Understanding facility, peer data called crucial to better Medicare Advantage negotiations
By
Josh Henreckson
Mar 27, 2024
Nursing homes have historically had little leverage in negotiations with Medicare Advantage plans, even as MA has come to cover an ever-larger number of skilled nursing beneficiaries.
Race, ethnicity help determine which controllable risk factors for dementia have biggest impacts
By
Kristen Fischer
Jan 18, 2024
Controllable risk factors that factor into Alzheimer’s or dementia cases play varying roles based on someone’s race and ethnicity, a new study shows.
Nursing homes targeted for more oversight, despite state’s ‘chronically underfunded’ facilities
By
Josh Henreckson
Mar 04, 2024
The tug of war between nursing home patient advocates and long-term care providers continued last week as a leading Rhode Island advocacy group threw its support behind a pair of bills that would tighten...
Consumer advocates call for more CMS audits of nursing homes over related-party activity
By
Josh Henreckson
Feb 09, 2024
A new consumer advocacy report is calling on the Centers for Medicare & Medicaid Services to increase its scrutiny of nursing homes and their business dealings with related-party companies.
When it comes to unions, representation and power aren’t in lock step
By
Kimberly Marselas
Jan 23, 2024
Is union power on a downswing? As ever, the answer may depend on who you ask, or how you do the math.
After 15 years of trims, provider groups say middling Medicaid increase won’t cut it
By
Josh Henreckson
Nov 22, 2023
After 15 years of Medicaid reimbursement cuts, a group of providers says a cost-of-living increase is not enough to address compounding funding issues that threaten the quality of healthcare.
Expand early hospital-to-post-acute transfer payments to save millions: OIG
By
Kimberly Marselas
Oct 12, 2023
Expanding the types of conditions for which hospital patients can be discharged early to post-acute care, forgoing full prospective payment, could save the Medicare system millions of dollars annually,...
MedPAC member: Give Congress more on nursing home staffing mandate implications
By
Kimberly Marselas
Jan 12, 2024
The likely costs of complying with a federal staffing mandate will affect nursing home margins so “massively” that a Congressional advisory board should offer alternative payment guidance for the sector,...
Tech guru Scott Code makes connections early
By
Alicia Lasek
Sep 11, 2023
Scott Code has seen firsthand how digital technology can help support long-term care providers and keep seniors engaged.
Arbitration order ruled invalid in COVID wrongful death case. That could be trouble for nursing homes:...
By
Josh Henreckson
Feb 06, 2024
An appellate court judge has ruled that a plaintiff who filed a wrongful death case on behalf of her mother was not bound by an arbitration agreement she had signed in her role as power of attorney.