Medicare Advantage: A not-so-advantageous deal for beneficiaries and providers
By
Brendan Williams
Nov 29, 2023
Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell. Those ads must work. For the first time 2024 will see most Medicare...
Congress should require more Medicare claim auditing — before and after payment
By
Kristin Walter
Mar 16, 2018
There is a much more efficient solution to reducing Medicare spending than the proposed broad cuts to the program budget: Reduce the billions of dollars in incorrect payments each year.
What the debate’s entitlement discussion means for LTC
By
Elizabeth Newman
Oct 21, 2016
While I never expected long-term care to be a serious part of discussion within the three presidential debates, the wonky part of my heart still jumped for joy when moderator Chris Wallace asked about...
Nurse ratios to drop
Apr 01, 2008
Oregon Gov. Ted Kulongoski (D) issued a mandate last month to lower the ratio of nurses to residents in nursing homes.
Stuck in the middle, LTC pharmacies could be dangerously squeezed by drug price negotiations
By
Kimberly Marselas
Sep 01, 2023
Any lower drug prices that result from White House efforts to negotiate on behalf of Medicare beneficiaries may lead to short-term gains for nursing homes, but there also could be a steep price to pay...
BREAKING: Federal regulators tout $15M in fines, tripling of ‘Immediate Jeopardy’ citations against...
By
James M. Berklan
Aug 14, 2020
The Centers for Medicare & Medicaid Services announced Friday afternoon that it has levied more than $15 million in fines and tripled the most severe type of citations to nursing homes during the six months...
Surprise Biden order ‘punishing’ for nursing home providers
By
Kimberly Marselas
Apr 19, 2023
An executive order signed by President Joe Biden Tuesday afternoon will trigger broad, cabinet-level activities intended to improve nursing home and other caregiving jobs and hold providers accountable...
President Biden, tear down this wall
By
Stephen A. Moses
Jun 23, 2021
“Socialism in general has a record of failure so blatant that only an intellectual could ignore or evade it.” Thomas Sowell “It is hard to imagine a more stupid or more dangerous way of making decisions...
BREAKING 2: It’s official: Nursing homes must vaccinate employees or lose Medicaid, Medicare funding
By
Danielle Brown
Aug 18, 2021
President Joe Biden announced late Wednesday afternoon that U.S. nursing homes must use workers vaccinated against COVID-19 or risk losing vital Medicare and Medicaid funding.
More than half of nursing homes missing out on PDPM, could lead to deals: expert
By
James M. Berklan
Jan 25, 2021
The federal government’s second-year Medicare payment system for nursing homes continues to be a boon for them, especially under pandemic conditions, but more than half are missing rightful reimbursements.