According to the National Investment Center for Seniors Housing and Care, almost one in five nursing home beds are unoccupied. Occupancy – once as high as 87 percent in 2011 – is down to 81.7 percent. Several factors related to skilled nursing facility (SNF)...
In July, the OIG issued a report entitled, “Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity.” Fifteen recommendations were made by the OIG to CMS, including to “Assess the current payment system to determine what changes may...
The collateral source rule (CSR) prevents attorneys from using to their advantage whether defendants in a negligence lawsuit have insurance (a “collateral source”) to cover awards. The concern is if a jury knows that a defendant has insurance, it will rule for the...
A “bundled payment” is a term that refers to a single, global payment for an “episode” of care. Currently, the most common episodes are orthopedic surgical procedures (e.g. hip and knee replacements), but can include a pregnancy, a colonoscopy or even cancer. As...
