Molina Healthcare sues over loss of New Mexico Medicaid contract
By
Kimberly Marselas
Feb 02, 2018
A New Mexico-based healthcare company said this week it is challenging its loss of a state Medicaid contract, alleging unfair competition from a company that helped evaluate bids.
Budget deal preserves $4 billion in funding for CMS, boosts HHS funds by $2.8 billion
By
May 02, 2017
Funding for the Centers for Medicare & Medicaid Services would remain steady for the remainder of fiscal 2017 under federal spending legislation released early Monday.
Provider sues state officials for ‘regulatory assault’ against its facilities
By
Mar 22, 2017
A Maryland skilled nursing operator has filed a complaint against state health officials, claiming they “abused and misused the State survey process” to target its facilities in an effort to...
HHS: Medical appeals backlog could be ‘eliminated completely’ by end of FY 2019
By
Nov 09, 2016
The overwhelming backlog of Medicare claims appeals may be a thing of the past as early as fiscal year 2019, according to a court brief filed by the Department of Health and Human Services on Monday.
Republican lawmakers accuse CMS of focusing on recovering, not preventing, improper payments
By
Sep 13, 2016
The Centers for Medicare & Medicaid Services relies too much on investigating improper Medicare payments after they’re made instead of preventing them to begin with, Republican lawmakers said Monday.
CMS wants 12% decrease in hospital readmissions by 2019
By
May 26, 2016
The Centers for Medicare & Medicaid Services is seeking to cut the number of 30-day hospital readmissions by 12% over the next three years under a hospital improvement plan announced Wednesday.
SNF reaches $50k settlement in disability discrimination suit
By
Jan 29, 2016
A South Carolina skilled nursing facility has agreed to pay $50,000 to settle claims that it fired a licensed practical nurse due to a disability that complicated her pregnancy.
Bundled payments and dual-eligibles bring opportunities to long-term care operators, experts say
Mar 29, 2012
Gainsharing and caring for dual eligibles are hot topics for healthcare providers — and rightfully so — experts said Thursday.
Providers ask Sebelius for meaningful use clarifications on electronic health records
Jun 22, 2011
Healthcare provider organizations are asking the Department of Health and Human Services for guidance on implementing electronic health records under Medicare and Medicaid’s “meaningful use...
Ask the nursing expert: when to say “yes” and when to say “no” to your staff
By
Anne Marie Barnett
Jun 01, 2009
Anne Marie Barnett, RN Former President, Maryland NADONA/LTC