Medicare Advantage: A not-so-advantageous deal for beneficiaries and providers
By
Brendan Williams
Nov 29, 2023
Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell. Those ads must work. For the first time 2024 will see most Medicare...
‘Incomplete’ oversight lets Medicaid managed care denials go largely unchecked: MACPAC
By
Kimberly Marselas
Sep 22, 2023
While much of the outrage around managed care denials has been directed toward Medicare Advantage plans, a federal advisory panel Thursday outlined policies that could force states to better track denials...
A strong case for optimism if you work in long-term care
By
James M. Berklan
Jun 09, 2023
Something funny happened at the Vision Centre Symposium Thursday in Chicago. Extreme optimism.
‘Impetus’ ignored: LeadingAge CEO calls on Congress, White House to act on broader threats...
By
Kimberly Marselas
Jun 02, 2023
Federal lawmakers have so far failed to seize on a critical change that could shore up the aging services sector and improve access to care for the nation’s aging population, the top advocate for nonprofit...
A new kind of activity calendar strategy for dementia care
By
James Lee
Charles de Vilmorin
Apr 27, 2023
Dementia is not a normal part of aging. These eight words should help anchor and inspire the long-term care and senior living industry’s collective work to change, renew and elevate the ways...
Moving nursing home staff in as residents has life-changing potential: experts
By
Kimberly Marselas
Jan 31, 2024
Staff who take up residence in a nursing home for even just a few days are better equipped to transform care delivery and how the actual residents experience it, two experts who have tried the technique...
A key Medicaid advisory body appears ready to recommend new appeal opportunities for millions of Managed Medicaid beneficiaries and to add more oversight to better ensure plans cover medically necessary...
CMS says final hours requirement still undecided on looming staffing rule
By
Kimberly Marselas
Feb 23, 2023
Federal officials are still trying to determine just how many minutes or hours a day it takes for direct care staff to perform tasks key to nursing home quality, a Centers for Medicare & Medicaid Services...
Use of medication aides expands to 2 more states as providers pursue broader workforce solutions
By
Josh Henreckson
Nov 15, 2023
Michigan and Pennsylvania are in the process of establishing new certified medication aide roles to help nursing homes struggling to address workflow and staffing challenges.
Feds broaden nursing home quality campaign with new discharge, satisfaction and vaccination measures
By
Kimberly Marselas
Apr 10, 2023
The Centers for Medicare & Medicaid Services made one thing clear when it issued its newly proposed nursing home pay rule last week: Promoting nursing home quality improvement is driving policy formation.