Transition from facility to home- and community-based care greatly increases dual eligibles’ risk...
By
Tim Mullaney
Jan 09, 2014
Dual eligibles who moved from a long-term care facility to home- and community-based services had a 40% increased risk of a potentially preventable hospital stay, according to recently published research.
The safety net for seniors
By
James Lomastro
Jan 02, 2014
Healthcare reform, especially the expansion of Medicaid, will bring into focus the fragility of the safety net. This is a system that is for vulnerable seniors, but which has not been adequately financed.
Report: Providers should prepare for managed care partnerships for dual-eligibles services
By
Tim Mullaney
Oct 21, 2013
Managed care organizations are set to play a bigger role in how long-term care is provided for people currently eligible for both Medicare and Medicaid, and providers should focus on having the right capabilities...
Data mandated for dual eligibles outlined as states move to managed care
By
Elizabeth Newman
Jun 10, 2013
Dual eligible managed care plans involved in an upcoming Centers for Medicare & Medicaid Services demonstration project will need to submit data in a variety of areas, the agency explained in a draft statement...
Government officials face increased pressure over troubled dual-eligible initiative
By
McKnight's Staff
May 31, 2013
A long-criticized project to improve the healthcare delivery and payment system for people eligible for both Medicare and Medicaid has again been under fire in recent days, prompting government officials...
States ready for Medicaid managed care expansion, but long-term care remains a worry, report says
By
McKnight's Staff
May 30, 2013
Stakeholders in Medicaid managed care programs feel prepared for the enrollment surge that will follow the full implementation of the Affordable Care Act, but there are ongoing concerns related to long-term...
State, CMS pair up on duals
By
Elizabeth Newman
Apr 01, 2013
The Centers for Medicare & Medicaid Services and the state of Illinois are teaming up in a dual eligible payment demonstration.
Huge opportunity for dual eligible cost savings, report says
By
McKnight's Staff
Jan 11, 2013
Better coordination of care for individuals eligible for both Medicare and Medicaid could result in savings of nearly $190 billion by 2022, according to a recent UnitedHealth Center report.
Medicaid underpayments soar to an average $22.34 per resident day, report finds
By
Elizabeth Newman
Dec 19, 2012
The cumulative effect of cuts has been “devastating,” AHCA President and CEO Mark Parkinson said.
Senate Finance Chairman accuses long-term care providers of ‘gaming’ dual-eligible reimbursements
By
James M. Berklan
Dec 17, 2012
Long-term care providers struck back quickly late last week after the chairman of the U.S. Senate Finance Committee accused them of “gaming” the reimbursement system during a hearing on caring...