PPT-U.S. Nursing Homes and Single Payer

PNHP Annual Meeting November 2 2013 Boston MA Christopher Cherney Nursing Home Administrator Berkeley California ccherneyearthlinknet US Nursing Homes 15500 skilled nursing facilities SNFs. August 2014. John McClaughry. Destination: Single Payer. History – movement began c1987. Legislation dramatically failed in 1994. Douglas vetoed another bill in 2005. Enacted as Act 48 of 2011 after presentation of Hsiao Report. By: Faith Davis. Resolved: The United States has a moral obligation to adopt a single-payer healthcare system. Single-payer: noting or relating to a healthcare or health insurance system in which the government or a publicly owned and regulated agency pays all medical costs from a single fund.. Nursing Home/Managed Care Task Force . 2. Pharmacy Services are excluded from the NH benchmark rate.. Since pharmacy is a covered benefit in MMC, the pharmacy bills the MCO directly. The Department is aware of contractual agreement between MCOs and NHs to have the NH bill the MCO for pharmacy services (again outside benchmark rate). Single Payer 101 . A Year in Headlines…. NOT a reimbursement strategy. Can coexist with fee-for-service, capitation, DRGs, etc.. NOT a health-care delivery scheme. NOT government employment of/control over doctors (socialized medicine). Murthy Gokula, M.D., . C.M.D. Associate Professor/Program Director(Geriatrics fellowship). University of Toledo. Objectives. Understand telemedicine. Discuss telemedicine to reduce hospitalizations in the nursing home. Linda Liu MS4. Shirlene. . Obuobi. MS4. Your patient is a 64 y/o . woman . admitted to cardiology for a MI. . You are . preparing to discharge her . and want to . set up PCP and Cardiology follow up appointments for her. . P. ayer . H. ealth . C. are. www.kyhealthcare.org. KSPH was founded in 2004 following a showing of the movie “Damaged Care”. “When . big business threatens innocent lives for profit, she risked everything to bring the system to . A guide by the PNHP . Organizing Team. Who are we?. . Overview. How do we stay focused?. SMART Goals . Coalition Building. How do we stay focused?. In the world today, it seems like we are constantly bombarded by the news. How do we stay focused on single-payer, when it feels like there are so many other things to talk about? In order to make meaningful change, PNHP members must stay engaged, focused, and organized. . Kay Tillow, All Unions Committee for SP. Brad Zehr, Boston University School of Medicine. Andrea DeSantis, DO AAFP Single Payer Member interest Group. . . . Goals of this Workshop. Tips for getting into the game: Identifying existing (or the potential to create new) forums for organizing around the topic of Single Payer within your professional organization.. FACING FINANCIAL CRISIS AND STAFFING CHALLENGESThe American Health Care Association and National Center for Assisted LivingAHCA/NCAL ey of953nursing home providers across the USon their financial and WHAT IS SINGLE PAYER Single payer refers to a way of financing health care which includes both the collection of money for health care and reimbursement of providers for health care costsIn the United 31302928272625242330252722Components and Considerations for Establishing a Single-Payer Health31Care SystemMAY 2019CONGRESS OF THE UNITED STATESCONGRESSIONAL BUDGET OFFICEAt a GlanceSome Members of Co LMarch 2019One of the often-discussed proposals to reform the health caresystem is a single-payer plan sometimes calledMedicareforAll Arguments for and against are wideranging There is also considerab . Receivership closure in 1999. High proportion of Medicaid recipients. High proportion of significant acuity-physical and mental health. Large number of residents transferring quickly. Questions of appropriate discharge planning.