Baseline proficiency for success with managed care payers
By
Susie Mix
Mar 11, 2024
Setting up a building with proficiencies in working with managed care payers is a key to success at this midpoint of the 2020s. Fifty-one percent of Medicare-eligible Americans are covered by Medicare...
An overdue double-dose of good news
By
John O'Connor
May 06, 2024
You hardly need to be reminded that this has been a tough year for long-term care providers — and we’re barely into May.
The smiling robot
By
Gary Tetz
May 16, 2024
When I was still a prepubescent boy with many questions, never once did my father take me aside and explain how smiles are made. As a result, I’ve always been a terrible smiler, simply because I never...
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
Vision 2025 – where are we now?
By
Steve Chies
Sean Kelly
Mar 22, 2024
In 2019, we set forth a gusty set of goals that marked the “Vision 2025” slogan with which many in the aging services sector are now familiar. From a bird’ s-eye view, our goal was —...
Implementing the federal staffing mandate will do more than just stir the pot
By
Zach Shamberg
May 17, 2024
How’s this for a truly perplexing recipe? Nursing homes are closing, access to care for seniors and adults with disabilities is being restricted, Medicaid reimbursement can’t keep pace with the true...
One more spin around the dance floor before CMS takes its bow
By
Kimberly Marselas
Apr 16, 2024
It’s the annual coming out season for the nursing home brass at the Centers for Medicare & Medicaid Services, who’ve recently been spotted at two provider conferences and filled a whole day’s agenda...
Who counts? A staffing rule conundrum
By
Kimberly Marselas
Apr 25, 2024
Nursing home operators are still missing one key detail needed to complete the complicated mathematical equations that will dominate their planning and spending for the next few years.
The Medicaid LTC snafu
By
Stephen A. Moses
Apr 15, 2024
Long-term care operators were sold a pig in a poke. When Medicaid started paying for nursing home care after 1965, it looked like a pretty good deal. The new revenue stream vastly expanded severely limited...
Who’s easier to beat up on than nursing homes? No one
By
James M. Berklan
Apr 19, 2024
When historians look back on the 21st century, many lessons will be learned. Among them, the importance of maintaining a good reputation and image.