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.
Report: Decrease in federal funding forces more Medicaid burden on states
Dec 18, 2012
A drop in enhanced federal funding for Medicaid made states increase outlays for the program by an estimated 16.2% in fiscal 2012, according to a new joint report by the National Association of State Budget...
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...
Feds join lawsuit against nursing home operator
By
Elizabeth Newman
Dec 17, 2012
The Department of Justice has joined a whistleblower fraud lawsuit against a former nursing home operator in Mississippi. The lawsuit was originally filed by Academy Health Center, which says the operator...
OIG: Assisted living needs to up information, compliance levels on HCBS
Dec 13, 2012
Concerns about home- and community-based services (HCBS) at assisted living facilities were raised in a report released Tuesday by the Health and Human Services Office of Inspector General.
Harkin to fiscal cliff negotiators: ‘Keep your hands off Medicaid … Medicare’
Dec 13, 2012
At financial discussions heat up about cuts needed to reduce the federal deficit, Sen. Tom Harkin (D-IA) called Medicaid a “lifeline” and told fellow legislators to “Keep your hands off...
Unapproved marketing of pressure ulcer drug brings settlement worth up to $48 million
By
McKnight's Staff
Dec 10, 2012
The unapproved bed sore drug Xenaderm, which was marketed to nursing homes as “Medicaid reimbursed,” is the source of a settlement that could reach $48 million for Healthpoint Ltd. and DFB...
Managed care experiment for dual-eligibles set to boom; observers worried
By
McKnight's Staff
Dec 07, 2012
A federal experiment for dual-eligibles that hopes to cut Medicaid and Medicare costs through managed care is set to exponentially expand, and some are worried it is destined to fail, according to a report...
National organizations defend ‘bed taxes’ in letters to White House, Congress
By
McKnight's Staff
Dec 06, 2012
A group of 20 national healthcare organizations supporting current allowable “bed tax” levels, have asked the ceiling not be changed as part of current federal budget talks in a letter sent...
Medicare up for debate in ‘fiscal cliff’ negotiations
By
McKnight's Staff
Dec 03, 2012
With deficit reduction all the rage in Washington, the central question remains: Where might funding cuts and revenue streams come from? Medicare is clearly in the crosshairs, continuing to make providers...