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COVID-19 prompts a rethinking of long-term care models

The pandemic has thrown the long-term care industry into a tailspin. Fearful of contracting the virus, patients have stayed away from nursing homes, causing a plunge in census numbers for facilities that rely on long-term care residents, short-term rehabilitation referrals and transfers from hospitals. “Is the industry going to downsize? Yes,” said Andy Edeburn, a principal at Premier, a group purchasing and consulting organization. “Not all nursing homes are going to come back.” Nursing home occupancies are at an all-time low and facilities are struggling to stay open. Nursing home occupancy dropped 16.5 percentage points to 68.5% in January 2021 from 85% in January 2020, according to the American Health Care Association/National Center for Assisted Living. In addition, 143 facilities closed or merged with other organizations in 2020 and 1,670 are projected to do so in 2021, AHCA/NCAL estimated.

Springfield Clinic Implements RCxRules HCC Coding Rule Set

Springfield Clinic Implements RCxRules HCC Coding Rule Set News provided by Share this article Share this article SPRINGFIELD, Ill., April 6, 2021 /PRNewswire/ RCxRules, a provider of revenue cycle automation technology, announces the expansion of their partnership with Springfield Clinic. Founded in 1939, Springfield Clinic serves a population of approximately one million patients in central Illinois across 80 specialties and sub-specialties. The clinic is implementing the RCxRules HCC Coding Rule Set to identify HCC coding gaps under their value-based contracts. Springfield Clinic s focus on value-based care has increased as their patients needs have evolved. They turned to RCxRules for an HCC coding solution that would meet three key requirements. First, they needed a solution that would support their providers without adding more to their workload. Second, this solution needed to live within their coders existing workflow. And third, it needed to provide real-time feedba

TRIUNE Health Group absorbs Lombardi Associates

TRIUNE Health Group absorbs Lombardi Associates Share Article TRIUNE Health Group and Lombardi Associates are excited to announce the integration of their two privately owned Managed Care companies. TRIUNE Health Group Absorbing Lombardi Associates made clear sense as we embark on our expansion of national coverage in the managed health care field - David Yep LOMBARD, Ill. (PRWEB) April 06, 2021 TRIUNE Health Group and Lombardi Associates are excited to announce the integration of their two privately owned Managed Care companies, effective immediately. TRIUNE’s Chief Revenue Officer David Yep stated, “Absorbing Lombardi Associates made clear sense as we embark on our expansion of national coverage in the managed health care field. As the industry continues to look for people-centric options in taking care of injured workers, we continue to expand to not only meet this need but exceed expectations.”

Medicare Braces For Expanded Use Of High-Cost CAR T-Cell Therapy

Medicare Braces For Expanded Use Of High-Cost CAR T-Cell Therapy
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