Measuring patient function a big hitch in creating fair, post-acute pay
By
Kimberly Marselas
Sep 30, 2022
As a Congressional advisory board grapples with how to bring all post-acute providers under a single payment system, the use of self-reported data continues to raise doubts about the ability to accurately...
MA plans pocket billions more by enrolling less-costly patients
By
Kimberly Marselas
Jun 16, 2023
Medicare Advantage plans may be receiving overpayments of as much as 20%, finds a new study published by a health and aging think tank.
MedPAC finds single post-acute payment system feasible but says smaller-scale fix might be better
By
Kimberly Marselas
Jun 16, 2023
An attempt to unify payments for providers across all types of post-acute care is “analytically within reach,” but extensive policy changes that would likely be needed,
MedPAC member: Give Congress more on nursing home staffing mandate implications
By
Kimberly Marselas
Jan 12, 2024
The likely costs of complying with a federal staffing mandate will affect nursing home margins so “massively” that a Congressional advisory board should offer alternative payment guidance for the sector,...
MedPAC members rip ‘brute force test’ of staffing mandate, ponder consequences and possible gaming
By
Kimberly Marselas
Oct 06, 2023
A key Congressional advisory panel expressed deep skepticism Thursday over the proposed federal nursing home staffing mandate and whether it would address ongoing quality concerns in the post-acute care...
MedPAC pushes 3 percent Medicare SNF cut in report to Congress
By
Kimberly Marselas
Mar 17, 2023
A key body that advises Congress on Medicare policy is calling for a 3% reduction in payments to skilled nursing facilities in fiscal year 2024.
MedPAC ‘ruling out’ safety net for SNFs with heavy, low-income Medicare caseloads
By
Kimberly Marselas
Apr 14, 2023
Nursing homes that treat a large share of low-income Medicare patients have such high margins that they don’t need a bonus payment to help maintain access, a panel that advises Congress on Medicare policy...
One quarter of SNFs stuck with Medicare margins below 4%
By
Danielle Brown
Jul 21, 2022
Medicare margins for all freestanding skilled nursing facilities across the United States varied widely in 2020, according to new data from the Medicare Payment Advisory Commission.
MedPAC to recommend 3 percent skilled nursing cut to Congress
By
Kimberly Marselas
Jan 13, 2023
A Congressional advisory commission on Thursday recommended a 3% cut to Medicare base payments for skilled nursing facilities in 2024.