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...
SNF Medicare margins: What MedPAC doesn’t know
By
Betsy Rust
Apr 29, 2016
The articulation of data is vitally important, and MedPAC is not the only entity interpreting, or misinterpreting, cost report and claim data.
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...
The hell with this guy
By
James M. Berklan
Oct 20, 2017
Speaking at the same Mandalay Bay complex in Las Vegas from which a “madman” committed the deadliest mass shooting by a single person in U.S. history just two weeks earlier, American Health...
Nursing home operators hail ‘historic’ Senate passage of permanent ‘doc fix’...
By
James M. Berklan
Apr 15, 2015
The Senate overwhelmingly voted to pass H.R. 2 Tuesday night, paving the way for repeal of the Medicare Sustainable Growth Rate and drawing the praise of the largest nursing home association in the country.