RAC groups battle provider plea for short-stay payment relief
By
John Hall
Feb 19, 2015
Third-party firms that audit Medicare bills for payment issues are pushing back hard against a hospital association plea for more favorable short-stay reimbursements, adding to the ongoing unwelcome specter...
Nursing home groups support ‘doc fix’ bill
By
Elizabeth Newman
Mar 24, 2015
Leaders of the nation’s two largest long-term care associations spoke favorably Monday about a bill that would improve Medicare physician pay rates while moderately restricting LTC pay. In fact,...
New Medicare ACO to be unveiled soon
By
John Hall
Mar 02, 2015
The government’s top health insurer has announced that providers could get a first look at a new type of Medicare accountable care organization this month. It has been modeled closely after a controversial...
No easy solution ahead for LTC funding dilemma
By
James M. Berklan
Jan 15, 2008
The year-end scramble for Medicare and Medicaid dollars ended with a bang — and the usual whimpers from various provider interests. There were winners on one side, losers on the other. And then there...
Person-centered care pushing aside nonsense
By
James M. Berklan
Sep 06, 2017
I found it stunning when I recently read that more than a half million people had taken advantage of new Medicare coverage that pays for end-of-life discussions with their doctors. And there was hardly...
First-ever CDC report: Nursing homes provide most long-term care nationwide, alternative settings gain...
By
Tim Mullaney
Dec 13, 2013
Nursing homes still account for the vast majority of long-term care services available in the United States despite policies meant to encourage home- and community-based care, according to a new government...
Federal proposal would permanently expand some Medicare telehealth services
By
Danielle Brown
Jun 15, 2021
Medicare nursing home residents would keep their access to some telehealth flexibilities adopted during the COVID-19 pandemic long after the public health crisis is over under a new proposal from a bipartisan...
Experts propose new Medicare payment model that emphasizes collaboration between nursing homes, hospitals
By
Danielle Brown
Nov 19, 2021
Post-acute care facilities could benefit from a new, comprehensive care payment model that would reimburse providers through collaborations with hospitals that aim to improve care and outcomes for residents,...
Regulators go overtime fielding comments and questions on nursing home star-rating system
Jun 25, 2008
While the focus of regulators’ “Open Door Forum” conference call Tuesday might have first appeared to be about getting ready for the December rollout of a new nursing home ranking system,...
Physical therapy group opposes proposed 3.6% reimbursement cut
By
Kristen Fischer
Sep 14, 2023
The Alliance for Physical Therapy Quality and Innovation (APTQI) called on the Centers for Medicare & Medicaid Services to revisit its Medicare doctor fee proposal for next year, saying the changes could...