The Academy of Senior
Health Sciences, Inc.
17 South High Street
Suite 770
Columbus, OH 43215
614.461.1922
800.999.6264
Fax: 614.461.7168
cmurray@seniorhealthsciences.org



 

The Academy of Senior Health Sciences, Inc. (formerly The Ohio Academy of Nursing Homes, Inc.) seeks to provide public education and awareness initiatives to the long-term care community in Ohio. Our membership represents a true cross-section of the skilled nursing facility profession, from small sole proprietorships to larger Ohio-based multi-facility companies, as well as those businesses that service our industry. Through our public education and awareness efforts, the Academy brings the collective influences of the members together into a single voice on vital issues affecting our profession.

Founded in 1966, the Academy then identified one of its core purposes as "To foster a spirit of goodwill among those persons engaged in the nursing home industry, to promote ethical practices in their relationships with each other, their employees, and the general public to the end that all interests may be served fairly..." Though the organization has undergone several transformations over the years, most notably in 2011, its dedication and commitment to Ohio's most frail and elderly remains the same.

 The Academy Weekly Headlines from 2 Weeks Ago
MyCare Ohio: UHC requiring PA on therapy claims  –  United Health Care notified the long-term care associations at the last collaborative meeting that they are issuing prior authorizations for therapy services. According to UHC, they will retroactive authorize the first few therapy sessions as long as the provider has the proper evaluations and orders, and submits the therapy logs. The care manager should work with the provider after the initial sessions to obtain the prior authorization and to authorize any further therapy sessions.

H.B. 64: Senate Medicaid Committee hears from ODM, The Academy  —  The Senate Medicaid Committee heard testimony this week from Department of Medicaid Director John McCarthy. Director McCarthy's testimony was similar to the testimony presented in the House. He noted the number of individuals diverted from SNFs to home settings and the resulting savings. Dir. McCarthy also iterated that the SNF reimbursement formula was in statute and that prevented the administration from rewarding quality providers. Academy CEO Chris Murray also testified before the committee this week. In his testimony, Mr. Murray noted the many programs, initiatives, and rule changes at both the state and federal level. He commented on how difficult it was to measure quality versus care measures. Furthermore, Mr. Murray noted that reimbursement has been based on 2005 cost levels while general inflation has increased 19%. He asked that the Committee consider rebasing prices at the latest available cost data (2013), transition to a RUGs-IV 48 case mix calculation, keep the PA1/PA2 rate at $130 and use any additional dollars above those changes towards quality. Chairman Burke asked if the state should pay the same regardless of quality. Mr. Murray responded that the base rate pays for some quality as the industry is heavily regulated. Those providers that cannot meet that level are fined or face other penalties, thus reducing their rate. Mr. Murray noted that there are different ways that quality can be rewarded, but it should be done in addition to the base rate.

Call for Presenters open for 2015 ASHS Fall Conference  —  The Academy is getting ready for another great Fall Conference! This year's conference will be held at the Quest Conferencing Center in Columbus, OH on October 22 and 23. Our presenters are one of the strengths of our conference. If you are interested in presenting on a topic that is beneficial to SNF administrators and other professionals, please fill-out our Call for Presenters form.

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