CMS Announces Winter 2014 Open Period for Participation in Bundled Payments for Care Improvement Initiative

Posted by Jason Greis on February 18, 2014 under Articles | Be the First to Comment

On February 14, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a notice in the Federal Register announcing an open period for additional organizations to be considered for participation in models 2, 3 and 4 of its Bundled Payments for Care Improvement (BPCI) initiative.  The BPCI initiative was developed by the CMS Innovation Center, which was created by the Patient Protection and Affordable Care Act to test innovative payment and service delivery models that have the potential to reduce Medicare, Medicaid or Children’s Health Insurance Program (CHIP) expenditures while preserving or enhancing the quality of care for beneficiaries.  Under the BPCI initiative, organizations enter into payment arrangements intended to promote higher quality, lower cost coordinated care across an episode of care.  The BPCI initiative is comprised of four broadly defined models of care that bundle payments for multiple services, which beneficiaries typically receive during an episode of care. Read More...

Post-Acute Sector Transaction Activity Increasing in the Second Half of 2013

Posted by Jason Greis on September 30, 2013 under Articles | Be the First to Comment

Over the past several years, the healthcare industry has experienced a significant increase in private equity and alternative investment and industry consolidation—trends that have only accelerated with implementation of pay-for-performance initiatives, payment reductions that favor lower-cost care settings and integrated care-delivery models (i.e. accountable care organizations, medical homes and bundled care) that promise to aggregate care and reduce costs across multiple sites of service.  In 2012, for example, private equity firms invested approximately $4 billion in health or medical services and the number and value of private equity deals throughout the healthcare industry accounted for roughly 11% of all deals consummated worldwide. Read More...

Summary of Long-Term Care and Post-Acute Care Provisions in the American Taxpayer Relief Act of 2012

Posted by Jason Greis on January 3, 2013 under Articles | Be the First to Comment

On Wednesday, January 2, 2013, President Obama signed into law the American Taxpayer Relief Act (Act) of 2012—the House and Senate approved bill to avert the fiscal cliff.  The Act, while raising taxes on high-income earners, also contains certain amendments to existing healthcare statutes and regulations and new regulations and programs that will effect providers and suppliers.  This article summarizes key provisions of the Act impacting long-term care and post-acute care providers. Read More...

CMS Rule Expands Long-Term Care Facility Administrators’ Responsibility to Report Facility Closures

Posted by Jason Greis on March 2, 2011 under Articles | Be the First to Comment

On February 18, 2011, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule (Interim Rule) implementing Section 6113 of the Patient Protection and Affordable Care Act (PPACA).  The Interim Rule, which becomes effective March 23, 2011, requires administrators of long-term care facilities (LTCF), including skilled nursing facilities (SNF) eligible for reimbursement under Medicare and nursing facilities (NF) eligible for reimbursement under Medicaid, to submit prior written notification of an impending LTCF closure to the Secretary of the U.S. Department of Health and Human Services (Secretary), the state’s long-term care ombudsman and residents of the facility and their legal representatives or other responsible parties.  LTCF administrators that do not comply with the new notice requirements may face sanctions, including civil monetary penalties of up to $100,000 and exclusion from participation in Federal health care programs.  In addition, LTCFs must have related policies in place to avoid being cited for survey deficiencies. Read More...

2011 Medicare Payment Update for Post-Acute Care Providers

Posted by Jason Greis on August 3, 2010 under Articles | Read the First Comment

The Centers for Medicare & Medicaid Services (“CMS”) has recently released various notices and final rules updating 2011 Medicare payment rates for post-acute care providers, including long-term acute care hospitals (“LTACHs”), inpatient rehabilitation facilities (“IRFs”), skilled nursing facilities (“SNFs”), home health agencies (“HHAs”) and hospices.  These Medicare rate updates generally implement negative payment adjustments mandated by the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152) (together, “PPACA”).  Yet in spite of these adjustments, SNFs, hospices, IRFs and LTACH have fared relatively well with collective Medicare payment increases totaling $919 million, with HHAs offsetting these reimbursement gains by suffering a proposed $900 million Medicare reimbursement cut for calendar year 2011. Read More...

McGuireWoods 2010 North Carolina Healthcare Provider Conference and Post-Acute & Senior Care Conference

Posted by Jason Greis on June 22, 2010 under eNewsletter, Events | Be the First to Comment

2010 North Carolina Healthcare Provider Conference and Post-Acute & Senior Care Conference Read More...