CMS urges states to link accountability, Medicaid funding
By
Kimberly Marselas
Aug 23, 2022
While providers largely agreed with Monday’s new federal call for states to tie increased Medicaid funding to accountability, they remained concerned about what that could mean for nursing homes in states...
Providers ‘on notice’ as CMS pressures states to shift Medicaid pay metrics
By
Kimberly Marselas
Nov 10, 2022
Providers still struggling to accurately capture diagnoses that drive federal reimbursement will be doubly left behind as more states start to use Patient Driven Payment Model-like systems to determine...
Expansion drove thousands of new Medicaid patients to nursing homes, but do they belong?
By
Kimberly Marselas
Sep 23, 2021
Medicaid expansion increased access to nursing home care for people younger than 65, but it’s unclear whether those patients would have been treated more adequately in other post-acute settings.
New insurance frontier may be opening to well-positioned providers
By
Kimberly Marselas
Nov 11, 2022
Analysts say an approaching regulatory transition presents a key opportunity for more skilled nursing providers to participate in and potentially offer special needs plans designed for dual-eligible individuals.
Colliding factors threaten to ‘muddy’ state Medicaid reimbursement
By
Kimberly Marselas
Oct 04, 2023
Several converging factors could make the next few years especially complicated for state Medicaid systems, with the potential for new cost-setting strategies to affect providers from coast-to-coast.