Colliding factors threaten to ‘muddy’ state Medicaid reimbursement
By
Kimberly Marselas
Oct 04, 2023
Several converging factors could make the next few years especially complicated for state Medicaid systems, with the potential for new cost-setting strategies to affect providers from coast-to-coast.
Ask the legal expert … about the Talevski case
By
Norris Cunningham
Sep 12, 2023
Why is everyone so concerned about the Supreme Court case allowing resident rights cases against state-operated facilities?
Facts don’t support attacking nursing home care
By
Brendan Williams
Jul 26, 2023
We can probably assume no House Select Subcommittee will stage a showy hearing to examine the recent finding that the excess mortality rate was better during the COVID-19 pandemic for those with dementia...
State creates nursing home ownership transparency rules ahead of federal action
By
Jessica R. Towhey
Jul 18, 2023
Connecticut has new transparency rules for nursing home owners and will require a “plain language” explanation of how Medicaid rates are set.
Iowa’s making legislative remedies but nursing homes keep closing
By
Jessica R. Towhey
Jul 10, 2023
Iowa has increased its Medicaid rate, put millions of dollars into workforce development, approved tort reform, and enacted a moratorium on new nursing home licenses, but the state continues to lose nursing...
States pushed to publish home care pay. Aggrieved SNF operators also want theirs made public
By
Kimberly Marselas
Jul 06, 2023
Major provider organizations are raising concerns about equitable post-acute care regulation, given two proposed rules that would increase transparency into states’ payment for some home- and community-based...
Watchdog urges Medicaid to bolster overpayment collection efforts
By
Kimberly Marselas
Jun 30, 2023
The Government Accountability Office is urging Medicaid overseers to do a better job of recouping overpayments, citing their allegedly lenient oversight of state auditing efforts.
Medicaid to cover all FDA-approved adult vaccines on Oct. 1, CMS reminds states
By
Alicia Lasek
Jun 28, 2023
The Centers for Medicare & Medicaid Services has released more information on mandatory state Medicaid and CHIP program coverage of vaccines recommended for adults.
As Medicaid disenrollments surge, concerns about nursing home residents persist
By
Jessica R. Towhey
Jun 05, 2023
Although hundreds of thousands have been knocked off state Medicaid rolls this spring, worries about dropped coverage for Medicaid-dependent nursing home residents have so far not proven reality in large...
Medicaid and leadership challenges, as state takes over nursing home
By
Jessica R. Towhey
May 17, 2023
A Rhode Island nursing home with more than 30 citations for deficiencies and whose administrator’s license was suspended last month has been put into state receivership.