NIC Notes

Insights in Seniors Housing & Care

Economic Trends  |  Ideas and Discussion  |  Regulatory Environment

A Career Aligned with Seniors Housing and Care’s Success

By: Liz Liberman  |  September 07, 2016

The Honorable Mike Leavitt to Speak about a Rapidly Changing Industry

Economic Trends  |  Regulatory Environment  |  Skilled Nursing

Boosts to Interoperability Implementation May Give Skilled Nursing a Leg-Up in Meeting CMS Requirements

By: Liz Liberman  |  August 24, 2016

Interoperability can be a point of frustration for health care professionals considering the difficulties it can impose. If you’re not familiar with it, the term refers to the ability of various health care providers to collect and share patient information electronically through an electronic health record (EHR), also known as an electronic medical record (EMR). EMR also can refer to internal electronic records that are used for diagnostic purposes but not intended for distribution outside the private practice.

Economic Trends  |  Regulatory Environment  |  Skilled Nursing

Managed Care 101

By: Liz Liberman  |  August 03, 2016

Managed care is an all-encompassing term that covers a variety of methods to pay for healthcare outside the norm of fee-for-service. Medicare Advantage (MA) plans are a form of managed care, as are Managed Medicaid plans. Accountable Care Organizations (ACOs) also fall under this umbrella. With the exception of MA, managed care is a relatively new idea in terms of health care financing. Generally, with managed care, payments flow through a risk-bearing third-party company to health care providers. The third party’s goal is to manage a patient’s total cost of care so that the total payment made by the third party is smaller than the initial bill. How this system is regulated is still evolving; CMS is committed to moving away from traditional fee-for-service payments, and managed care has a role to play in attaining that goal.

Economic Trends  |  Regulatory Environment  |  Skilled Nursing

Five-Star Changes Go Live Today

By: Liz Liberman  |  July 27, 2016

All Medicare-certified skilled nursing facilities are subject to the Five-Star Quality Rating System and Nursing Home Compare, which were established, implemented, and maintained by the Centers for Medicare and Medicaid (CMS). Both programs use metrics to judge the quality of skilled nursing properties. Nursing Home Compare is a website where consumers can gather information about quality metrics for every eligible skilled nursing property to use for comparison shopping. Most of the quality metrics displayed on Nursing Home Compare are used as part of the input to establish a skilled nursing property’s Five-Star rating, with five-star facilities considered the highest quality.

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