Medicare drug pricing order could have ‘significant ramifications’ on LTC pharmacies in long run:...
By
Danielle Brown
Sep 16, 2020
Long-term care pharmacies could soon be facing “significant ramifications in the long run” following an executive order signed by President Trump on Sunday. That directive states that the Medicare...
Medicare eligibility comes with increase in tooth loss, Harvard study reveals
By
Alicia Lasek
Feb 10, 2023
When patients become eligible for Medicare coverage, restorative dental care immediately falls and tooth loss increases, a new study from Harvard University and Brigham and Women’s Hospital has found.
Valid dementia verdict? Nursing home and hospital diagnoses now better aligned, study finds
By
Alicia Lasek
May 03, 2021
Medicare’s dementia claim measures appear to have become more sensitive in recent years, agreeing more closely with hospital-based measures overall and for certain populations than in the past, investigators...
CMS to delay MDS 3.0 because of worries over system updates
Mar 05, 2009
The Centers for Medicare & Medicaid Services is planning to delay the implementation of Minimum Data Set 3.0 for one year because of concerns that there is not enough time to adequately prepare systems...
Ask The Payment Expert
By
Patricia Boyer
Jan 15, 2008
If we have a resident with a medical RUGs and therapy wants to pick up that resident, do we have to complete an OMRA assessment?
Brooks-LaSure: Medicare poised to re-evaluate coverage of new Alzheimer’s drugs
By
Alicia Lasek
Dec 12, 2022
In a Milken Institute summit session, the CMS administrator said that Medicare’s door is open to evaluating new data on emerging Alzheimer’s drug candidates.
GAO report shows limited use of Medicare cognitive assessment services, obstacles that remain
By
Kristen Fischer
Dec 13, 2023
A new US Government Accountability Office (GAO) report found that the use of cognitive assessment and care plan services tripled in traditional fee-for-service Medicare between 2018 and 2022. However,...
Feds tell nursing homes to use vaccinated staff or lose funding: Providers cry foul
By
Danielle Brown
Aug 19, 2021
President Joe Biden announced late Wednesday afternoon that U.S. nursing homes must use workers vaccinated against COVID-19 or risk losing vital Medicare and Medicaid funding. Providers immediately criticized...
Program to reduce hospital readmissions would link nursing homes with partners
By
McKnight's Staff
Mar 15, 2012
The Centers for Medicare & Medicaid Services is setting aside $128 million for organizations that collaborate with nursing homes to establish programs that prevent residents from going back to hospitals...
Reintroduced observation status bill could take edge off Medicare 3-day rule
By
Alicia Lasek
Aug 10, 2023
If the legislation passes, more post-acute patients could qualify for care in skilled nursing facilities, a reprieve for providers following the end of pandemic-era waivers, industry advocates said.