Docs, therapists to see pay cut but caregivers score in ’25 physician pay rule
By
Kimberly Marselas
Jul 10, 2024
Doctors, therapists and others billing under the physician fee schedule would see an average 2.93% reduction in Medicare pay next year, the Centers for Medicare & Medicaid Services proposed Wednesday.
Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 26, 2024
The Centers for Medicare & Medicaid Services should consider banning artificial intelligence from being used to deny Medicare Advantage coverage pending a “systematic review,” a group of 49 congressional...
BREAKING: Supreme Court’s Chevron ruling could defang CMS
By
Kimberly Marselas
Jun 28, 2024
The Supreme Court this morning threw out a long-standing doctrine that has given regulatory agencies, including the Centers for Medicare & Medicaid Services, broad discretion to set rules for the entities...
Pay attention to Chevron cases, they may impact you more than you might expect
By
Neville M. Bilimoria
Jun 21, 2024
These days, with everything happening in long-term care, discussions are often focused on minimum staffing, lack of staff, increased enforcement, and focus on quality of care and technology. That’s...
CMS sends update on $75M nursing home recruitment campaign, but providers’ concerns linger
By
Josh Henreckson
Jun 13, 2024
CMS’ admitted lack of a plan thus far for the $75 million it intends to use to spur development of more nursing home workers is further puncturing providers’ hopes for helpful change.
Staffing rule financial penalties could be ‘existential’ crisis for nursing homes
By
Kimberly Marselas
May 21, 2024
While the Centers for Medicare & Medicaid Services has published a laundry list of possible enforcement actions for nursing homes that fail to meet new staffing requirements, providers can only wonder...
CMS provides first look at shorter, Risk-Based Survey process
By
Kimberly Marselas
Apr 04, 2024
The Centers for Medicare & Medicaid Services on Wednesday revealed initial information about a potential “Risk-Based Survey” option that could be available to some of the nation’s best performing...
‘Outliers’ beware: Medicaid transparency rule will track staff spending patterns
By
Kimberly Marselas
May 08, 2024
While a new Medicaid transparency rule for nursing homes doesn’t go as far as a similar measure dictating how home and personal care providers spend their money, data collected through new reporting...
Are CMS risk-based surveys enough to address the downfall of survey delays?
By
Steven Littlehale
Apr 26, 2024
In April 2024, the Centers for Medicare & Medicaid Services (CMS) announced the testing of a risk-based survey (RBS) that streamlines the standard recertification process for high-performing nursing homes....
House committee split raises new questions on nursing home staffing rule’s future
By
Kimberly Marselas
May 01, 2024
Some House lawmakers Tuesday painted their effort to repeal a new nursing home staffing mandate as a bid to ensure access to care and to stake their authority over a rogue regulatory agency at the same...