and it was not adopted. Instead, the Legislature appropriated $500,000 to the Agency for Health Care Administration (AHCA) to hire a consultant to develop a new Medicaid nursing home prospective payment system. Read More
LeadingAge Florida Takes the High Road to Medicaid Prospective Payment
By Dr. Erwin Bodo
The Agency for Health Care Administration Budget Request and the Governor's Recommended Budget for FY 2016-17 contain a $500,000 issue for a contract to study and develop a “prospective payment” plan for Medicaid Nursing Home Services.
Nursing Home Group Floats Efficiency-Based Funding Plan
By Christine Sexton
Twenty-six of the state’s top rated “Gold Seal” nursing home facilities would lose $2 million, and corporations with more than 20 nursing homes would gain nearly $30 million, under a Medicaid reimbursement proposal being floated by an organization called Our Florida Promise.
The group — a 501c-4 associated with the Florida Health Care Association — is touting the plan as an alternative to Gov. Rick Scott’s request that the state Agency for Health Care Administration be appropriated $500,000 to hire a consultant to develop a proposal that would change how the state reimburses nursing homes from a cost-based system to a system that sets a prospective price.
Proposed Changes to Medicaid Reimbursement Rules – Input Requested for November 16, 2015 Rule Development Workshop
Last week, the Agency for Health Care Administration published a Notice of Development of Rulemaking. The notice covers three rules. A rule development workshop is scheduled for November 16, 2015 in Tallahassee from 2:00 - 4:00 PM. LeadingAge Florida staff will be in attendance and will convey your comments. Read More
Using AHCA Form 5000-3008
LeadingAge Florida has received a number of questions on the required use of form 5000-3008 which became effective October 1, 2015. Read More
New Data Available: National Partnership to Improve Dementia Care
The National Partnership to Improve Dementia Care has released new data. Read More
Hospital Readmission Analysis Now Available in Quality Metrics
Nursing home providers can compare their hospital 30-day hospital readmission rates to their peers, the county, state and nationally using the new Hospital Readmission Analysis in LeadingAge Nursing Home Quality Metrics. Read More
Checking Your Medicare FFS Claim Status
With the recent transition to ICD-10, you may wonder how soon you will know whether your Medicare fee-for-service (FFS) claim was paid. Read More
Use ICD-10 Now: Here’s How
On October 1 the United States health care community transitioned to ICD-10. CMS wants providers to be successful in using ICD-10 and remains committed to working with industry on the transition. Read More
Recent Cases Involving 60-Day Overpayment Rule Should Put Healthcare Providers on Alert
Two recent federal court cases show that the federal government intends to vigorously enforce the so-called "60-day Rule" for the return of overpayments enacted as part of the Affordable Care Act even though the Centers for Medicare & Medicaid Services has not yet issued its final interpretative regulation for that rule. Read More
Quality of Patient Care Star Rating Preview Reports Now Available
The Quality of Patient Care Star Ratings Preview Reports are now available in the CASPER folders. These reports contain data that will be publicly reported on the Home Health Compare website in January 2016. Read More
Five-Star Analysis Reports Available to Members
As a member benefit, LeadingAge Florida will send nursing home members a facility-specific report on a quarterly basis that will provide a comprehensive analysis of your 5-Star rating. Read More
LeadingAge Comments on CMS Comprehensive Care for Joint Replacement Demonstration
After carefully reviewing the proposed rule on the creation of the Comprehensive Care for Joint Replacement and its potential impact on our members and those they serve, LeadingAge filed comments with the Centers for Medicare and Medicaid Services (CMS). Read More
CMS: Nursing Homes Should Start Submitting Staffing Data
Skilled nursing facilities should start submitting electronic staffing data October 1. Read More
CDC Releases Core Elements of Antibiotic Stewardship for Nursing Homes
The Centers for Disease Control and Prevention released the Core Elements of Antibiotic Stewardship for Nursing Homes. Read More
Medicaid Reimbursement Plan
LeadingAge Florida has recently analyzed a “new Medicaid Reimbursement Plan” being circulated by Our Florida Promise (OFP). Read More
Recall for Acetaminophen Tablets by Medline Industries
AHCA October 1, 2015 Mandated Forms
CMS Proposed SNF Rule
Calendar of Events