Long-Term Care Hospitals and Satellite Development Projects to be Impacted by Passage of the “Doc Fix” Bill

Posted by Jason Greis on March 27, 2014 under Articles | Be the First to Comment

On March 27, 2014, the House of Representatives approved a bill (H.R. 4302) by voice vote to extend Medicare physician pay rates through March 31, 2015 after House Republican leaders scrambled to round up support for the measure.  Following the House action, the one-year patch for Medicare’s physician pay rates, which are otherwise scheduled to be cut by 24% beginning April 1, was sent to the Senate.  Passage of a version of the “Doc Fix” Bill is anticipated early next week. Read More...

Expiration of the Long Term Care Hospital Development Moratorium: A Lasting Development Opportunity?

Posted by Jason Greis on January 5, 2013 under Articles | Be the First to Comment

Under the Medicare, Medicaid and SCHIP Extension Act of 2007 (the Act), as amended, Congress imposed an initial three-year moratorium on the establishment of new Long Term Care Hospitals (LTCH), on LTCH satellite facilities and on increases in the number of beds in existing LTCH facilities, unless an exception to the moratorium applied. This moratorium was subsequently extended for two years by the Patient Protection and Affordable Care Act (ACA).  The Centers for Medicare and Medicaid Services (CMS) recently announced, in its Final Rule updating fiscal year (FY) 2013 Medicare payment policies and rates for inpatient stays at general acute care hospitals and LTCHs that the LTCH development moratorium would expire as of Decem ber 29, 2012.  The moratorium has since sunsetted. Read More...

A Status Update on Efforts to Extend MMSEA’s LTACH Provisions

Posted by Jason Greis on March 8, 2010 under Articles | Be the First to Comment

Over the past year, the LTACH industry has worked tirelessly to ensure extension of the LTACH provisions contained in the Medicare, Medicaid and SCHIP Extension Act of 2007 (Public Law No 110-173) (“MMSEA”).  Most importantly for LTACHs, Section 114 of MMSEA (i) established new LTACH facility criteria, (ii) provides a three-year moratorium on the establishment and classification of new LTACHs, LTACH satellite facilities, and LTACH beds in existing LTACHs or LTACH satellite facilities, and (iii) provides a three-year regulatory reprieve from certain harmful Medicare payment policies, including providing relief from the “25% Rule,” the very short stay outlier policy and a one-time prospective adjustment to the LTACH standard amount.  Read More...

Health Care Update: Senate Patient Protection and Affordable Health Care Act Diminishes Regulatory Relief for LTACHs

Posted by Jason Greis on November 19, 2009 under Articles | Be the First to Comment

Senate Majority Leader Harry Reid (D-NV) unveiled the long-awaited Senate health care bill, titled the “Patient Protection and Affordable Health Care Act,” yesterday evening.  In a news conference held to announce the bill, Sen. Reid said that the bill embodied the Precquisident’s health care goals, calling it a “tremendous step forward.”  The bill would cost $848 billion and would reduce budget deficits by $130 billion over ten years, according to the recently released Congressional Budget Office (CBO) score. Read More...

GreisGuide to LTACHs Newsletter (October 2009)

Posted by Jason Greis on October 19, 2009 under Articles, eNewsletter | Be the First to Comment

This issue of the GreisGuide to LTACHs Newsletter contains articles and information on: Read More...

The Future of LTACHs: A Case Study for Industry Consolidation

Posted by Jason Greis on October 15, 2009 under Articles, Presentations | Be the First to Comment

I have attached a copy of the presentation (click here) that I gave at ALTHA’s Legal Issues Conference on Tuesday, October 13, 2009.  The presentation addresses how and why various macroeconomic and facility-specific financial, regulatory and operational pressures resulted in ”fire sales” in the LTACH market in 2009 and why 2010 will be a year in which over 60 LTACHs are expected to change ownership at much more attractive EBITDA multiples.  Please feel free to call me if you have any questions about my presentation. Read More...