Multiple studies have illustrated concerns regarding private equity and investment trusts purchasing and managing such facilities.
The U.S. Department of Health and Human Services (HHS) has announced additional action to increase transparency of nursing-home ownership and management. The Department recently issued a proposed rule to require nursing homes to disclose to the Centers for Medicare & Medicaid Services (CMS) additional ownership and management information. The rule also includes private equity and real estate investment trust definitions, setting the stage for the disclosure of which nursing-home owners fall under either category.
This sounds like an important development in the effort to improve nursing-home care. Such transparency can help ensure that nursing homes are held accountable for the quality of care they provide, and it can give residents and their families the information they need to make informed decisions about their care.
Private equity and real estate investment trusts have increasingly become involved in the ownership of nursing homes in recent years. While these types of investors can bring financial resources to the table, there have been concerns about their focus on profits at the expense of quality care.
Requiring nursing homes to disclose ownership and management information, including whether they are owned by private equity or real-estate investment trusts, can help ensure that these facilities are providing the highest quality of care possible. It can also help identify any potential conflicts of interest that may be impacting care provided to residents.
A study published in the Journal of the American Medical Association (JAMA) found that nursing homes owned by private-equity companies had more deficiencies in quality of care, including more deficiencies related to infection prevention and control, compared to non-private equity-owned nursing homes. Another study published in the New England Journal of Medicine found that private equity-owned nursing homes had higher rates of hospitalizations and lower nurse staffing levels, compared to non-private equity-owned nursing homes.
These findings suggest that there may be a link between ownership type and quality of care in nursing homes.
Overall, this proposed rule is a positive step toward improving the quality of care in nursing homes and ensuring that residents and their families have access to the information they need to make informed decisions.
As many as 15 million individuals may be disenrolled from Medicaid this year. The event is “The Medicaid Unwinding.” It starts on April 1. It
The state’s legislature recently passed Medicaid expansion. North Carolina has taken a commendable step forward in healthcare by expanding Medicaid to cover more low-income individuals.
Familiarize yourself with the dramatic 2023 changes to codes, coding guidelines and documentation requirements for evaluation and management (E&M) split/shared and incident-to services.
Dr. Ronald Hirsch breaks down significant 2023 changes to coding and billing requirements for hospital observation services, including new physician E&M coding rules.
Learn how to save your facility hundreds of thousands of dollars in repayments and fines by correctly following CMS requirements for implantable medical device credit reporting. We provide you with all the need-to-know protocols, along with the steps for correct compliance while offering best practices to implement a viable strategy in your facility.
During an exclusive RACmonitor webcast, healthcare attorney Knicole Emanuel will explain in simple, easy-to-understand language the peril of the coming overpayment audits and describe your legal defenses.
Do you struggle with selecting and appending the correct modifier for your medical claims? Join our must-attend webinar, “Mastering Modifier Usage: Preventing Denials and Ensuring Compliance” to reduce claim denials and improve your reimbursement rates.
Kay Piper reviews the guidance and updates coders and CDISs on important information in the AHA’s fourth quarter 2023 ICD-10-CM/PCS Quarterly Coding Clinic in an easy to access on-demand webcast.
Get access to important guidance on each of the AHA‘s 2023 ICD-10-CM/PCS Quarterly Coding Clinics with information-packed on-demand webcasts available shortly after each official publication.
Gloryanne Bryant reviews the guidance and updates coders on information in the AHA’s third quarter 2023 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Copyright © 2022 RACmonitor. Powered by MedLearn Media.
