Administration intensifies push to Medicare Advantage, other private plans
By
Danielle Brown
Oct 03, 2019
The Trump administration’s effort to ensure that Medicare doesn’t favor traditional coverage over private insurance plans is a clear indication the government is shifting away from fee-for-service...
Provider advocates split over Labor Department’s new OT threshold
By
Danielle Brown
Sep 24, 2019
Workers earning less than about $35,500 per year will be eligible for overtime pay under the Department of Labor’s final overtime rule — an idea that has skilled nursing advisors split.
Effects of PDPM will be known by first quarter of 2020, HCR ManorCare exec says
By
Danielle Brown
Sep 24, 2019
A top executive for a major skilled nursing company said providers should know by the “first quarter of 2020” how reimbursement will be impacted once the Patient-Driven Payment Model is implemented.
CMS should ensure quality measures actually match strategic objectives, OIG report asserts
By
Danielle Brown
Sep 23, 2019
A federal watchdog wants the Centers for Medicare & Medicaid Services to get better at ensuring its quality measures actually match its strategic objectives aimed at improving care quality and reducing...
Final pre-PDPM updates to RAI Manual released
By
Danielle Brown
Sep 19, 2019
The last big puzzle piece for providers and stakeholders preparing for the transition to the Patient-Driven Payment Model has been put in place.
SNF operator to pay $10K to settle opioid-related disability discrimination allegations
By
Danielle Brown
Sep 17, 2019
The operator of 16 skilled nursing facilities in Massachusetts has agreed to pay $10,000 to settle federal discrimination claims that alleged the provider turned away patients being treated for opioid...
Medicare Advantage I-SNP members more likely to use skilled nursing services
By
Danielle Brown
Sep 15, 2019
Long-term nursing home residents enrolled in UnitedHealthcare’s Medicare Advantage Institutional Special Needs Plans (I-SNPs) are 112% more likely to use skilled nursing services than those with Medicare...
Skilled nursing CFOs less optimistic about ability to compete, remain pessimistic on Medicare Advantage
By
Danielle Brown
Sep 02, 2019
Seventy percent of skilled nursing chief financial officers are optimistic about their organizations’ ability to compete in their local post-acute care marketplaces, according to new insights from investment...
Providers prep as Hurricane Dorian intensifies
By
Danielle Brown
Aug 29, 2019
Long-term care facilities in Florida are in disaster-prep mode as they brace themselves for Hurricane Dorian, which is expected to become a Category 4 storm by the weekend.
Providers appeal for improved quality measures, less duplicate paperwork
By
Danielle Brown
Aug 19, 2019
A major provider advocate appealed to the Centers for Medicare & Medicaid Services’ solicitation for feedback on how to improve its “Patients Over Paperwork”...