Improving the delivery of quality care in behavioral health programs has been a priority for Jessica Fear for more than a quarter of a century. Fear advocates for the use of data to inform and identify...
Contracts that limit time that employees have to sue come under fire
By
Kimberly Marselas
Apr 30, 2024
A state appeals court has rejected a plea from several former nursing home workers to reopen a discrimination case against their employer. But in doing so, it may have increased pressure on Michigan’s...
CMS proposal offers long-awaited fix for Medicare Advantage appeals
By
Kimberly Marselas
Nov 08, 2023
Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.
Fines suspended for nursing homes that violate minimum staffing law
By
Josh Henreckson
Jan 03, 2024
As debate continues to rage around the proposed federal nursing home staffing mandate, the rollouts of two state-level mandates illuminate the difficulties in enforcing these sweeping rules.
3,600 steps a day can lower heart failure in older women, report says
By
Kristen Fischer
Feb 22, 2024
An average of 3,600 steps a day at a normal pace was linked to a 26% lower chance for developing heart failure in women over the age of 60, according to a new study published Wednesday in JAMA Cardiology.
‘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...
Wait-and-see staffing rule exemptions meant to ‘safeguard’ residents: CMS
By
Kimberly Marselas
Apr 25, 2024
Skilled nursing providers will not have to go through a stand-alone application process to be exempted from provisions of a new federal staffing mandate, an official with the Centers for Medicare & Medicaid...
It’s time to prep comments to CMS on its proposed nursing home staffing mandate
By
James M. Berklan
Sep 01, 2023
Operators can now get started on submitting comments critiquing the administrations proposed nursing home minimum staffing mandate.
CareOne, HealthBridge ordered to pay 12 years’ back wages to striking workers they replaced
By
Kimberly Marselas
May 31, 2024
The owner and manager of six Connecticut nursing homes must pay up to 700 former employees replaced during a 2012 strike for up to 12 years of back pay, a federal judge ruled this week.
AMDA ‘thrilled’ by medical directors’ inclusion in new CMS transparency rule
By
Josh Henreckson
Nov 21, 2023
Nursing homes will have to publicly disclose information about their medical directors, along with other managing employees, under a new transparency rule from the Centers for Medicare & Medicaid Services.