Amid ProMedica ouster, advocates question new operator’s qualifications
By
Kimberly Marselas
Nov 30, 2022
Weeks after Welltower announced it plans to transition its ProMedica portfolio to a new operator, consumer advocates and mainstream media are questioning the track record of the selected firm.
Nursing homes have to fight for pay protections in Medicare Advantage rule: expert
By
Kimberly Marselas
Apr 27, 2023
Providers must play an active role in stopping aggressive Medicare Advantage practices that have for years limited access to skilled nursing care, a top managed care expert warned administrators gathered...
Major COVID outbreak, takeover demonstrate nursing home threat amid vaccination slide
By
Kimberly Marselas
Nov 28, 2023
Admissions have been halted at a skilled nursing facility that was part of one of the nation’s worst COVID-19 outbreaks as state officials raise major concerns about a new round of infection and deaths...
State lawmakers embrace small-house nursing homes, tackle prior authorization in ‘transformative’...
By
Kimberly Marselas
Nov 21, 2023
A House bill, which passed 158-0 last week, prods the development of more “small house” nursing homes, promises better infection control responses and launches a pre-authorization pilot designed to...
Ancillary services drove complex deal in major CommuniCare expansion
By
Kimberly Marselas
Jul 21, 2022
Adding ancillary services is widely viewed as a way for nursing home operators to layer in sustainability. When it comes time to sell, those related companies and their revenue diversification can draw...
COVID negligence case sent back to state court, over providers’ repeated objections
By
Kimberly Marselas
Feb 21, 2024
A group of owners and operators who have tried at least three times to argue that the COVID-related civil cases in which they are embroiled belong in federal court has been defeated again.
Scrooged again: MA plans can’t escape criticism of clandestine coverage rules
By
Kimberly Marselas
Jan 02, 2024
If you were looking for someone deserving to be cast as Ebeneezer Scrooge this holiday season, Medicare Advantage insurers may have just locked up the audition (for this year and maybe future years too).
Shuttered nursing home avoids class action in understaffing lawsuit
By
Kimberly Marselas
Apr 25, 2023
While sympathetic to nursing home residents’ claims that they received “deficient” care, a federal judge has ruled their case cannot be certified as a class action because claims and damages related...
Physician 1.7 percent pay fix fails to account for full cuts to therapists, other SNF providers
By
Kimberly Marselas
Mar 06, 2024
Congressional leaders have agreed to increase physician pay by 1.68% starting next week, but that raise still would not make whole a 3.37% cut initiated by the Centers for Medicare & Medicaid Services...
Proposal would help more providers reduce civil monetary penalties
By
Kimberly Marselas
Apr 07, 2023
Providers who don’t plan to appeal a civil monetary penalty but fail to file a hearing waiver would still be in line for a fee reduction under a Centers for Medicare & Medicaid Services proposal issued...