GAO report calls for more consistency investigating Medicare post-payment claims
By
Elizabeth Newman
Aug 26, 2013
Government investigators claim — and the Centers for Medicare & Medicaid Services concurs — that more consistency is needed with Medicare post-payment claims reviews.
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...
Illuminate HC wins Quality division in McKnight’s Tech Awards
By
Elizabeth Newman
Oct 12, 2017
Illuminate HC operators saw a “consistent and direct” correlation between delays in call-light response times and negative — and avoidable — patient experiences. Their efforts to change...
Kindred stakeholder opposes Humana merger
By
Elizabeth Newman
Jan 02, 2018
The previously announced $4.1 billion acquisition of Kindred by Humana may have hit a snag, with one prominent stakeholder claiming the price is too low.
OIG changes its mind on referral services discounts
By
Elizabeth Newman
Apr 09, 2014
Providers cannot use an online service that involves money for referrals within its network, federal regulars now say, reversing course on an advisory opinion issued three years ago. The edict came from...
New PACE program would seek younger dual eligibles
By
Elizabeth Newman
Jan 03, 2017
The Centers for Medicare & Medicaid Services is soliciting feedback on a five-year program that would expand the Program of All-Inclusive Care for the Elderly to younger dual eligibles and keep them out...
Medicaid cuts would hurt opioid epidemic efforts, experts tell White House
By
Elizabeth Newman
Jun 20, 2017
Cuts to Medicaid, whether they are in President Trump’s budget or via the GOP healthcare bill, would hurt efforts to curb opioid addiction, according to attendees at the White House’s first...
Administrators gain control with new technology suite
By
Elizabeth Newman
Apr 04, 2016
A new product to track information technology infrastructure and see what assets are connected to a company network could help long-term care administrators increase patient privacy.
Long-term care nurses gain power through physician assessment tool: expert
By
Elizabeth Newman
Apr 16, 2013
Long-term care nurses should embrace a physician assessment tool in INTERACT II as a way to reduce hospital readmissions, a compliance expert emphasizes.
Former FL ombudsman files suit against providers, state
By
Elizabeth Newman
Oct 01, 2011
A high-profile ousted Florida ombudsman has filed a lawsuit against the Florida Department of Elder Affairs, the Florida Health Care Association and the Florida Assisted Living Association for alleged...