Measuring performance, coordinating care both crucial to lowering costs among the chronically ill, report...
By
McKnight's Staff
Apr 30, 2012
The federal government should take advantage of Affordable Care Act funds to improve the coordination and quality of care for the chronically ill, a new report recommends.
Affordable Care Act’s Medicaid expansion still vulnerable to court challenges, experts say
By
McKnight's Staff
Aug 31, 2012
Legal experts say the Affordable Care Act’s maintenance-of-effort (MOE) requirement — which prohibits states from tightening Medicaid eligibility — remains vulnerable to legal challenges.
Nurses are the first line of defense in preventing readmissions, expert says
By
McKnight's Staff
Oct 03, 2012
To help hospitals prevent costly readmissions, long-term care providers need to get serious about partnering with local hospitals, an expert said Tuesday.
Government to step up HIPAA enforcement, release new compliance tools
By
McKnight's Staff
Feb 22, 2013
The Department of Health and Human Services Office for Civil Rights (OCR) will expand Health Insurance Portability and Accountability Act enforcement efforts in the next two years, according to OCR Director...
FDA responds to provider pressure, backs off stricter control of fecal transplants for C. diff
By
McKnight's Staff
Jun 19, 2013
Individuals with treatment-resistant Clostridium difficile can undergo fecal transplants after giving informed consent, the Food and Drug Administration recently announced. This is a victory for providers,...
CMS leverages technology in move from ‘pay-and-chase’ to fraud prevention
By
McKnight's Staff
Feb 26, 2013
The Centers for Medicare & Medicaid Services will utilize computer technology to shift from detecting and then prosecuting fraud (“pay-and-chase”) to preventing it, according to a CMS official...
OIG investigation raises conflict of interest concerns in ZPIC program
By
McKnight's Staff
Jul 11, 2012
Regulators need to be more aggressive in identifying conflicts of interest among Medicare’s fraud-fighting Zone Program Integrity Contractors (ZPICs), a new government report recommends.
Long-term care makes ADP’s list of industries most challenged by upcoming health benefits requirements
By
McKnight's Staff
Mar 08, 2013
Long-term care is one of seven employment sectors likely to see significant challenges based on health benefits requirements in the Affordable Care Act, according to payroll services provider ADP.
Report: CMS needs to improve oversight of nursing home quality program
By
McKnight's Staff
Mar 05, 2012
The Centers for Medicare & Medicaid Services needs to make serious improvements in the tools it uses to evaluate the quality of nursing home care, a federal report reveals.
Senators demand more data on Medicare fraud prevention efforts
By
McKnight's Staff
Aug 01, 2012
A multimillion dollar Medicare fraud-fighting command center unveiled by the federal government a week ago is already drawing fire from two Republican lawmakers.