Drug pricing efforts threaten ‘very existence’ of LTC pharmacies: reps
By
Kimberly Marselas
Mar 11, 2024
President Biden in his State of the Union address last week vowed to end “Big Pharma’s” grip on prescription drug pricing and cut costs for seniors and taxpayers by another $200 million.
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...
Contracts that limit time that employees have to sue come under fire
By
Kimberly Marselas
Apr 30, 2024
A state appeals court has rejected a plea from several former nursing home workers to reopen a discrimination case against their employer. But in doing so, it may have increased pressure on Michigan’s...
CMS proposal offers long-awaited fix for Medicare Advantage appeals
By
Kimberly Marselas
Nov 08, 2023
Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.
‘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...
Wait-and-see staffing rule exemptions meant to ‘safeguard’ residents: CMS
By
Kimberly Marselas
Apr 25, 2024
Skilled nursing providers will not have to go through a stand-alone application process to be exempted from provisions of a new federal staffing mandate, an official with the Centers for Medicare & Medicaid...
Will there be light at the end of the staffing mandate tunnel?
By
Kimberly Marselas
Oct 05, 2023
Glimmers of legislative hope providers thought they saw shining on rough seas may soon be shrouded behind fresh storm clouds.
DFU patients shirk casts more than thought
By
Kimberly Marselas
Sep 12, 2023
Patients with diabetic foot ulcers who use removable cast walkers need more information to promote higher compliance and better healing, a study in the Journal of Wound Care finds.
EXTRA: CMS publishes rule outlining final staffing requirements
By
Kimberly Marselas
Apr 22, 2024
The Centers for Medicare & Medicaid Services said it would exempt nursing homes from having registered nurse coverage for up to 8 out of 24 hours a day “under certain circumstances,” unveiling...
House committee split raises new questions on nursing home staffing rule’s future
By
Kimberly Marselas
May 01, 2024
Some House lawmakers Tuesday painted their effort to repeal a new nursing home staffing mandate as a bid to ensure access to care and to stake their authority over a rogue regulatory agency at the same...