People seeking Medicaid coverage for long-term care are subjected to differing asset-verification checks among the states, a new report finds.
Claims facing more scrutiny from auditors, survey shows
By
James M. Berklan
Oct 01, 2012
If providers feels like they’re under more intense scrutiny than ever before from Medicare recovery audit contractors, there is a good reason: They are.
Pay-for-performance test run yields mixed results: report
By
James M. Berklan
Sep 01, 2012
An Affordable Care Act provision testing pay-for-performance incentives faces an uncertain future after a federal demonstration program testing it has so far brought “disconcerting” results.
Report: States headed for Medicaid funding upheaval
By
James M. Berklan
Aug 01, 2012
Regardless of whether states choose to expand Medicaid under healthcare reform law, they are facing huge fiscal crisis conditions, largely due to rising healthcare costs and government pension obligations,...
Court curtails union fees
By
James M. Berklan
Aug 01, 2012
The U.S. Supreme Court came down against organized labor recently in a 7-2 ruling that opens the door for objections to unexpected fee increases or special assessments.
A “punt” by the U.S. Supreme Court left long-term care providers breathing a deep, maybe temporary, sigh of relief regarding California’s proposed Medicaid funding cuts.
A post-acute common pay system possible, CMS says
By
James M. Berklan
Mar 01, 2012
Federal researchers believe a common evaluation and payment model for three types of post-acute care could be up and running in the not-so-distant future. The key might be patient acuity measures that...
Bundled payment initiative for providers coming: CMS
By
James M. Berklan
Oct 01, 2011
Post-acute care providers will be among those affected under a new initiative that will provide bundled Medicare payments.
Higher regulatory demands, money for hospice providers
By
James M. Berklan
Sep 01, 2011
When others were sweating out funding threats or declines, hospice providers were able to enjoy the announcement of a 2.5% rise in Medicare payments for fiscal 2012. The Center for Medicare & Medicaid...
Poll: IPAB best of options
By
James M. Berklan
Aug 02, 2011
In contrast to providers’ preference, more Americans want an independent payment board to make decisions about Medicare spending, rather than leaving the current system as is.