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...
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...
Cantex’s Peter Longo: Building a gateway to the future through ancillary services
By
Kimberly Marselas
May 23, 2022
The ability to care for patients more seamlessly through ancillary services excites referral partners. So do better outcomes facilitated across the continuum and during transitions of care. But it takes...
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
The beauty of offering a full-service managed care platform
By
Franklin Segura
Jul 22, 2019
We do not turn away difficult or specialty patients because we can handle almost any specialty pertaining to the senior patient.
Block grants won’t lead to cost-cutting efficiency
By
Brendan Williams
May 31, 2019
Eviscerating the social safety net through block grants can only further contribute to a dystopian future for aging adults and all others on Medicaid.
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.
MACPAC pushes Congress to streamline state shifts to managed care
By
Kimberly Marselas
Mar 16, 2018
In a report issued Thursday, MACPAC urged Congress to make transitioning to managed care easier for states — one method the commission suggested could improve efficiency within the Medicaid system.
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...
Proposed managed care rule could accelerate shift away from nursing home care, official suggests
By
Tim Mullaney
Oct 30, 2014
Proposed regulations slated for early 2015 likely will affect how Medicaid managed care balances home- versus facility-based long-term care, news sources reported Wednesday.