Some nursing homes and other providers are engaging in “bad behavior” by trying to persuade people to opt-out of a managed care demonstration project, a top government official recently claimed....
Increase managed care transparency, long-term care providers urge Senators
By
Tim Mullaney
Aug 18, 2014
The government should collect and release more claims information from managed care plans, the nation’s largest long-term care provider association stated in a recent letter to leaders of the Senate...
Expanded meal deliveries could reduce nursing home admissions, but cost benefits vary by state, researchers...
By
Tim Mullaney
Oct 09, 2013
Modest expansions of meal delivery programs could reduce the number of Medicaid beneficiaries in nursing homes, but such a plan would not be cost-effective in every state, according to newly published...
ITUpdate
Apr 01, 2013
» Health information technology helps nursing homes coordinate care and better protect resident privacy, says noted researcher Gregory Alexander, Ph.D., of the University of Missouri’s Sinclair...
Swelling Medicaid rolls have states, providers worried
By
John Hall
Feb 18, 2015
California’s Medicaid-eligible rolls are swelling as part of a nationwide expansion of the program under the Affordable Care Act, a finding that should give other states’ Medicaid agencies...
Proposed hospital payment measures do not consider post-acute care sufficiently, AHCA tells CMS
By
Tim Mullaney
Nov 26, 2014
A potential new Medicare payment measure for hip and knee replacements needs to be revised, or it could limit patients’ access to care, according to the American Health Care Association/National...
Draft bill proposes counting observation stays for SNF coverage, limiting RAC oversight
By
Tim Mullaney
Nov 24, 2014
Hospital observation stays would count toward establishing Medicare eligibility for post-acute services, under comprehensive reforms in a new draft bill from the House Committee on Ways and Means. The...
Government report describes bungled manual review process for therapy claims
By
Tim Mullaney
Jul 12, 2013
There was no timely guidance for therapy contractors from the Centers for Medicare & Medicaid Services, according to a recent report from the Government Accountability Office. That resulted in a struggle...
Misleading data on SNF margins threatens fruitful payment reform, Parkinson warns lawmakers
By
Tim Mullaney
Jul 03, 2013
Lawmakers may have an inaccurate understanding of skilled nursing facility margins based on outdated and partial information, the leader of the nation’s largest nursing home organization is cautioning....
Trump: ‘We’ll see’ if HHS Secretary Price gets fired over use of private jets
By
Sep 28, 2017
President Donald Trump is “not happy” with Department of Health and Human Services Secretary Tom Price, M.D., after reports surfaced criticizing his use of private jets for official travels.