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Lawmakers may have an inaccurate understanding of skilled nursing facility margins based on outdated and partial information, the leader of the nation’s largest nursing home organization is cautioning....
Therapy whistleblower suit allowed to proceed in MN
By
McKnight's Staff
Mar 01, 2012
An occupational therapy assistant will be able to move forward with a lawsuit against her former employer over what she says were fraudulent therapy claims.
Healthy info exchange between providers found to cut readmissions
By
Marty Stempniak
Feb 08, 2019
A new study further confirms what the field has suspected — efficiently exchanging health information between nursing facilities and other providers helps to reduce costly readmissions back to the hospital.
Federal report recommends killing certificates of need for nursing homes
By
Marty Stempniak
Dec 05, 2018
A new federal report is suggesting getting rid of certificate of need requirements for nursing homes to help fuel more choice and competition in the field.
Kindred shareholders approve sale to Humana
By
Marty Stempniak
Apr 06, 2018
Another milestone was reached Thursday on the road to combining two healthcare behemoths, one of them a former skilled nursing giant.
AHCA, federal officials spar in arbitration lawsuit briefs
By
Nov 04, 2016
The American Health Care Association and the Department of Health and Human Services hashed out their arbitration-related arguments in two briefs recently filed in support of their legal battle over pre-dispute...