Groups tout payment plans; Pallone promises legislation
By
John Hall
Apr 04, 2016
Several organizations have weighed in on how to finance long-term care services and supports for more than 12 million Americans, leading a Congressional committee to push toward a possible legislative...
CMS: Regional spending is a better benchmark for ACOs
By
John Hall
Mar 04, 2016
The government hopes to encourage accountable care organizations to extend their participation in performance-based risk arrangements by offering a new way to include payments based on regional spending...
Rise in improper payments
By
John Hall
Jan 04, 2016
Improper payment levels continue dogging the Centers for Medicare and Medicaid Services, which announced they rose significantly last year for both health programs. Additionally, the agency reported that...
MedPAC begins working on unified post-acute pay plan
By
John Hall
Nov 05, 2015
The Medicare Payment Advisory Commission is devising a plan that would pay skilled nursing facilities, inpatient rehabilitation facilities, home health agencies and long-term care hospitals under a unified...
Managed care: Fear awaits
By
James M. Berklan
Jul 06, 2015
The White House Office of Management and Budget review has passed an ambitious new policy that could radically overhaul the Medicaid managed care system.
Providers challenge proposal that adjusts payments, care
By
John Andrews
Jun 05, 2015
Providers in the post-acute care sector seem to be united in wanting BACPAC to take a hike.
Patient CARE Act is probed
By
John Andrews
Jun 05, 2015
Because it does not allow for states’ consent, the proposed Medicaid Patient CARE Act block-grant program likely will be considered unconstitutional, say two public policy authorities.
RAC battles move forward
By
Amy Novotney
Apr 06, 2015
The debate over whether Recovery Audit Contractor audits are an incentive-laced system of provider harassment or a necessary tool to redistribute misspent Medicare funds continues. Neither side appears...
CMS should push Congress on therapy rate upgrades: AHCA
By
Tim Mullaney
Nov 01, 2014
The Centers for Medicare & Medicaid Services should openly urge Congress to change therapy reimbursement, the nation’s largest long-term care provider association stated in recent written comments...
Panel slams fee for service
By
Amy Novotney
Jul 01, 2014
The predominance of fee-for-service payment methods is the greatest barrier to improving efficiency in the nation’s healthcare system, according to a May 29 report from a panel of White House advisors....