The White House Office of Management and Budget review has passed an ambitious new policy that could radically overhaul the Medicaid managed care system.
CMS to toughen website
By
James M. Berklan
May 02, 2011
Federal regulators are undertaking major changes to the Nursing Home Compare website and will continue to do so for five more months, officials said.
A post-acute common pay system possible, CMS says
By
James M. Berklan
Mar 01, 2012
Federal researchers believe a common evaluation and payment model for three types of post-acute care could be up and running in the not-so-distant future. The key might be patient acuity measures that...
New ACO designed to better serve dual eligibles strategy
By
James M. Berklan
Jan 06, 2017
The Centers for Medicare & Medicaid Services announced Dec. 15 it was starting an ACO pilot program aimed at beneficiaries enrolled in both Medicare and Medicaid.
Fix flaws before changing nursing home pay: AHCA says
By
James M. Berklan
Aug 01, 2013
The Centers for Medicare & Medicaid Services should consider a higher market basket update for nursing homes due to improper calculations that could be costing providers, the American Health Care Association...
New bid may be underway to foster Medicaid block grants
By
James M. Berklan
Feb 05, 2019
The administration is considering sidestepping Congress to make another run at using state block grants to pay for Medicaid funding, according to a published report.
Providers rip huge backlog of therapy claims reviews
By
James M. Berklan
Jan 01, 2014
A provider-sponsored survey recently uncovered huge backlogs of therapy claim reviews for beneficiaries who exceeded the Medicare Part B caps limits.
Washington owes Medicaid programs $4 billion, govs say
By
James M. Berklan
Aug 02, 2011
With federal lawmakers trying to figure out ways to cut expenditures, balance the budget and reduce the national deficit, funding to states — and healthcare providers in particular — has frequently...
Proposed 9% therapy pay cut has providers up in arms
By
James M. Berklan
Sep 01, 2020
Provider advocates have warned that the Trump administration’s proposed 9% Medicare payment cuts for physical and occupational therapy could send some companies out of business.