I remember when the Patient Driven Payment Model rule was just a proposal inching its way toward finalization, its concept of assigning points for specific non-therapy ancillary costs a pretty exciting...
Fallout from clearinghouse attack continues to mushroom
By
Kimberly Marselas
Mar 13, 2024
It seemed improbable the first time someone told me the fallout from the cyberattack on the Change Healthcare platform might last for weeks, or for months even.
Scrooged again: MA plans can’t escape criticism of clandestine coverage rules
By
Kimberly Marselas
Jan 02, 2024
If you were looking for someone deserving to be cast as Ebeneezer Scrooge this holiday season, Medicare Advantage insurers may have just locked up the audition (for this year and maybe future years too).
This year they’ll give you something to cry about
By
Kimberly Marselas
Dec 13, 2023
The holidays are here, and that means it’s time for the second-best advertising season of the year. Yes, I know it’s all consumerism designed to make me spend my hard-earned money, but I can’t help...
As values shift, it’s time to add something back to nursing
By
Kimberly Marselas
Oct 24, 2023
It seems like everything these days requires a value proposition to be appealing. What can we add to an experience or a product to make it better and one-up the competition?
As goes Texas?
By
Kimberly Marselas
Feb 07, 2023
What happens to Texas Medicaid rates between now and the end of May could either save or sink skilled nursing providers. But what happens in Texas surely won’t stay in Texas.
Long-term care’s big days in court
By
Kimberly Marselas
Dec 06, 2022
If you’ve been around skilled nursing even just a little while, you’ve seen how these False Claims cases end up, especially since the individuals suing can win triple damages for reporting alleged...
Want to improve Medicare Advantage? Deliver some real advantages
By
Kimberly Marselas
Aug 02, 2022
Last week, the Centers for Medicare & Medicaid Services put out a request for feedback on the Medicare Advantage program, which is rapidly becoming the nation’s preferred healthcare insurer provider...
Nursing home funding: Worth a closer look
By
Kimberly Marselas
Jul 19, 2022
The current nursing home funding system overlooks a simple fact: Living in a beautiful, updated home makes people feel better.