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...
An insider’s guide to managed care contract exclusions
By
Susie Mix
Dec 18, 2023
There’s a key question more providers need to know the answer to: What is a contract exclusion? A contract exclusion details the medications and treatments that are not included in the levels of a managed...
Staff shortages — what’s the opportunity?
By
Susie Mix
Oct 18, 2023
Amid some good news in healthcare hiring as we recover from the pandemic, staff shortages involve a range of difficult challenges that will persist for years. Among other factors, it’s difficult to find...
Insurgence of leveled contracts
By
Susie Mix
Jul 14, 2023
By now, we’re all pretty familiar with the fact that managed care is altering the post-acute care payor mix with Medicare Advantage plans. This is a byproduct of national policy, intended to offset our...
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
Dr. El’s Shrinky LTC Fantasy
Aug 04, 2015
I hung up the phone with the managed care case reviewer. The patient in question was in her late 50s, with multiple sclerosis and other physical problems that had left her bed-bound. What else would need...
Long-term care was the strongest healthcare sector for mergers and acquisitions last year, analysis shows
By
Tim Mullaney
May 09, 2014
Long-term care was the only healthcare sector to experience an increase in mergers and acquisitions last year, according to a new analysis from business intelligence firm Irving Levin Associates Inc.
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.
Managed care holds opportunities for SNF, experts say
By
McKnight's Staff
Sep 21, 2012
As states expand enrollment in managed care plans, operators should focus on quality improvement, according to panelists at a National Investment Center for the Seniors Housing and Care Industry session.