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Kasich continues push for long-term care payment reform

State officials yesterday released a database of Ohio’s 929 long-term care facilities as part of Gov. Kasich’s push to pay nursing homes based on quality standards. (Source: “State releases nursing home database in push for tighter regs,” Columbus Dispatch, May 12, 2017)

Kasich’s proposal was pulled out of the two-year budget last week by the Ohio House, which pushed managed-care reforms back to 2021. But the governor hopes to persuade the Senate to reinsert his proposal.

Kasich advocates for a managed-care system in which nursing homes would be paid more if they provide higher-quality service, while homes providing lower-quality service would be paid less. The administration says that some nursing homes “underperform on critical quality measures in part because the current reimbursement system does not financially reward high quality or quality improvement.”

A separate report released this week by the Scripps Gerontology Center at Miami University showed that Ohio ranked below the national average on all 10 quality measures used to evaluate nursing homes by the federal Centers for Medicaid and Medicare Services.