Are you effectively managing your managed care billing?
By
Kristy Brown
Jul 12, 2024
With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find...
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...
Yo, I’ll tell you what I want, what I really, really want
By
Steven Littlehale
Oct 14, 2022
It’s a curious day when I lift a lyric from the Spice Girls to title an article. The Spice Girls’ first single, “Wannabe,” was released in 1996 and rocketed to the top of the British singles chart....
America’s nursing homes at a crossroads
By
Scott Rifkin, MD
Aug 24, 2022
America’s nursing homes are at a crossroads. Operators are challenged by a history of insufficient funding under the Medicaid program and eroding Medicare payments. Coupled with long-term care facilities...
With managed care poised to ‘explode,’ operators try to grasp control with alternatives
By
Kimberly Marselas
Jan 07, 2022
Providers struggling with everyday expenses and reimbursement rates that have largely failed to keep up with the costs of care plan to pursue a broad range of new revenue streams this year. That’s according...
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
Also in the News for Wednesday, March 31
Mar 31, 2021
‘Pain champions’ in nursing homes spur better adoption of guidelines: study … State leaders gut proposed visitation law before passing it … Legal scholars want investigation into investigator of...
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.
Nursing home association wants no part of Medicaid managed care
By
John Hall
Apr 23, 2015
Managed care is not being warmly embraced by long-term care providers everywhere. Nearly 40 states are in various completion phases of transitioning to privatized Medicaid managed care systems, but Louisiana’s...