Will drug price list bring clarity or just transparency?
By
James M. Berklan
May 16, 2018
Centers for Medicare & Medicaid Services Administrator Seema Verma announced Tuesday that her agency will be publishing “Drug Dashboards” to show the public how much drug prices covered by...
Proof of the value of palliative care consultations
By
James M. Berklan
Sep 21, 2016
Everybody’s looking for win-win scenarios, especially in healthcare. Because of such tight operating margins, that goes double for long-term care. That’s what makes some of the newest palliative...
Why providers aren’t elated about new pay-for-quality goals
By
James M. Berklan
Jan 28, 2015
You can forgive long-term care providers if they weren’t outwardly jumping for joy at Monday’s announcement that Medicare is going to start paying for quality, and not quantity, of services.
Upon further review, some of CMS’s latest proposal isn’t so grand
By
James M. Berklan
Jul 16, 2021
As is so often true with complex government regulations, the devil is lurking in the details of the proposed 2022 Medicare Physician Fee Schedule rule.
Back to where it all began with PDPM: Therapy
By
James M. Berklan
Sep 17, 2019
We return to the question again today: What’s going to happen with therapy under the Patient-Drive Payment Model?
Government funding showdown includes special LTC drama
By
James M. Berklan
Jan 19, 2018
As drama rages over whether Congress will allow the federal government to grind to a halt Friday night due to a funding tug-of-war, long-term care providers will anxiously watch to see if a repeal of Medicare...
Your money’s no good here
By
James M. Berklan
Mar 01, 2017
I’d say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.
First the police, now it’s long-term care’s turn to face ‘defunding’ calls
By
James M. Berklan
Sep 10, 2020
With the coronavirus wreaking havoc on the public in general, and nursing homes in particular, provider critics are coming out of the woodwork. Often with Ph.D. in hand.
For nursing homes, a dangerous game of chicken
By
James M. Berklan
May 03, 2024
As many have noted, the federal government’s first-ever nursing home staffing mandate can be a very dangerous thing. Just maybe not for the reason that many have been portraying.
Fogg clears the air on skilled nursing ‘tailwinds’
By
James M. Berklan
Oct 26, 2023
The headwinds for skilled nursing operators are significantly more numerous than the potential tailwinds, but there are reasons for provider optimism.