A new federal proposal effectively proposing new Medicaid taxes could lead to the closure of some skilled nursing units in continuing care retirement communities in 18 states, according to provider advocates.
Verma: Some alternative pay models should be mandated
By
James M. Berklan
Jun 06, 2019
Making new Medicare payment models mandatory is crucial to avoid “selection effects,” where only providers who benefit financially from a model participate, reducing potential savings, said Medicare...
Therapists’ value extolled
By
James M. Berklan
May 01, 2019
Controversy emerged when a panelist representing therapists asserted to a crowd of about 1,300 at the joint AANAC/AADNS meeting that “your therapist is the most highly educated person in the building”...
Data expert lays bare PDPM myths, truths, observations
By
James M. Berklan
Apr 04, 2019
The Patient-Driven Payment Model is the biggest overhaul of nursing home reimbursement in at least a generation, but it is only a temporary fix, cautioned an expert at the recent National Investment Center...
Pay switch costs a bundle
By
James M. Berklan
Nov 02, 2018
Total episode payments declined but the Medicare program lost big from 2013 to 2016 with Bundled Payments for Care Improvement. The total cost was nearly $290 million. Model 2, the most commonly used track...
Lawmakers target SNFs’ big payer for fraud, waste cuts
By
Kimberly Marselas
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
ACOs save on backs of SNFs
By
Marty Stempniak
Apr 08, 2018
Providers taking part in a Medicare experiment saved money by funneling care away from skilled nursing facilities and toward physician services, according to a new analysis.
Medicaid termination doesn’t always cross state lines: OIG
By
Elizabeth Newman
Sep 04, 2015
Twelve percent of providers terminated from a state Medicaid program continued participating in other states, a new government study has found.
Providers challenge proposal that adjusts payments, care
By
John Andrews
Jun 05, 2015
Providers in the post-acute care sector seem to be united in wanting BACPAC to take a hike.
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?