Medicaid unwinding delays and cancelations cost state’s nursing homes $2.3M
By
Josh Henreckson
Feb 29, 2024
Montana’s Medicaid redetermination process in the wake of the pandemic has left more than 150 residents at 18 nursing homes without coverage. As a result, delayed reimbursement payments have left those...
Providers ‘on notice’ as CMS pressures states to shift Medicaid pay metrics
By
Kimberly Marselas
Nov 10, 2022
Providers still struggling to accurately capture diagnoses that drive federal reimbursement will be doubly left behind as more states start to use Patient Driven Payment Model-like systems to determine...
New York lawmakers offer historic Medicaid lifeline for nursing homes after years of neglect
By
Josh Henreckson
Mar 19, 2024
New York long-term care providers are one big step closer to making up Medicaid funding shortfalls 16 years in the making.
New insurance frontier may be opening to well-positioned providers
By
Kimberly Marselas
Nov 11, 2022
Analysts say an approaching regulatory transition presents a key opportunity for more skilled nursing providers to participate in and potentially offer special needs plans designed for dual-eligible individuals.
The federal Medicaid bait and switch
By
Stephen A. Moses
Nov 06, 2023
It was supposed to work like this. When people need long-term care, they pay privately until they’re impoverished. Then and only then Medicaid helps. To avoid that outcome, people were urged to save...
CMS allows troubled California facility to keep residents, restart Medicare, Medicaid participation
By
Joe Bush
Oct 14, 2022
The Centers for Medicare & Medicaid Services granted a huge and problem-plagued nursing home in San Francisco a new lifeline this week.
MDS draft sends sector, states scrambling to assess effects
By
Joe Bush
Sep 07, 2022
Long-term care facilities, staff and half the states in the US should start preparing immediately for extensive changes to the Minimum Data Set, resident assessment experts said this week.
How government prevaricates about long-term care
By
Stephen A. Moses
Feb 23, 2024
Most federal officials and the analysts who advise them are progressives. They prefer public over private sector solutions for most social problems. Sometimes progressives bend the truth to tip public...
As Medicaid disenrollments surge, concerns about nursing home residents persist
By
Jessica R. Towhey
Jun 05, 2023
Although hundreds of thousands have been knocked off state Medicaid rolls this spring, worries about dropped coverage for Medicaid-dependent nursing home residents have so far not proven reality in large...
Colliding factors threaten to ‘muddy’ state Medicaid reimbursement
By
Kimberly Marselas
Oct 04, 2023
Several converging factors could make the next few years especially complicated for state Medicaid systems, with the potential for new cost-setting strategies to affect providers from coast-to-coast.