A Word from the Division Coordinator “The times they are a changin’.” I don’t know who said that first, but I do know I am not the last, the times they are indeed “a changin’.” As a matter of fact, the times have changed. It is “out with the old and in with the new.” But ... Coordinator's Column
Coordinator's Column  |   May 01, 1998
A Word from the Division Coordinator
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Older Adults & Aging / Coordinator's Column
Coordinator's Column   |   May 01, 1998
A Word from the Division Coordinator
SIG 15 Perspectives on Gerontology, May 1998, Vol. 3, 1-4. doi:10.1044/gero3.1.1
SIG 15 Perspectives on Gerontology, May 1998, Vol. 3, 1-4. doi:10.1044/gero3.1.1
“The times they are a changin’.” I don’t know who said that first, but I do know I am not the last, the times they are indeed “a changin’.” As a matter of fact, the times have changed. It is “out with the old and in with the new.” But it remains to be seen if “in with the new” will be for the better or worse. What I’m talking about, of course, are the new payment systems that will drastically affect the way we provide treatment.
As professionals, we are compassionate and committed to providing the highest quality treatment to the clients we serve. We are among the brightest and most dedicated individuals providing services to the aging population. These are words each of us needs to keep in mind. As the Medicare system goes mad, it will take all of our collective energy and ingenuity to do the job that needs to be done under some of the new rulings. April heralds the inauguration of “salary equivalency.” This payment system affects therapists working in long-term care facilities under contract arrangements, but not in house therapists. Very simply put, it means contracted therapists will be paid on an hourly basis, rather than on a fee-for-service basis. Therapists or companies working under contract arrangement will have to renegotiate their contracts. Once the ink is dry on these contracts, system number two kicks in. This is the big one known as the prospective payment system or PPS.
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