RAC program fails to adequately reduce improper payments: GAO
Apr 05, 2010
The Centers for Medicare & Medicaid Services has fallen short in its efforts to prevent improper Medicare payments through the use of recovery audit contractors (RACs),a new Government Accountability Office...
Dedicated observation stay units could protect nursing home benefits, save hospitals $1 billion annually,...
By
Tim Mullaney
Dec 06, 2013
Specialized hospital units for patients under observation status could dramatically reduce the number of seniors forced to pay out-of-pocket for skilled nursing care, according to findings in the current...
Minnesota nursing homes have lowest rate of hospitalizations, Mississippi and Louisiana the highest,...
By
Tim Mullaney
Sep 20, 2013
The rate at which nursing home residents are hospitalized bears a close relationship to how well a state provides healthcare for low-income people, according to a new report from the private research foundation...
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.
CMS lowers pay hike for skilled nursing facilities to 1.2%
By
James M. Berklan
Jul 31, 2015
Medicare skilled nursing facilities would get a net 1.2% pay increase — totaling $430 million — in fiscal 2016 under a final rule issued by the Centers for Medicare & Medicaid Services late Thursday.
Physical therapy group opposes proposed 3.6% reimbursement cut
By
Kristen Fischer
Sep 14, 2023
The Alliance for Physical Therapy Quality and Innovation (APTQI) called on the Centers for Medicare & Medicaid Services to revisit its Medicare doctor fee proposal for next year, saying the changes could...
Reports forecast Medicare funding boost, dim overall outlook
By
McKnight's Staff
Apr 23, 2012
The Affordable Care Act will help Medicare save over $200 billion through 2016, according to government actuaries. But questions as to Medicare’s long-term solvency remain, another report from Social...
DaVita exec skeptical pandemic is receding
By
Diane Eastabrook
May 11, 2022
The chief financial officer for global dialysis provider DaVita Health is throwing cold water on the notion that the COVID-19 pandemic is ending anytime soon.
AHCA and other groups pushing for extension of 2% Medicare sequester cut; Congress reaches deal on third...
By
Danielle Brown
Dec 21, 2020
Healthcare providers, including nursing homes, are demanding continued relief from the 2% Medicare sequester cuts through the duration of the COVID-19 pandemic. The relief would help improve the “relatively...
To save itself, might Medicare deny coverage of controversial new Alzheimer’s drug?
By
Kimberly Marselas
Jun 28, 2021
The true price to administer aducanumab — a controversial new Alzheimer’s treatment — may actually be closer to $100,000 annually than other, lower estimates and is just one reason the Centers for...