When it comes to the long-term care market, is this a time to view it as bearish or bullish?
CMS combing the data as it narrows PDPM adjustment targets
By
Danielle Brown
Apr 23, 2021
The Centers for Medicare & Medicaid Services has been monitoring and conducting “very comprehensive data analysis” to identify any trends or changes in provider behavior, payments and beneficiary care...
BREAKING NEWS: CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification...
By
Kimberly Marselas
Apr 27, 2018
In a flurry of activity late Friday, the Centers for Medicare & Medicaid Services announced an $850 million pay raise for skilled nursing facilities for fiscal 2019 that comes along with major simplifications...
CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
By
Kimberly Marselas
May 05, 2021
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
The data is in! More trends from CMS ResDAC
By
Renee Kinder
Sep 09, 2021
All data lovers you are in luck! Another quarter of data is in, courtesy of the CMS Research Data Assistance Center (ResDAC). We have all watched trends since the initiation of the Patient Driven Payment...
Cutting with a plan — it applies to you too
By
Renee Kinder
Aug 16, 2018
With all the buzz, excitement, and, need I say, even moments of panic around the final rule and clarifications for the Patient Driven Payment Model (PDPM), we as an industry need to remain purposeful in...
Ball girl, stand down!
By
Steven Littlehale
Aug 24, 2018
There is something you and your team must do immediately, the success of which will make or break your transition to the government’s new payment model. Relax. Refresh. Recharge. Only with a clear...
Providers tell CMS it’s ‘decidedly’ the wrong time to toy with PDPM rates
By
Kimberly Marselas
Jun 03, 2021
Providers need more time before the Centers for Medicare & Medicaid Services would implement any adjustments to PDPM payment rates, operators and associations have told the agency in official comments.
On PDPM cuts, Congress ‘stands ready’ to exert its authority — but where’s the checkbook?
By
Kimberly Marselas
Jul 05, 2022
Providers will no doubt be overjoyed to learn today that members of Congress — a whopping 40 of them! — are stepping into the fray over proposed cuts to the nursing home sector’s new payment model....
Data expert strips down PDPM myths, truths
By
James M. Berklan
Feb 25, 2019
Long-term care professionals have been diligently cramming to prepare for a new skilled nursing reimbursement system in October, but a data expert had a sobering observation for presentation attendees...