Swelling Medicaid rolls have states, providers worried
By
John Hall
Feb 18, 2015
California’s Medicaid-eligible rolls are swelling as part of a nationwide expansion of the program under the Affordable Care Act, a finding that should give other states’ Medicaid agencies...
Expanded meal deliveries could reduce nursing home admissions, but cost benefits vary by state, researchers...
By
Tim Mullaney
Oct 09, 2013
Modest expansions of meal delivery programs could reduce the number of Medicaid beneficiaries in nursing homes, but such a plan would not be cost-effective in every state, according to newly published...
Obtaining critical claims data may soon get easier
By
John O'Connor
Jun 05, 2015
The government plans to make new claims data and other resident-care information available to providers and entrepreneurs as never before. Is it too good to be true?
Could everything be a kickback?
By
Chris Sabis
Dec 15, 2021
The U.S. District Court for the Middle District of Tennessee recently issued a number of rulings interpreting the federal False Claims Act (FCA) and its state law counterparts relevant to long-term care...
Federal court opens door for nursing homes to challenge Medicare, Medicaid rules
By
Danielle Brown
Apr 30, 2021
Providers may challenge rules and regulations established by federal agencies that they believe violate the Medicare and Medicaid Acts, thanks to a ruling this week by a federal court.
Stop the ‘siloed’ policy making for skilled nursing
By
Alan G. Rosenbloom
Mar 21, 2012
Last week, three reports issued by three separate government agencies made incongruent recommendations — or no recommendations at all — related to skilled nursing facility (SNF) patient care and policy....
A good first step but more to do with MDS 3.0
By
Leah Klusch, RN, BSN, FACHCA
Mar 07, 2012
It was a long first day, but there was tremendous value and everyone who is here has learned what the Centers for Medicare & Medicaid Services’ positions are with the April updates and some of the...
Of Purell and payment reform
By
Tim Mullaney
Apr 16, 2013
I was sympathetic when the Partnership for Sustainable Health Care called for a speedier shift away from fee-for-service last week — and I also thought about Purell. Yes, that Purell.
Profile: A rare bird in Congress
By
Elizabeth Newman
May 01, 2014
When Rep. Diane Black (R-TN) was around 4 years old, she asked for a doctor’s kit. But growing up in a working class family in Glen Burnie, MD, the future nurse and Congressman didn’t know...
Problems with the CLASS Act
By
Stephen A. Moses
Oct 23, 2009
The Kaiser Family Foundation recently held a briefing on the much-touted CLASS Act. There was much praise to go around. I heartily disagreed with most of it.