Joint HHS, Justice efforts recoup $28 billion in Medicare payments
By
John Hall
Mar 19, 2015
The Justice Department announced on Thursday it had captured $3.3 billion from healthcare fraud prosecutions and other deals in 2014, bringing to nearly $28 billion the total amount it has recouped since...
Regaining an appreciation of prevention
By
Tara Roberts
Feb 05, 2015
Healthcare is mandated to reduce spending. The problem is that the Centers for Medicare & Medicaid Services and others are so blinded by the “reduce spending” element that we have lost our...
Operators need to start asking a fundamental question: How they gonna pay?
By
John O'Connor
Feb 02, 2015
Conventional wisdom tells us that many existing options will not cut it as more discriminating customers arrive in long-term care. But maybe it’s also time for operators to start giving more thought...
Why providers aren’t elated about new pay-for-quality goals
By
James M. Berklan
Jan 28, 2015
You can forgive long-term care providers if they weren’t outwardly jumping for joy at Monday’s announcement that Medicare is going to start paying for quality, and not quantity, of services.
Making the case: It’s been a wild year
By
James M. Berklan
Dec 17, 2014
As the sands of the year race to their finish, there is one certainty about the long-term care news in 2014: It’s been wild and trying.
New payment models clash with fraud laws; waivers might not be the answer, official says
By
Elizabeth Newman
Nov 21, 2014
Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.
SNF Open Door forum features blockbuster topics
Nov 07, 2014
The SNF Open Door Forum to be hosted Thursday by the Centers for Medicare & Medicaid Services should get the phone lines burning. PPS Payment reform, 2015 payroll staffing data collection, quality measures...
Froyo funding for long-term care
By
Gary Tetz
Sep 11, 2014
I have been blessed with an astute business mind, and am always on the lookout for new pricing models for long-term care. I know we’re in this profession for love, not money. But no margin, no mission,...
Episode-based payment the focus of Sept. 23 McKnight’s webinar
By
James M. Berklan
Aug 28, 2014
As value-based payment and delivery models take hold in Medicare, providers must shift their focus from managing stays to managing episodes of care. Experts from Avalere Health leading a McKnight’s...
It’s not all bad news coming from MedPAC
By
James M. Berklan
Mar 19, 2014
A funny thing happened on the way to a semi-annual eye-rolling over a MedPAC report. It gave me reason to sit up with interest. Even more unlikely, it contained information that made some long-term care...