CMS must ‘ease burdens’ if it wants more long-stay residents in value-based care: report
By
Kimberly Marselas
Jan 29, 2024
The Centers for Medicare & Medicaid Services must do more to move states away from an “extremely bifurcated” Medicare and Medicaid system that sometimes leaves dually eligible beneficiaries confused...
‘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...
Providers, states grapple with billion-dollar needs ahead of federal staffing minimum
By
Kimberly Marselas
Nov 17, 2022
Provider organizations across the country are trying to pinpoint just how much of an investment they’ll need to meet
Court rejects nursing home immunity in pandemic-era cases that don’t evoke COVID
By
Kimberly Marselas
Feb 27, 2024
A Staten Island nursing home must face a pandemic-era negligence suit that does not allege COVID missteps alone but rather broader infection control lapses, a New York appeals court has ruled.
July/August state news
By
Kimberly Marselas
Jul 07, 2023
Texas skilled nursing providers in May got their first increase in the Medicaid base rate in 10 years, along with supplemental funding to help providers stay afloat until that new rate kicks in this September.
Underreporting of fall, pressure ulcer hospitalizations ‘widespread’ in nursing home data
By
Kimberly Marselas
May 24, 2023
Underreporting of falls and pressure ulcers in nursing homes was frequent and “widespread” in a new study of such incidents and whether they were accurately reflected on Care Compare.
CMS: Lapses in infection control, vaccine compliance to garner ‘aggressive’ enforcement
By
Kimberly Marselas
Apr 04, 2023
Federal regulators have quietly put in place new, stricter enforcement measures for nursing homes that struggle to meet infection control and vaccine immunization requirements for residents and staff.
With new CDC guidance, providers duck ‘up-to-date’ vaccination concerns
By
Kimberly Marselas
Sep 27, 2022
While masking and screening of nursing home workers and visitors may no longer be required in areas with lower COVID-19 transmission rates, vaccination and testing efforts will be crucial if providers...
Expect another Five-Star freeze amid nursing home survey delays, experts warn
By
Kimberly Marselas
Feb 20, 2024
Staffing measures used to calculate nursing homes’ federal ratings will freeze in April, further complicating a system based on often outdated and constantly changing metrics, experts warned last week.
Pressure injury study hits at ‘misleading’ self-reported nursing home data
By
Kimberly Marselas
Aug 12, 2022
Nursing home operators are underreporting the number of pressure injuries in Medicare residents by as much as 40%, said University of Chicago researchers, who have joined a push for less provider-reported...