Medicaid

annually and the average nursing home stay is 835 days, or more than two years(Mullin, 2013). Medicare only covers about 100 days which is rehabilitation time not long-term care. If someone does not have enough savings they could try to apply to Medicaid. If you or your spouse is a veteran you guys could qualify for Veterans Administration Aid and Attendance. Some other things you could do is negotiate a different price, they can’t take off too much but it doesn 't’ hurt to bargain. The last…

payers are utilizing VBP methodologies with an end goal to drive upgrades in quality and to moderate the development in health care spending. Almost ten years prior, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) started testing VBP models with their hospital pay-for-performance (P4P) demonstrations. It was also known as the Premier Hospital Quality Incentive Demonstration (HQID) and the Physician Group Practice (PGP) Demonstration,…

How Can Hospital Acquired Pressure Ulcers be Prevented? Jamie R. Stumph University of South Alabama How Can Hospital Acquired Pressure Ulcers be Prevented? Hospital acquired pressure ulcers are a concern all across the nation. A pressure ulcer is considered an injury to the skin as well as some of the underlying tissue. Pressure ulcers can be problems for patients not only because of the price, but because of the possible infection and pain that they cause. The cost from pressure ulcers…

“Pharma Bro” Martin Shkreli, CEO of Turing Pharmaceuticals raised the price on a drug to treat infections in AIDS patients by 5,000%, from $13.50 a pill to $750 a pill thus shining a global spotlight on the United States’ precarious healthcare market. Shkreli has become the ogre of healthcare. Yet other companies have jacked up prices just as much as Shkreli did, with no consequences other than soaring stock prices. In September of 2016, the makers of the Epipen (The Epi-pen is only the…

Even though Brookdale provide one the best nursing care, but recently Brookdale had been experiencing many critical incidents which involved wrongful death, horrific assault by the resident’s roommate, staff overmedicating patient, staff refused to perform Cardio Pulmonary Rescue for a dying resident, negligence and sexual assault. Because of poor supervision, a resident died twenty-five feet away from the facility (Dolmanlaw.com, 2016). When it comes to assisted living industry Brookdale is…

Medicare reimbursements for those eligible professionals (EPs) who did not attest for MU2, as well as a full 12 months of reporting, as opposed to the previous 90 day window. Many physicians have found it troubling that the Centers for Medicare and Medicaid Services (CMS) didn’t make things easier with their frequent rule changes, requiring providers to constantly stay up to date with the agency’s latest FAQs (like they have nothing better to…

Wiener, 2007). Spending is projected to increase approximately four times in the next 40 to 50 years reaching as much as 379 billion dollars for the elderly alone (Walker, 2002). This increase in cost will place a huge financial burden on Medicare, Medicaid, and private insurance companies. Given these projections, 2 assuring access to healthcare will require more than an increase in the enrollment in medical school. The growing demand for cost effective and cost efficient long term care…

As the population shifts to the point that there are more patients than nurses in the workforce it is essential that healthcare becomes more effective, efficient, economical, and safe (Wilson, Whitaker, & Whitford, 2012). As a director of nursing I am responsible for the nursing care, staff and budget. In my discussion I will discuss three business principles that will allow my company to remain finically sound while still providing quality, safe, and effective nursing. The first business…

nursing home, seeks information on current practices and systems, and addresses problems in systems or processes. Federal law requires skilled nursing facilities implement process improvement plans to correct deficient practices (Centers for Medicare & Medicaid Services, 2014). According to data gathered during the Minimum Data Set (MDS) process, Lone Tree Convalescent Hospital has a high prevalence of short-stay residents that self-reported moderate to severe pain. The author gathered data…

injuries” related to restraints (HCPro, 2015, p. 8). The knowledge and skills in the proper initiation, application, assessment, and termination of a physical restraint are vital in the prevention of sentinel events. The Center for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC), both established a precise standard for appropriate use of restraints to “help hospitals that experience serious adverse events, improve safety… as well as evaluation of corrective actions, is…