Patient Driven Payment Model (PDPM) went into effect Oct. 1, 2019, and was the biggest change to the nursing home reimbursement system in at least a generation — replacing the previous case-mix classification system, Resource Utilization Group – IV. Under RUG-IV, patients were classified into a therapy payment group. The volume of therapy services provided
Florida Corruption DeSantis removed safety rules that protected vulnerable adults in Florida’s nursing homes. The legislative handouts to the powerful industry includes: more liability protections; reducing staffing levels; and reducing penalties for neglect and abuse. Nina Kohn is a law professor at Syracuse University and an expert in elder law. She said: “Research shows that
REIT Ownership “There is concern that REIT ownership of healthcare facilities may divert capital away from investments in clinical care delivery toward generating high returns for investors instead.” –researcher Joseph Dov Bruch, Ph.D. REITs owned more than $3.5 trillion in U.S. assets last year, including the health sector. Harvard Medical School’s Department of Health Care
“This letter serves to submit my resignation to the Missouri House of Representatives.” –Rep. Tricia Derges, R-Nixa. Branson News reported the guilty verdict and subsequent resignation of a Republican state legislator. Derges quit after a jury found her guilty in a medical fraud scheme including mail fraud and false statements to federal agents. Derges is
Transparency = Accountability Everyone agrees of the significance of safe staffing levels on quality of care, and the prevention of abuse and neglect. However, the financial practices of for-profit NHs result in the failure to fund adequate and appropriate staffing. For-profit ownership is strongly associated with failing to meet safe staffing minimums. Insufficient staffing leads
“Related party transaction” refers to a financial practice that diverts funds in for-profit nursing home chains. A recent article discussed the improper diversion of taxpayer funds to shell companies owned by the operator of the nursing home. These entities are known as “related parties or entities”. These related entities have common ownership or control. The profitable
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