Medicaid expansion leading HCBS programs to rethink strategy: Researchers
By
John Hall
Feb 19, 2015
Researchers on Wednesday proposed ways to better identify the most susceptible nursing home candidates in order to ease the expected burden on programs designed to keep the chronically ill and frail elderly...
Providers ‘on notice’ as CMS pressures states to shift Medicaid pay metrics
By
Kimberly Marselas
Nov 10, 2022
Providers still struggling to accurately capture diagnoses that drive federal reimbursement will be doubly left behind as more states start to use Patient Driven Payment Model-like systems to determine...
Government saved $17.6 billion in 2011 due to fraud prevention programs
Nov 16, 2011
A government crackdown on improper payments in federal programs, such as Medicare and Medicaid, cut wasteful payments by $17.6 billion in 2011, the Office of Management and Budget reported Tuesday. The...
Proposed law could raise labor costs for long-term care operators
By
John O'Connor
Feb 08, 2013
Many a provider broke out in cold sweats when the Family and Medical Leave Act was cobbled together two decades ago.
New York lawmakers offer historic Medicaid lifeline for nursing homes after years of neglect
By
Josh Henreckson
Mar 19, 2024
New York long-term care providers are one big step closer to making up Medicaid funding shortfalls 16 years in the making.
Expansion drove thousands of new Medicaid patients to nursing homes, but do they belong?
By
Kimberly Marselas
Sep 23, 2021
Medicaid expansion increased access to nursing home care for people younger than 65, but it’s unclear whether those patients would have been treated more adequately in other post-acute settings.
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.
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.
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...
The federal Medicaid bait and switch
By
Stephen A. Moses
Nov 06, 2023
It was supposed to work like this. When people need long-term care, they pay privately until they’re impoverished. Then and only then Medicaid helps. To avoid that outcome, people were urged to save...