Managing Costs During Challenging Times

We at OnShift are seeing a variety of reactions in long-term care and senior living to the Medicare cuts that hit October 1st. Some are in panic mode, fearful they’ll have to shut their doors because the cuts will so … Continue reading

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AHCA 2011: Time to React

The mood of the American Health Care Association’s annual meeting was unlike years past.  At the keynote address, AHCA President and CEO Mark Parkinson proclaimed that massive cuts to Medicare and Medicaid have providers “fighting for their survival.” This was … Continue reading

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An Avalanche of Reimbursement Cuts

$79 billion. Wow! That’s how much skilled nursing facilities stand to lose over the next 10 years due to the 11.1% reduction in Medicare payments, according to research from Avalere Health.  Long-term care has never seen such massive cost cutting … Continue reading

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Understaffing Under Scrutiny

The issue of adequate staffing in long-term care is once again in the spotlight. This time, HCR Manor Care was slapped with a $91.5 million negligence verdict in a case involving the death of a resident. Lawyers claimed the nursing … Continue reading

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Sunshine and Staffing

I just wrapped up a couple of days in sunny California, enjoying the annual QCHF Institute and CAHF Summer Conference. I was honored to be one of the event’s speakers, addressing an issue that I believe is one of the most … Continue reading

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Nursing Homes Feel the Heat

Nursing homes in Ohio are facing a bleak reality. The two-year budget that Governor Kasich just signed reduces Medicaid rates to nursing homes by nearly 6%. While total Medicaid spending in Ohio will creep up a bit, the climb will benefit … Continue reading

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ACOs in the Spotlight

ACOs took center stage this week at the second annual National Accountable Care Organization Summit. AHCA President Mark Parkinson was a keynote speaker, talking about the role of long-term and post-acute care providers in an ACO future. ACOs are set to … Continue reading

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Aliens and Labor Management? You Bet!

Just the other day my son was sitting at the kitchen table drawing with one of his friends (picture about a hundred crayons rolling around, stacks of papers, and a lot of giggling). An alien creature of some sort was … Continue reading

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