Medicare Advantage Organizations Some long-term care providers are refusing to accept residents based on payor source. This type of discriminations is illegal. Research has already found that admissions discrimination among less profitable residents is “widespread” in nursing homes. The industry claims admitting residents covered by managed care plans is not worth it because they doubt they’ll be
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
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