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...
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”...
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...
CMS plan to target CCRCs
By
James M. Berklan
Feb 02, 2020
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.