Revenue and Spending There has been a lot of noise, confusion, and disinformation from the industry about revenue and Medicare “cuts”. Skilled nursing experienced an increase in Medicare spending while spending overall for 32 million Medicare beneficiaries declined in 2020. Skilled nursing facilities manipulate and exploit PDPM reimbursement to maximize profits. Kaiser Family Foundation confirmed
Hospital bills and other health care costs should be transparent and reasonable. Unfortunately, they are not. Enforce the law now.
The bloated and expensive nursing home industry is finally becoming more efficient. More than 300 nursing homes have closed during the COVID-19 pandemic and another 400 could go out of business this year. There are 15,600 nursing homes in the United States. 400 is 2.5%. Lack of occupancy, unsafe staffing levels, and CMS fixing the
The Guardian reported on the new study showing the dangers of anesthesia during surgery on vulnerable adults. Operations have cognitive side-effects with patients over 65. Postoperative cognitive dysfunction (POCD) is when cognitive problems caused by surgery continue well after the effects of anaesthetics have worn off. It is a major concern for surgical candidates and
The Fast Company had a good article about the design of nursing homes, some have been compared to prisons. Nursing homes are often institutionally designed. Long corridors. Bad lighting. Bland furnishings. Neutral colors. Design choices support the type or model of care. In the future, comfort and independence must outweigh “cost efficiencies.” “During the pandemic, things
Payor Source McKnight’s had an article showing discrimination in the nursing home industry. The industry uses discriminatory tactics to reject less profitable residents. Ashvin Gandhi is an industry expert. Gandhi is a health economist and assistant professor at UCLA. Gandhi explained that existing law shows that disability discrimination is “clearly illegal” through the Rehabilitation Act,