Are you effectively managing your managed care billing?
By
Kristy Brown
Jul 12, 2024
With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find...
Why managed care is good for long-term care
By
Joseph Healy, Ph.D.
Jun 21, 2012
Managed long-term care can provide a solution to many challenges facing providers. Coordinating patients’ care, working with family members, and focusing on the right type of treatment can lead to...
Long-term care financing reform – progress is possible
By
Brian D. Ellsworth and Arthur Y. Webb
Nov 13, 2013
When the federal Commission on Long-term Care issued its report last month, there was a sense of déjà vu all over again. Sixteen years ago, in New York State, we were staff person and task force member,...
America’s nursing homes at a crossroads
By
Scott Rifkin, MD
Aug 24, 2022
America’s nursing homes are at a crossroads. Operators are challenged by a history of insufficient funding under the Medicaid program and eroding Medicare payments. Coupled with long-term care facilities...
Is ‘person-centered care coordinator’ the next must-have staff member?
By
Tim Mullaney
Apr 22, 2014
Long-term care operators take note: You soon could fail residents, anger family members, increase survey deficiencies, drop Nursing Home Compare stars and lose money unless you hire a Coordinator of Coordinators.
This year holds promise for post-acute care
By
Stephanie Anthony
Jan 12, 2015
Hospitals traditionally have viewed a patient’s discharge as the endpoint of their care responsibilities. In reality, hospital stays frequently are just one step in ongoing episodes of care. Ensuring...
The 21st Century SNF: two paths forward
By
Anne Tumlinson
Jun 11, 2018
Many industry experts believe skilled nursing’s current marketshare challenges are temporary — that SNFs only have to hang on until demographic shifts kick in. But I worry about this strategy.
Managed care: Panacea, death knell or something in between?
Mar 18, 2013
In a nutshell, troubled long-term care operators seem to be encountering this scenario with managed care companies: initial romance, followed by heightened accountability and reduced payments.
Baseline proficiency for success with managed care payers
By
Susie Mix
Mar 11, 2024
Setting up a building with proficiencies in working with managed care payers is a key to success at this midpoint of the 2020s. Fifty-one percent of Medicare-eligible Americans are covered by Medicare...
Yo, I’ll tell you what I want, what I really, really want
By
Steven Littlehale
Oct 14, 2022
It’s a curious day when I lift a lyric from the Spice Girls to title an article. The Spice Girls’ first single, “Wannabe,” was released in 1996 and rocketed to the top of the British singles chart....