CDC to replace 5-day COVID isolation guidelines, bring closer to flu guidelines … Updated COVID vaccine rates flagging in nursing homes for both residents and staff … 2 million Texans removed from...
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.
The federal Medicaid bait and switch
By
Stephen A. Moses
Nov 06, 2023
It was supposed to work like this. When people need long-term care, they pay privately until they’re impoverished. Then and only then Medicaid helps. To avoid that outcome, people were urged to save...
New state staffing mandate the last straw for 137-year-old rural nursing home
By
Josh Henreckson
Nov 17, 2023
After providing care in three different centuries, Lutheran Home and Rehabilitation Center is closing its doors due to regulatory and funding pressures.
A key Medicaid advisory body appears ready to recommend new appeal opportunities for millions of Managed Medicaid beneficiaries and to add more oversight to better ensure plans cover medically necessary...
Fasten your seatbelts: It MIGHT be a bumpy ride
By
Steven Littlehale
Oct 13, 2023
It’s been a flurry of activity leading up to the implementation of the “new MDS.” For months our industry has been doing what we do best — rising to the occasion. Countless MDS training sessions,...
The Medicaid LTC snafu
By
Stephen A. Moses
Apr 15, 2024
Long-term care operators were sold a pig in a poke. When Medicaid started paying for nursing home care after 1965, it looked like a pretty good deal. The new revenue stream vastly expanded severely limited...
Nursing home that took in dozens after local closure now fears for its own health
By
Josh Henreckson
Jan 26, 2024
The high cost of caring for skilled nursing patients is squeezing finances at Upstate New York’s Heritage Ministries after it took in a majority of residents from the closing Lutheran Home and Rehabilitation...
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
CMS finalizes rule streamlining Medicaid enrollment and renewals
By
Josh Henreckson
Mar 28, 2024
Federal officials on Wednesday issued a new final rule that helps seniors better navigate the Medicaid enrollment process, and that’s likely very good news for long-term care providers.