CMS developing direct-pay model to test on seniors, others
By
Kimberly Marselas
Apr 25, 2018
The Centers for Medicare & Medicaid Services has announced it is exploring a direct-provider contracting model. It is the first payment reform initiative to result from the agency innovation center’s...
Nursing homes may be targeted for turning away patients being treated for opioid addiction
By
Kimberly Marselas
Apr 18, 2018
Federal investigators could begin cracking down on nursing facilities that refuse admission to patients being treated for opioid addiction, experts are warning.
Court rules nursing homes can’t sue state over Medicaid decisions
By
Kimberly Marselas
Apr 16, 2018
Ohio nursing homes don’t have standing to sue the state over Medicaid eligibility determinations unless specifically authorized.
1,650 workers at nursing homes in receivership finally get paid
By
Kimberly Marselas
Apr 10, 2018
A court-appointed receiver has doled out paychecks to 1,650 workers at 31 nursing homes and assisted living facilities in Nebraska.
Lawmakers target SNFs’ big payer for fraud, waste cuts
By
Kimberly Marselas
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
Lawsuit claims nursing home managers scammed resident, sold her house, gave her only $2k for it
By
Kimberly Marselas
Apr 02, 2018
An Illinois woman is suing a nursing home and two former employees for allegedly selling her house against her wishes — then paying her only $2,000 for it.
Two more Wisconsin nursing homes closing, both citing Medicaid reimbursement problems
By
Kimberly Marselas
Mar 28, 2018
Nursing homes in Eau Claire and Dallas, WI, announced this week that they were closing, with both blaming inadequate Medicaid reimbursements for the decision to move 77 combined residents.
Judge rules nursing home residents with mental health, prison records can stay in the suburbs
By
Kimberly Marselas
Mar 23, 2018
A Connecticut Superior Court judge has ruled a private nursing home providing skilled care to prison parolees and others does not violate a local zoning code.
Lawmakers target nursing homes’ biggest payer for fraud reduction
By
Kimberly Marselas
Mar 22, 2018
Two Congressional subcommittees focused on oversight are banding together to look at reducing fraud and waste in the Medicaid system.
Congress looks ready to ignore MedPAC, make its own Medicare reform
By
Kimberly Marselas
Mar 19, 2018
Even as the Medicare Payment Advisory Commission called for cuts to skilled nursing in its semi-annual report to Congress this week, lawmakers appeared ready to shape payment reform themselves.