CMS showing confidence in managed care plans’ fraud-prevention efforts
By
John Hall
Jun 01, 2015
Medicaid managed care plans would be limited to fraud prevention expenditures of 0.5% of premium revenue when calculating medical loss ratios, signaling high confidence from federal regulators that such...
CMS to more closely oversee finances of QIOs
By
Haymarket Media
Sep 07, 2006
The Centers for Medicare & Medicaid Services is taking actions to enhance the ethical standards and effectiveness of quality improvement organizations (QIOs).
No time to file CMP waiver? CMS rule could grant providers 35% relief anyway.
By
Kimberly Marselas
Jul 18, 2019
Even as complaint-based investigations tick up, federal regulators this week proposed several regulatory changes that would make it easier for skilled nursing providers to handle complaints and limit penalties....
Feds blur nursing home ownership lines with new transparency rule: critics
By
Kimberly Marselas
Feb 14, 2023
Some nursing home owners and advocates on Monday criticized federal officials for lumping together private equity investors and healthcare-focused real estate investment trusts in its yearlong focus on...
Having my say: Not so fast with drugs
Apr 01, 2011
Susan Janeczko, Director of LTC Regulatory and Policy Affairs, National Community Pharmacists Association
AARP blasts ‘shameful’ attempts to repeal nursing home staffing mandate
By
Josh Henreckson
Jun 02, 2024
AARP pressed Congress on Friday to forge ahead with a ‘long overdue’ nursing home staffing mandate, vowing to advocate against any measures to overturn the rule.
States say feds should pick up the tab on Medicaid expansion
Sep 28, 2009
The federal government should assume the full cost of any Medicaid expansion under healthcare reform because of the enormous costs to individual states. That is according to an organization of state legislatures...
Provider group gathers momentum in unique workforce recruitment and training effort
By
John Hall
Aug 25, 2022
Organizers of a newly formed campaign to organize, fund and operate long-term care recruitment, training and development programs hope their success will encourage other states to undertake similar efforts.
CMS lists poor performing nursing homes on consumer Web site
Apr 25, 2008
Federal regulators’ “Nursing Home Compare” Web site now lists facilities that rank in the lowest 10% in quality based on state inspection results, the Centers for Medicare & Medicaid...
60 Seconds with … Amy Stewart
Nov 05, 2016
Where should nursing leadership start with the new final rule?