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Boren Amendment on Reimbursing Arizona Nursing Homes


Arizona nursing homes were reimbursed at the annual policy meeting in March of the American Association of Homes and Services for the Aging (AAHSA), an offer with a much different perspective on the future of the arranged Boren Amendment. Apparently eliminating the Boren Amendment is the only common feature among the Medicaid reforms brought up by Congress. The Amendment that ensures the reimbursement for nursing homes in Arizona seems very unpopular with the federal government and will probably not survive the next wave of rewrites for Medicaid.

The situation may not be as bad as it seems, as the proposal from the Republicans would have eventually eliminated all private rights that coincided with Medicaid, including patients rights to good quality care and the providers having the right to be reimbursed fairly, the proposal was harsh: while Arizona assisted living facilities would lose the right to sue for fair reimbursement, residents can still file a class action suit in state courts. The Clinton Administration said that it would like to hold on to the objectives of the Boren Amendment, but does not agree that the language of the Amendment does not stand in the way of their goal to inspire managed aid for older patients eligible for Medicaid and Medicare. It has been said that the Amendment is not needed to safeguard interests of patients and their providers if Medicaid stays an entitlement. Although, other regulations would make states provide reimbursements that are needed in order to keep up with quality care.

It has also been suggested that the Boren Amendment was definitely responsible for irrational suits and considerable legal costs that hurt not only the states but long-term care providers. This stance did not succeed to convince attendees of Arizona retirement communities. Some even challenged the assumptions, saying that there was no assurance of any minimum level of quality care because of differences in states' interpretations of OBRA. The argument was then turned around, showing that the Boren Amendment's demand for reimbursement for "effective and efficient" care did not have a definition that was accepted nation wide, meanwhile OBRA enforcement provisions put into effect in the past provided some hard standards for quality.

There was also skepticism about the credibility of the Administration's views and the values of "flexibly-administered" managed care, this was further fueled by a remark said that "managed care is inexperienced with frail elderly and disabled patients." It was also said that states have used types of waivers to convince the use of managed care have began to increase the amount of people eligible for help, but have managed to cut costs often by cutting back on the level of service and the number of available providers. It was also noted that Oregon's Medicaid reform was having trouble with not enough financing due to "property tax limitations," and that Tennessee's TennCare program had the greatest success by putting limits on costs after almost half of all health care provider would not participate.

Arizona nursing homes and their long term care program was not a good thing for administrators. When Arizona created the Medicaid reimbursement for long-term care, it eliminated some requirements that assisted living facilities need. Now, nursing homes are working hard to improve their facilities in order to accommodate the needs of their patients.

You can find the best Arizona nursing homes, according to government tests and regulations, by searching our database today!

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