CMS proposal offers long-awaited fix for Medicare Advantage appeals
By
Kimberly Marselas
Nov 08, 2023
Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.
CMS outlines 4-pronged minimum staffing study
By
Kimberly Marselas
Aug 23, 2022
The Centers for Medicare & Medicaid Services on Monday revealed more details about how it will use nursing home site visits, data and other tools to formulate a minimum staffing standard, one that is meant...
Warning on staffing minimum: Studying costs won’t matter if pay doesn’t add up
By
Kimberly Marselas
Aug 30, 2022
Cost analysis will be “an important part” of a final report on federal minimum staffing standards, the head of a national study assured nursing home stakeholders Monday.
Federal COVID cases with major LTC implications headed for November action
By
Kimberly Marselas
Oct 28, 2022
Two cases that could play a pivotal role in determining how well skilled nursing providers are protected by a federal COVID shield law are headed for important federal court dates.
‘We will not go back’ to early pandemic restriction, CMS leader says
By
Kimberly Marselas
Joe Bush
Oct 17, 2022
Promoting a return to normalcy, a top CMS official said Sunday that nursing homes will not return to the stringent isolation policies of the early pandemic.
BREAKING: Congressional study eviscerates for-profit nursing homes
By
Kimberly Marselas
Sep 21, 2022
Dire conditions inside for‑profit nursing home chains contributed to deadly, early-pandemic conditions inside facilities, while “convoluted corporate structures” may have helped companies “obscure...
PACS reveals strategy behind its move to go public
By
Kimberly Marselas
Mar 15, 2024
PACS Group this week filed to become a publicly traded company, a move the giant long-term care company is promising will allow it to add to its explosive growth in coming years.
Unfunded staffing mandate’s financial requirements a ‘fantasy,’ observers say
By
Kimberly Marselas
Sep 05, 2023
Though a costly national nursing home staffing mandate proposed Friday offers no new financial support for operators, it could trigger more reporting requirements as the federal government tries to spur...
As CMS tightens vise on Medicare Advantage, providers argue for even more help
By
Kimberly Marselas
Feb 15, 2023
Forty-five days after proposing changes that attempt to rein in some of the most-criticized practices of Medicare Advantage plans, federal officials now must filter through nearly 1,000 formal comments.
BREAKING: CMS proposes 3.7 percent nursing homes pay boost; no details on staffing minimum
By
Kimberly Marselas
Apr 04, 2023
The Centers for Medicare & Medicaid Services Tuesday proposed a 3.7% pay hike for nursing homes but declined to issue a staffing minimum as part of its annual payment rule proposal. The agency said it...