After dry spells, providers get vital Medicaid increases. Now the big fear: Will they be ‘1-and-done’?
By
Jessica R. Towhey
Kimberly Marselas
Jun 12, 2023
As Medicaid negotiations successfully continue in various states, worries are already arising about how to sustain increases
It’s not easy being the designated villain
By
John O'Connor
Feb 20, 2023
Let’s face it, you have one mega-sized target on your back if you run a nursing home. One that people in most other fields never have to worry much about.
CMS: Expect final nursing home staffing rule this year
By
Kimberly Marselas
Jan 23, 2024
The Centers for Medicare & Medicaid Services plans to finalize its minimum staffing rule for nursing homes during 2024, an official confirmed Tuesday during a national stakeholder call.
CMS eyeing PDPM case-mix additions, changes
By
Kimberly Marselas
Apr 24, 2023
Federal regulators are weighing changes to the three-year-old Patient Driven Payment Model to account for missed opportunities — and potentially inappropriate coding choices — a top Medicare official...
No longer the CMS boss, Verma sounds more like provider friend than foe
By
James M. Berklan
Nov 03, 2023
Dwell on the past too much at your own peril, but providers could be forgiven if Seema Verma had them fondly looking back Wednesday.
Medicare Advantage plans forcing providers to take ‘optional’ payment reductions
By
Kimberly Marselas
Nov 15, 2022
Many skilled nursing providers are still underusing Interim Payment Assessments under the nascent Patient Drive Payment Model, but one new pressure is driving some to submit those extra patient evaluations...
PEPPER’s pause doesn’t wipe out prospects for nursing home self-monitoring
By
Kimberly Marselas
Feb 06, 2024
Federal regulators have suspended a key tool used by some nursing homes for internal auditing, but experts cautioned providers not to let the stoppage hinder their compliance efforts.
BREAKING: New CMS ownership proposal targets private equity, REITs and related parties
By
Kimberly Marselas
James M. Berklan
Feb 13, 2023
The Department of Health and Human Service this afternoon proposed a new nursing home ownership disclosure rule intended to make more clear ownership and management operations of facilities.
House report attacks, nursing homes fight back over allegations of deficient staffing, care and safe...
By
James M. Berklan
Sep 22, 2022
Congressional investigators pinned for-profit skilled nursing operators into a corner Wednesday, releasing a scathing report describing “dire” conditions caused by alleged lack of preparation and mismanagement...
CMS outlines 4-pronged minimum staffing study
By
Kimberly Marselas
Aug 23, 2022
The Centers for Medicare & Medicaid Services on Monday revealed more details about how it will use nursing home site visits, data and other tools to formulate a minimum staffing standard, one that is meant...