There’s been a lot of talk lately about what constitutes “comprehensive” health insurance coverage — and long-term care notably has not been part of this national conversation.
CMS issues notice of sanctions to Medicare Advantage insurer
May 19, 2010
The Centers for Medicare & Medicaid Services this week informed Medicare Advantage insurer Quality Health Plans of its intent to impose intermediate sanctions and a civil monetary penalty (CMP) on the...
8.5% payment boost to Medicare Advantage plans ‘clear signal of support’ from CMS: expert
By
Danielle Brown
Apr 06, 2022
The 8.5% boost in average revenue slated for Medicare Advantage plans in 2023 is proof of the Centers for Medicare & Medicaid Services support of the program and could mean improved payment for post-acute...
Government would pay seniors to create advanced directives under Senate bill
By
Tim Mullaney
Apr 16, 2014
Medicare beneficiaries would be paid to create advance directives and store them in an easy-access system if a recently proposed Senate bill were to become law.
With managed care poised to ‘explode,’ operators try to grasp control with alternatives
By
Kimberly Marselas
Jan 07, 2022
Providers struggling with everyday expenses and reimbursement rates that have largely failed to keep up with the costs of care plan to pursue a broad range of new revenue streams this year. That’s according...
House committee subpoenas HHS over Medicare Advantage demonstration project
By
McKnight's Staff
Oct 23, 2012
Rep. Darrell Issa (R-CA) and other House Republicans issued a subpoena Monday to gain access to documents related to an Affordable Care Act Medicare Advantage demonstration project.
Coordinated care programs: A lifeline for patients and your facility
By
Ronald Shumacher, M.D.
May 08, 2014
If you serve elderly populations in a long-term care or nursing facility, you have my respect — for the compassion you bring to work each day and the challenges you must face.
Centers for Medicare & Medicaid Services Administrator Donald Berwick surprised lawmakers Thursday when he reported better-than-expected Medicare Advantage enrollment numbers. In just his second occasion...
GAO: Medicare spent $48 billion on improper fee-for-service payments
Jul 29, 2011
The federal government spent nearly $48 billion on improper Medicare payments in 2010 according to a new report from the Government Accountability Office. The report was released just prior to a House...
CMS rule changes aim to increase telehealth access for Medicare Advantage beneficiaries
By
Danielle Brown
May 26, 2020
Changes under a recent final rule encourage Medicare Advantage plans to increase their telehealth benefits and plan options for beneficiaries in rural areas.