As Medicare Advantage grows, experts say, so do hard-to-fight denials
By
Kimberly Marselas
May 19, 2022
In addition to sagging Medicare Advantage payment rates, some skilled nursing providers also find themselves routinely doing battle to get paid for services they’ve already delivered.
MedPAC pushes 3 percent Medicare SNF cut in report to Congress
By
Kimberly Marselas
Mar 17, 2023
A key body that advises Congress on Medicare policy is calling for a 3% reduction in payments to skilled nursing facilities in fiscal year 2024.
BREAKING: CMS to mandate COVID vaccines for nursing home staff
By
Danielle Brown
Aug 18, 2021
Nursing homes participating in the Medicare and Medicaid programs will be required to have all staff vaccinated against COVID-19 in order to continue receiving federal funding for the programs.
Nurse ratios to drop
Apr 01, 2008
Oregon Gov. Ted Kulongoski (D) issued a mandate last month to lower the ratio of nurses to residents in nursing homes.
Stuck in the middle, LTC pharmacies could be dangerously squeezed by drug price negotiations
By
Kimberly Marselas
Sep 01, 2023
Any lower drug prices that result from White House efforts to negotiate on behalf of Medicare beneficiaries may lead to short-term gains for nursing homes, but there also could be a steep price to pay...
BREAKING: Federal regulators tout $15M in fines, tripling of ‘Immediate Jeopardy’ citations against...
By
James M. Berklan
Aug 14, 2020
The Centers for Medicare & Medicaid Services announced Friday afternoon that it has levied more than $15 million in fines and tripled the most severe type of citations to nursing homes during the six months...
Surprise Biden order ‘punishing’ for nursing home providers
By
Kimberly Marselas
Apr 19, 2023
An executive order signed by President Joe Biden Tuesday afternoon will trigger broad, cabinet-level activities intended to improve nursing home and other caregiving jobs and hold providers accountable...
BREAKING 2: It’s official: Nursing homes must vaccinate employees or lose Medicaid, Medicare funding
By
Danielle Brown
Aug 18, 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.
More than half of nursing homes missing out on PDPM, could lead to deals: expert
By
James M. Berklan
Jan 25, 2021
The federal government’s second-year Medicare payment system for nursing homes continues to be a boon for them, especially under pandemic conditions, but more than half are missing rightful reimbursements.