‘Incomplete’ oversight lets Medicaid managed care denials go largely unchecked: MACPAC
By
Kimberly Marselas
Sep 22, 2023
While much of the outrage around managed care denials has been directed toward Medicare Advantage plans, a federal advisory panel Thursday outlined policies that could force states to better track denials...
‘Impetus’ ignored: LeadingAge CEO calls on Congress, White House to act on broader threats...
By
Kimberly Marselas
Jun 02, 2023
Federal lawmakers have so far failed to seize on a critical change that could shore up the aging services sector and improve access to care for the nation’s aging population, the top advocate for nonprofit...
Moving nursing home staff in as residents has life-changing potential: experts
By
Kimberly Marselas
Jan 31, 2024
Staff who take up residence in a nursing home for even just a few days are better equipped to transform care delivery and how the actual residents experience it, two experts who have tried the technique...
A key Medicaid advisory body appears ready to recommend new appeal opportunities for millions of Managed Medicaid beneficiaries and to add more oversight to better ensure plans cover medically necessary...
CMS says final hours requirement still undecided on looming staffing rule
By
Kimberly Marselas
Feb 23, 2023
Federal officials are still trying to determine just how many minutes or hours a day it takes for direct care staff to perform tasks key to nursing home quality, a Centers for Medicare & Medicaid Services...
Feds broaden nursing home quality campaign with new discharge, satisfaction and vaccination measures
By
Kimberly Marselas
Apr 10, 2023
The Centers for Medicare & Medicaid Services made one thing clear when it issued its newly proposed nursing home pay rule last week: Promoting nursing home quality improvement is driving policy formation.
Unmanifested inflation: Labor shortages may begin to improve — but at a price
By
Kimberly Marselas
Nov 03, 2021
HOUSTON — One of the nation’s top economists predicts many of the workers who left the economy over the last few months may soon start returning, but that’s not all good news for an industry such...
With new CDC guidance, providers duck ‘up-to-date’ vaccination concerns
By
Kimberly Marselas
Sep 27, 2022
While masking and screening of nursing home workers and visitors may no longer be required in areas with lower COVID-19 transmission rates, vaccination and testing efforts will be crucial if providers...
House committee split raises new questions on nursing home staffing rule’s future
By
Kimberly Marselas
May 01, 2024
Some House lawmakers Tuesday painted their effort to repeal a new nursing home staffing mandate as a bid to ensure access to care and to stake their authority over a rogue regulatory agency at the same...
Omega continues to shed problematic skilled nursing holdings
By
Kimberly Marselas
Feb 09, 2024
Omega Healthcare Investors late last year shed 30 skilled nursing facilities operated by LaVie Care Centers, formerly part of the behemoth Consulate Health Care.