Nursing homes sue state Medicaid program, claiming massive underfunding
By
Josh Henreckson
Feb 23, 2024
Three of the largest provider associations in Ohio are suing the Ohio Department of Medicaid, alleging the department incorrectly calculated care quality incentives passed by the state Legislature —...
A key Medicaid advisory body appears ready to recommend new appeal opportunities for millions of Managed Medicaid beneficiaries and to add more oversight to better ensure plans cover medically necessary...
Nursing home that took in dozens after local closure now fears for its own health
By
Josh Henreckson
Jan 26, 2024
The high cost of caring for skilled nursing patients is squeezing finances at Upstate New York’s Heritage Ministries after it took in a majority of residents from the closing Lutheran Home and Rehabilitation...
$96M Medicaid funding gap menaces state’s facilities, threatens closures
By
Josh Henreckson
Jan 17, 2024
Persistent and growing Medicaid funding gaps have pushed Maine long-term care leaders to request urgent relief from the state government. The LTC reimbursement shortfall has expanded to $96 million dollars,...
Green House providers finally finding traction with state governments
By
Josh Henreckson
Dec 08, 2023
Providers pursuing Green House projects and prioritizing steps to enhance care quality such as private rooms have won significant victories on Medicaid reimbursement funding in Ohio.
After 15 years of trims, provider groups say middling Medicaid increase won’t cut it
By
Josh Henreckson
Nov 22, 2023
After 15 years of Medicaid reimbursement cuts, a group of providers says a cost-of-living increase is not enough to address compounding funding issues that threaten the quality of healthcare.
Watchdog urges Medicaid to bolster overpayment collection efforts
By
Kimberly Marselas
Jun 30, 2023
The Government Accountability Office is urging Medicaid overseers to do a better job of recouping overpayments, citing their allegedly lenient oversight of state auditing efforts.
As Medicaid disenrollments surge, concerns about nursing home residents persist
By
Jessica R. Towhey
Jun 05, 2023
Although hundreds of thousands have been knocked off state Medicaid rolls this spring, worries about dropped coverage for Medicaid-dependent nursing home residents have so far not proven reality in large...
Providers: ‘Serious’ access issue requires attention, financial commitment to match
By
Jessica R. Towhey
Jan 11, 2023
Senior care industry representatives hope that dire staffing shortages that led to 11,000 seniors being denied admittance to facilities in Minnesota in a single month will be improved through a legislative...
Senior care scores some wins in congressional budget deal
By
Alicia Lasek
Dec 21, 2022
A Congressional spending package for fiscal year 2023 supports key healthcare policy requests important to long-term care industry stakeholders, saving some clinicians and services from feared cuts.