Long Term Care

We’re Back. But the County Nursing Home Issue Never Left

August 3, 2012 County

Well, I tried to take a vacation … While I was away, a friend tracked me down. He’s analyzing what a specific county (not to be named here) might and should do with their nursing home. A couple of things came up. The first and most interesting was the number of patients who had been […]

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Managed Long Term Care and the Implications for Public Nursing Homes

June 12, 2012 County Government

As we discussed earlier, New York (and many other states) is moving its Medicaid policy toward managed long-term care. Here’s an excerpt of what we wrote earlier: First, the State finally decided to bring the rest of the Medicaid population into some form of capitated, case-managed care. When the State originally imposed mandatory managed care […]

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More on, and a Possible Correction on IGT

June 7, 2012 Budget

Last week, we noted that the Federal government wants some of its IGT money back. I’m not, not, not going to try to explain how this program works or why and how counties put up $.50 on one day and the next day their nursing homes get back $1.00. But during the recession, counties only […]

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Other NYS County Nursing Homes Being Sold

June 6, 2012 Budget

Despite intense objections, the Essex County, NY Board of Supervisors has voted 12-6 to sell its nursing home, Horace Nye. The 100 bed facility loses about $2 million per year. The sale price is $4.05 million. Essex County is also seeking an increase in its sales tax rate (from 3.75 to 4.0 percent). Mere coincidence? […]

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Feds Want Their County Nursing Home (IGT) Money Back

May 25, 2012 County Government

The word is out that the Centers for Medicare and Medicaid Services has made a final decision and will be retroactively recovering “Intergovernmental Transfer” (IGT) funds from counties operating nursing homes in New York. This retroactive recovery goes all the way back to State fiscal year 2006-07. This will be partially counterbalanced by a small […]

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Albany County. Once Again Between a Nursing Home Rock & a Nursing Home Hard Place

May 22, 2012 County Government

Albany County Legislators are frustrated. They want to build a new nursing home, but they’ve bungled it repeatedly so they’re in a “no-man’s land” in the approval process. At the same time, Federal regulations require all Federally qualified nursing homes to have sprinklers by August of 2013. The only exception to the rule is when […]

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RFP for Sale (or Something) of Albany County Nursing Home

April 20, 2012 Budget

Though you’ll have to register, the request for proposals is available here. The process is being handled through the County’s Purchasing Department. Summary: As Albany County government explores options for the future of its county-operated nursing home, the County is seeking proposals from interested parties that would reduce or eliminate the nursing home’s dependence upon […]

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Reality Intrudes

April 13, 2012 County Government

A colleague asked me this morning whether I’d planted this story in the Albany Times-Union describing the movements of Saratoga and Ulster Counties to unload their nursing homes. My response? “Didn’t need to. Reality intrudes.” At least in Saratoga and Ulster and many other counties in New York. Albany County? Not so much.

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“Everything Has Changed.” Albany County Gets to Try Again, but the Bar Will be Even Higher

April 6, 2012 County Government

“Everything has changed.” Well, New York’s Public Health & Health Planning Council did not reject the Albany County Nursing Home application. As predicted here yesterday, they deferred it. But the Committee still heard testimony both for and against the application and they discussed it at some length. However in the vote of the Establishment and […]

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Three, Not Two Options Tomorrow on the Albany County Nursing Home

April 4, 2012 County Government

After constant struggles, tomorrow’s schedules for the Establishment and Project Review Committee and the New York Public Health and Health Planning Council (PHHPC) include review of the certificate of need application (CON) to build a new Albany County Nursing Home. In response to howls of protest by the Albany County Legislative leadership that the Department […]

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