Does the Centers for Medicare & Medicaid Services need its own Barney Fife to set its house in order? Some seem to think so.
Keep the village — he recommends a system
By
James M. Berklan
May 26, 2016
If the figures represented a stock chart, David Gifford would be not only a happy man but also a very rich one. The numbers and performance both show upswings. But they don’t reflect a stock’s...
Claims facing more scrutiny from auditors, survey shows
By
James M. Berklan
Oct 01, 2012
If providers feels like they’re under more intense scrutiny than ever before from Medicare recovery audit contractors, there is a good reason: They are.
Nursing homes get a third of a billion dollars for meeting infection control standards
By
James M. Berklan
Oct 29, 2020
Nursing homes may be seeing a rise in COVID-19 infections as cases in many areas of the country are resurging, but providers now know that, no matter what, they will be rewarded for safer performances...
New bid may be underway to foster Medicaid block grants
By
James M. Berklan
Feb 05, 2019
The administration is considering sidestepping Congress to make another run at using state block grants to pay for Medicaid funding, according to a published report.
ACOs overreach authority?
By
James M. Berklan
Feb 05, 2019
Providers have professed gratitude for recent federal proposals to improve accountable care organizations’ design and operation. But efforts to limit healthcare utilization should be scrapped, said the...
New Jersey’s real giants?
By
James M. Berklan
Feb 08, 2012
What a week for New Jersey. It started with the pro football team that has its roots there winning the Super Bowl, and it’s going to end with a first-in-the-nation effort by the state’s assisted...
Providers have low hopes for better reimbursement
By
James M. Berklan
Mar 09, 2004
Long-term care providers may find themselves in a situation this year where no news is good news regarding reimbursement.
Then again, they probably aren’t really going to have much of a choice: In...
Deeper Medicaid cuts reportedly in Senate health bill
By
James M. Berklan
Jun 22, 2017
Senate Majority Leader Mitch McConnell (R-KY) planned to share on Thursday morning a so-called “discussion draft” of a health reform bill that is likely to cause long-term providers a lot of...
Linking quality, payments
By
James M. Berklan
Feb 11, 2004
Long-term care players will be showing a little more interest than usual in inpatient hospital happenings this year.
Hospitals have embarked on a project that will pay better-performing facilities more...