In another life, in another millennium, on another continent, your faithful scribe was an auto factory worker. This led to many unexpected insights into human nature that I still recall decades later....
Another week, more Medicare dis-Advantages
By
Kimberly Marselas
Aug 22, 2023
It’s starting to feel like every week brings another reason to begrudge Medicare Advantage plans their market-dominating growth.
‘Heightened risk’ as class action settlements spike, but arbitration offers critical protection
By
Kimberly Marselas
Jan 17, 2024
The number of class action settlements in 2023 outpaced predictions for the second year in a row, which will likely incentivize the plaintiffs bar to be even more aggressive in seeking class standing,...
New research ties unions to lower nursing home staff turnover. Could they be a key partner ahead of federal...
By
Kimberly Marselas
Oct 13, 2023
Union representation is linked to a significant reduction in nursing home staff turnover, according to a first-of-its-kind research letter published today in JAMA Network Open.
Medicare Advantage: A not-so-advantageous deal for beneficiaries and providers
By
Brendan Williams
Nov 29, 2023
Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell. Those ads must work. For the first time 2024 will see most Medicare...
‘Incomplete’ oversight lets Medicaid managed care denials go largely unchecked: MACPAC
By
Kimberly Marselas
Sep 22, 2023
While much of the outrage around managed care denials has been directed toward Medicare Advantage plans, a federal advisory panel Thursday outlined policies that could force states to better track denials...
Moving nursing home staff in as residents has life-changing potential: experts
By
Kimberly Marselas
Jan 31, 2024
Staff who take up residence in a nursing home for even just a few days are better equipped to transform care delivery and how the actual residents experience it, two experts who have tried the technique...
A key Medicaid advisory body appears ready to recommend new appeal opportunities for millions of Managed Medicaid beneficiaries and to add more oversight to better ensure plans cover medically necessary...
Use of medication aides expands to 2 more states as providers pursue broader workforce solutions
By
Josh Henreckson
Nov 15, 2023
Michigan and Pennsylvania are in the process of establishing new certified medication aide roles to help nursing homes struggling to address workflow and staffing challenges.
Long-term care providers took their campaign against $1 billion in proposed Medicaid cuts to new heights Friday, teaming with sympathetic community groups, lawmakers and even unions to protest at seven...