MedPAC worried over managed care plan for dual eligibles
By
McKnight's Staff
Apr 06, 2012
A Medicare advisory panel has expressed concern that automatic enrollment into managed care plans for dually eligible Medicare and Medicaid beneficiaries would harm their access to healthcare.
CMS awards 26 states with Medicaid audit contracts
By
McKnight's Staff
Apr 02, 2012
Contracts for Medicaid recovery audit contractors (RACs) have been awarded to 26 states, government officials have announced.
New SNF business models and alligators
By
John O'Connor
Apr 02, 2012
There’s an old adage that goes something like this: It’s hard to remember that your objective was to drain the ditch when you are up to your waist in alligators.
The real reason why the Supreme Court will trounce Obamacare
By
John O'Connor
Mar 30, 2012
I’m not sure why so much hand wringing is taking place over the Supreme Court’s future decision about Obamacare. For as they like to say in Chicago, the fix is in.
CMS clarifies Medicaid eligibility requirements under the Affordable Care Act
By
McKnight's Staff
Mar 19, 2012
The Centers for Medicare & Medicaid Services announced a final rule clarifying eligibility and income standards for the expansion of Medicaid under the Affordable Care Act.
MedPAC mulls bundled payments, changes to therapy cap exceptions process
Mar 13, 2012
The bundling of payments to post-acute providers and an overhaul of the therapy caps exception process were just two of the Medicare changes that the Medicare Payment Advisory Commission (MedPAC) floated...
A good first step but more to do with MDS 3.0
By
Leah Klusch, RN, BSN, FACHCA
Mar 07, 2012
It was a long first day, but there was tremendous value and everyone who is here has learned what the Centers for Medicare & Medicaid Services’ positions are with the April updates and some of the...
Providers warn that block grants would hinder state Medicaid budgets
By
McKnight's Staff
Mar 06, 2012
A prominent long-term care group is joining several Republican governors in saying that that block grants wouldn’t work for their state Medicaid budgets.
Affordable Care Act authorizes $3 billion to keep elderly and disabled out of nursing homes
By
McKnight's Staff
Mar 02, 2012
The Affordable Care Act has freed up $3 billion in grant money available to states looking to keep elderly and disabled individuals out of long-term care institutions.
Federal officials crack $375 million home healthcare fraud scheme
By
McKnight's Staff
Feb 29, 2012
Federal officials have brought down what they said is the largest home health fraud scheme ever concocted. The Centers for Medicare & Medicaid Services said around $375 million was billed incorrectly to...