Stagnant Medicaid rates aren’t just putting operators faced with outsized staffing costs into the red; in some places, they may be limiting access to the very capital providers need to sustain daily...
CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
By
Kimberly Marselas
May 05, 2021
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
After dry spells, providers get vital Medicaid increases. Now the big fear: Will they be ‘1-and-done’?
By
Jessica R. Towhey
Kimberly Marselas
Jun 12, 2023
As Medicaid negotiations successfully continue in various states, worries are already arising about how to sustain increases
‘Alarming’ nurse turnover rates linked to quality, payment woes in major new nursing home study
By
Kimberly Marselas
Mar 02, 2021
Skilled nursing’s employee turnover problem — long linked to issues with quality of care — is much worse than previously reported, according to a massive analysis published Monday.
BREAKING NEWS: CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification...
By
Kimberly Marselas
Apr 27, 2018
In a flurry of activity late Friday, the Centers for Medicare & Medicaid Services announced an $850 million pay raise for skilled nursing facilities for fiscal 2019 that comes along with major simplifications...
Taking the senior care ancillary route: Proceed, but with caution
By
Kimberly Marselas
Feb 28, 2022
Diversification is an increasingly important business tactic for many senior care operators, but those in skilled nursing need to ensure they view add-on services through the appropriate lens.
‘Audits are back,’ and COVID-19 care is in the hot seat
By
Kimberly Marselas
Apr 21, 2021
Flexibilities granted to providers during the ongoing public health emergency are likely to result in increased medical reviews and automated denials, a therapy billing specialist is warning.
‘Critical access’ not at critical mass, but skilled nursing providers push on
By
Kimberly Marselas
Feb 02, 2023
Support for the concept of critical access nursing homes is growing among providers, but it has yet to gain much traction among industry leaders or the politicians who would need to create such a safety...
As Medicare Advantage drives rate lower, fed-up CEOs embrace strategies that limit carriers’ influence
By
Kimberly Marselas
Apr 26, 2021
Medicare Advantage’s aggressive market penetration represents a major threat to skilled nursing providers, some of whom now find themselves clearing less per resident day through MA plans than they do...
OnPointe CEO: Pandemic should be catalyst for payment changes, shedding ‘wrong strategy’
By
Kimberly Marselas
Jan 29, 2021
Some look at the ongoing COVID-19 crisis and question how they can make their buildings safer. Eric Tanner, CEO of transitional and skilled care specialist OnPointe, sees the crisis as a launching point...