Understanding facility, peer data called crucial to better Medicare Advantage negotiations
By
Josh Henreckson
Mar 27, 2024
Nursing homes have historically had little leverage in negotiations with Medicare Advantage plans, even as MA has come to cover an ever-larger number of skilled nursing beneficiaries.
‘Raining for 4 years’: Historic nonprofit nursing home maintains legacy amid deluge of challenges
By
Kimberly Marselas
Apr 26, 2024
The Chapin Home has survived two pandemics, two world wars, the Great Depression and other economic calamities to serve the poor and ailing of New York City across three centuries.
Providers grateful for certain opportunities in proposed 2025 Medicare pay rule
By
James M. Berklan
Apr 02, 2024
Even though debate will continue about how much Medicare reimbursement should rise next year, there’s little disagreement that the Centers for Medicare & Medicaid Services got at least a few things right...
EXTRA: CMS publishes rule outlining final staffing requirements
By
Kimberly Marselas
Apr 22, 2024
The Centers for Medicare & Medicaid Services said it would exempt nursing homes from having registered nurse coverage for up to 8 out of 24 hours a day “under certain circumstances,” unveiling...
Optimizing RN responsibilities ‘more essential’ than staffing hours: study
By
Josh Henreckson
Apr 02, 2024
While the long-term care sector braces for the announcement of a final nursing home staffing mandate from the Centers for Medicare & Medicaid Services, new analysis suggests that optimizing the role of...
Provider sues agency for routine overbilling, unscrupulous practices that led to $5M bill
By
Kimberly Marselas
Mar 21, 2024
A multi-facility skilled nursing operator has filed a lawsuit against the staffing platform Nursa, alleging the app-based agency routinely overbilled for staff that failed to show up for shifts and refused...
LTC pharmacies forced to borrow to buy patient drugs, close as drug middlemen tighten grip on sector
By
Kimberly Marselas
Apr 08, 2024
Nursing home patient access to prescription drugs is being squeezed as several market and regulatory factors have combined to increase the power pharmacy benefit managers have over long-term care pharmacies,...
Eschewing a ‘sweet spot’ for boutique-like service at any size: Creative Solutions’ Gary Blake
By
Kimberly Marselas
Apr 09, 2024
Gary Blake’s nameplate might say CEO, but in some ways, he envisions himself more as chief quality officer of Creative Solutions for Healthcare, the sprawling 159-facility skilled nursing company he...