Sometimes providers are backed into a corner and must do non-preferred things. But the big question becomes what’s the next step after the first concession?
A Medicare Advantage fix: What took so long?
By
James M. Berklan
Apr 12, 2024
Providers hoping that policy makers might some day show some backbone when dealing with Medicare Advantage plans can take heart. Well, at least a little.
The threat hiding in plain sight
By
Brendan Williams
Jun 05, 2023
Through overpayments, the federal government has effectively created unbeatable competition to the Medicare Fee For Service model, but at what cost to consumers and providers?
Another week, more Medicare dis-Advantages
By
Kimberly Marselas
Aug 22, 2023
It’s starting to feel like every week brings another reason to begrudge Medicare Advantage plans their market-dominating growth.
More nursing homes should provide residents with I-SNP option
By
John Capasso
Apr 17, 2023
The Medicare Modernization Act of 2003 established a Medicare Advantage Coordinated Care Plan intended for individuals with special care needs, including nursing home residents with lengths of stay over...
Amid cacophony of action, some happy noise on Medicare Advantage
By
Kimberly Marselas
Nov 08, 2023
CHICAGO — I was drawn into the provider payment conversation early and often at the LeadingAge conference here this week, but the tone wasn’t quite what I expected. After years of dark messaging on...