New payment models clash with fraud laws; waivers might not be the answer, official says
By
Elizabeth Newman
Nov 21, 2014
Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.
Obama endorses letting Medicare Payment Advisory Commission set payment rates
Jun 08, 2009
The move to empower the Medicare Payment Advisory Committee to enact its own policy proposals gained significant traction last week when President Obama said in a letter to lawmakers that he would be open...
Obama proposes $17 billion in budget cuts, programs for the elderly and poor threatened
May 08, 2009
President Obama on Thursday proposed cuts of $17 billion from his new budget for both discretionary spending and entitlement programs, including Medicare and Medicaid. Various interest groups are expected...
Study debunks long-term care Medicaid ‘myth,’ researchers say
Mar 10, 2009
More individuals are willing to pay privately for long-term care services than previously thought, authors of a new study assert. The result offers both more hope for nursing home providers and a realization...
Report: Nursing home stocks weathering economy OK, but reimbursement concerns loom
Apr 27, 2009
At least a handful of for-profit nursing home companies’ stock values are holding strong, despite an overall shaky economy, a new Dow Jones report notes. The key has been relatively stable Medicare...
Stagnant Medicaid rates aren’t just putting operators faced with outsized staffing costs into the red; in some places, they may be limiting access to the very capital providers need to sustain daily...
Phase 4 PRF award timeline updated
By
Danielle Brown
Nov 22, 2021
Long-term care operators who have applied for Phase 4 Provider Relief or rural COVID-19 relief payments won’t receive the awards until mid-December, after a distribution delay was announced by the Health...
Report: More seniors have three or more chronic conditions
Jan 07, 2009
The prevalence of chronic conditions among Americans is on the rise with many people now saddled with up to three continuing afflictions. Nowhere is the up-tick more noticeable than among the senior citizen...
Federal agencies at odds: Medicare payment error rate much higher than first reported
Aug 27, 2008
The Office of the Inspector General has issued a report claiming that the Medicare payment error rate for durable medical equipment in 2006 was significantly higher than the 7.5% rate claimed by the Centers...
Study reminds providers about the tough prospect of putting up or stepping aside
By
James M. Berklan
Jan 20, 2016
My friend Rich admittedly didn’t know much about the group of school kids he was about to oversee. But as a business manager, he told me he had his own favorite method of ironing out disagreements...