Medicaid directors propose reforms for fraud-detection programs
By
McKnight's Staff
Jul 03, 2012
State Medicaid directors outlined several different strategies for streamlining collaboration between Medicare and Medicaid antifraud efforts in a June 29 letter to members of the Senate Finance Committee.
Provider group hammers Congressional leadership on lowering provider tax threshold
By
McKnight's Staff
Jun 06, 2012
The American Health Care Association continued its assault Wednesday on a Republican proposal to use Medicaid provider assessments to offset subsidies to the Stafford student loan program.
Sorry, that’s not the full recipe for fixing nursing homes
By
John O'Connor
Jun 04, 2012
The Atlantic’s recent article called ‘How to Fix Nursing Homes’ is a well-written and thoughtful piece. My only gripe is that the headline is a bit of a reach.
Lawmakers should weigh costs associated with dementia when coordinating care for Medicare beneficiaries,...
By
McKnight's Staff
May 17, 2012
As policymakers seek to integrate care for dual eligibles, they need to consider the cost of treating beneficiaries with dementia, new data suggests.
Final rule reduces regulatory burden for long-term care facilities
By
McKnight's Staff
May 11, 2012
A new rule eases the regulatory burden on providers serving Medicare and Medicaid beneficiaries and has the potential to save the healthcare system $100 million in the first year.
Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems
By
Steven Littlehale
Apr 20, 2012
There’s a familiar saying in the industry that “If it’s not documented, then it’s not done.” But what if it is documented, but just not documented correctly?
Low-quality Medicare Advantage plans should expect scrutiny, CMS says
By
McKnight's Staff
Apr 13, 2012
Medicare Advantage plans with fewer than five stars on the quality scale should expect some form of audit, a Centers for Medicare & Medicaid official said this week.
Consumer group cries foul over GOP’s 2013 budget
By
McKnight's Staff
Apr 11, 2012
The fiscal 2013 budget, which was passed in the House, would cause seniors’ healthcare costs to surge and wreak havoc on Medicare and Medicaid, two new reports suggest.
Nursing homes throwing money around
By
James M. Berklan
Apr 11, 2012
Even in generosity, it seems, nursing homes can’t catch a break. The headlines imply as much.
MedPAC worried over managed care plan for dual eligibles
By
McKnight's Staff
Apr 06, 2012
A Medicare advisory panel has expressed concern that automatic enrollment into managed care plans for dually eligible Medicare and Medicaid beneficiaries would harm their access to healthcare.