CMS showing confidence in managed care plans’ fraud-prevention efforts
By
John Hall
Jun 01, 2015
Medicaid managed care plans would be limited to fraud prevention expenditures of 0.5% of premium revenue when calculating medical loss ratios, signaling high confidence from federal regulators that such...
CMS to more closely oversee finances of QIOs
By
Haymarket Media
Sep 07, 2006
The Centers for Medicare & Medicaid Services is taking actions to enhance the ethical standards and effectiveness of quality improvement organizations (QIOs).
Having my say: Not so fast with drugs
Apr 01, 2011
Susan Janeczko, Director of LTC Regulatory and Policy Affairs, National Community Pharmacists Association
States say feds should pick up the tab on Medicaid expansion
Sep 28, 2009
The federal government should assume the full cost of any Medicaid expansion under healthcare reform because of the enormous costs to individual states. That is according to an organization of state legislatures...
CMS lists poor performing nursing homes on consumer Web site
Apr 25, 2008
Federal regulators’ “Nursing Home Compare” Web site now lists facilities that rank in the lowest 10% in quality based on state inspection results, the Centers for Medicare & Medicaid...
60 Seconds with … Amy Stewart
Nov 05, 2016
Where should nursing leadership start with the new final rule?
Institute of Medicine checklist offers healthcare IT guidance
By
John O'Connor
Jul 05, 2012
Healthcare executives should have a full understanding of the benefits of healthcare information technology as a means for improving outcomes and lowering costs, new guidelines recommend.
This freeze plainly brings you a chilling proposition
By
James M. Berklan
May 02, 2011
News that nursing home ratings would be frozen on the federal website for consumer research for six months drew a lot of interest from providers when regulators’ plans were announced this spring....
Why managed care is good for long-term care
By
Joseph Healy
Sep 01, 2012
New York is embarking on a historic reform effort to overhaul our state’s Medicaid program — for years it has ranked among the nation’s largest and most expensive of its kind — by requiring...
Nursing home rankings, once hidden from public, reveal poor picture of VA care
By
Marty Stempniak
Jun 19, 2018
The federal government has hidden poor quality ratings at Veterans Affairs nursing homes from the public, according to a high-profile report, issued Monday.