Obtaining critical claims data may soon get easier
By
John O'Connor
Jun 05, 2015
The government plans to make new claims data and other resident-care information available to providers and entrepreneurs as never before. Is it too good to be true?
Swelling Medicaid rolls have states, providers worried
By
John Hall
Feb 18, 2015
California’s Medicaid-eligible rolls are swelling as part of a nationwide expansion of the program under the Affordable Care Act, a finding that should give other states’ Medicaid agencies...
Federal judge orders the return of $90 million in Medicaid credits
By
John Hall
Feb 18, 2015
The state of Georgia may be the mouse that roared after convincing a federal court last week to force the government to return a bungled $90 million credit, even after ruling Health & Human Services had...
Profile: A rare bird in Congress
By
Elizabeth Newman
May 01, 2014
When Rep. Diane Black (R-TN) was around 4 years old, she asked for a doctor’s kit. But growing up in a working class family in Glen Burnie, MD, the future nurse and Congressman didn’t know...
Medicaid-only long-term care residents driving up state expenditures, report finds
By
Tim Mullaney
Feb 20, 2014
Among people eligible for Medicaid but not Medicare, long-term care residents are most likely to be among the costliest beneficiaries for a state, according to a new report from the Government Accountability...
Expanded meal deliveries could reduce nursing home admissions, but cost benefits vary by state, researchers...
By
Tim Mullaney
Oct 09, 2013
Modest expansions of meal delivery programs could reduce the number of Medicaid beneficiaries in nursing homes, but such a plan would not be cost-effective in every state, according to newly published...
Taking care of Medicare and Medicaid’s dual-eligibles: A job for Super- , er, Ombudsman
By
Tim Mullaney
Jul 16, 2013
Giving long-term care stakeholders a reason to cheer, California recently requested a federal waiver to implement Cal MedConnect, a demonstration project meant to improve care coordination for people who...
Data mandated for dual eligibles outlined as states move to managed care
By
Elizabeth Newman
Jun 10, 2013
Dual eligible managed care plans involved in an upcoming Centers for Medicare & Medicaid Services demonstration project will need to submit data in a variety of areas, the agency explained in a draft statement...
Of Purell and payment reform
By
Tim Mullaney
Apr 16, 2013
I was sympathetic when the Partnership for Sustainable Health Care called for a speedier shift away from fee-for-service last week — and I also thought about Purell. Yes, that Purell.
Senate Democrats’ budget focuses on cost savings through the Affordable Care Act
By
McKnight's Staff
Mar 15, 2013
Senate Budget Chairman Patty Murray (D-WA) unveiled a proposed budget Wednesday, offering a plan that contrasts with the one offered earlier in the week by Rep. Paul Ryan (R-WI).