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 Residents and Families

 

​Has your loved one been impacted by observation stays?

Share your story with us. Please be sure to fill out the release form.

 

 AHCA/NCAL Members

 

​Have observation stays impacted your residents and patients?

Contact Us and help us close this observation stay loophole.

Please be sure to fill out the release form.

 

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Observation Stays

Skilled nursing care centers serve our most vulnerable citizens – frail elders and those with disabilities who need complex medical, rehabilitative, and restorative care, 24 hours a day, 7 days a week.

The American Health Care Association (AHCA) is concerned that Medicare beneficiaries’ access to skilled nursing facility (SNF) care is being constrained by the increased use of observation stays, which prevents patients from reaching the three-day stay threshold for Medicare coverage.

Learn more about observation stays​ and the impact​ on long term care.

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 The Improving Access to Medicare Coverage Act

 
​Representatives Joseph Courtney (D-CT) and Tom Latham (R-IA) and
Senator Sherrod Brown (D-OH) share our concern and have introduced the
Improving Access to Medicare Coverage Act of 2013 (H.R. 1179/S. 569) to address these situations.

The Improving Access to Medicare Coverage Act of 2013 (Full Text) would deem an individual receiving “outpatient’ observation services in a hospital to be an in-patient with respect to the Medicare three-day stay requirement.
 

 Updates

 
The Unintended Consequences of the “Observation Status” Policy
By Diana Mason, PhD, RN
 
The November 19, 2014, Vol 312, No. 19 edition of the JAMA Forum includes an article by Mason that focuses on the unintended consequences of the observation status policy for patients without Medicare Part B coverage, the hospital, and for skilled nursing care, and highlights four possible improvements to address the issue. READ MORE.
  
MedPAC Meeting on Hospital Short Stay Policy Issues
By Dana Halvorson, AHCA/NCAL Senior Director of Not for Profit & Constituent Services
November 2014

On September 12, 2014, the Medicare Payment Advisory Commission (MedPAC) held a meeting on hospital short stay policy issues, and held another meeting on these issues last Thursday, November 6.  READ MORE.
 
 
 
Hospital Observation Status Consumer Notification Act Passes in PA
By Dana Halvorson, AHCA/NCAL Senior Director of Not for Profit & Constituent Services
October 2014
 
Due to the advocacy efforts of the Pennsylvania Health Care Association/ Center for Assisted Living Management and its members, the PA Senate recently passed unanimously HB 1907 (the Hospital Observation Status Consumer Notification Act). READ MORE.
 
Advocates Encouraged By Political Momentum Behind Observation Stay Reforms
By Bill Myers, Senior Editor, Provider magazine
June 2014

Post-acute care advocates are increasingly “optimistic” that Medicare’s troubling observation stay loophole will be closed—perhaps as early as next year, a top lobbyist tells Provider. READ MORE
  
 
Observation Status Notice State Laws
By Dana Halvorson, AHCA/NCAL Senior Director of Not for Profit & Constituent Services
June 2014

In June 2014, Connecticut Governor Dan Malloy signed into law a bill, HB 5535, which requires hospitals to tell patients whether their stay is classified as “observation status” or as traditional inpatient. READ MORE.
 
 
 

 Press Releases

 
 

 Important Resources

 
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