Nursing homes blamed for high opt-out rates in dual eligible demo
By
John Hall
May 18, 2015
Huge numbers of dual-eligible beneficiaries are leaving a demonstration project that hopes to improve payments for people eligible for both Medicare and Medicaid.
Medicaid provider payments are seriously hindered by limited data and “unclear policy,” according to a new report to Congress that calls for greater oversight at numerous government-owned facilities...
GAO: Small percentage of Medicaid beneficiaries costing much more
May 11, 2015
The Government Accountability Office last week released findings showing 5% of Medicaid-only eligible enrollees accounted for nearly 50% of the billions of government dollars paid in Medicaid-only eligible...
Playing fast and loose with Medicaid termination
By
Elizabeth Newman
May 04, 2015
There are many benefits to communicating to your cohorts in neighboring states, and not the least of it may be knowing when a provider is kicked out of Medicaid.
Nursing home association wants no part of Medicaid managed care
By
John Hall
Apr 23, 2015
Managed care is not being warmly embraced by long-term care providers everywhere. Nearly 40 states are in various completion phases of transitioning to privatized Medicaid managed care systems, but Louisiana’s...
What will it cost you to stay in the post-acute care game?
By
Steven Littlehale
Apr 22, 2015
More than just collecting data, providers need to use standardized, nationally recognized measures. Especially in this era of ACOs and alternative payment models. In the past, many individual providers...
Budget cut-hungry GOP walks fine line, eyeing 2016 elections
By
John Hall
Apr 21, 2015
House and Senate Republican lawmakers began working on a budget this week that could propose slashing Medicare and Medicaid in an effort to work toward a balanced budget without fiddling with tax rates,...
Medicaid expansion a boon for early adopters: Report
By
John Hall
Apr 09, 2015
A new report produced for the prestigious Robert Wood Johnson Foundation concludes that Medicaid expansion provides a “win-win” for participating states and the government.
Medicaid IT systems need quality check: GAO
By
John Hall
Mar 04, 2015
A new report to Congress casts significant doubts on the integrity and effectiveness of information systems many state Medicaid programs use to process claims, and CMS has agreed with it its recommendation...
NAACP: Medicaid expansion would negate lost subsidies in NC
By
John Hall
Mar 04, 2015
The NAACP is pushing hard for lawmakers to approve Medicaid expansion efforts in North Carolina to give half a million state residents an alternative should they lose private insurance subsidized by the...