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...
Long-term care financing reform – progress is possible
By
Brian D. Ellsworth and Arthur Y. Webb
Nov 13, 2013
When the federal Commission on Long-term Care issued its report last month, there was a sense of déjà vu all over again. Sixteen years ago, in New York State, we were staff person and task force member,...
Florida’s Medicaid HMO program could lead to ‘granny dumping’
Jun 16, 2011
A lesser known provision of Florida’s newly adopted Medicaid reform law includes an incentive for health plans that can reduce the number of seniors in nursing homes, according to Florida elder law...
Why managed care is good for long-term care
By
Joseph Healy, Ph.D.
Jun 21, 2012
Managed long-term care can provide a solution to many challenges facing providers. Coordinating patients’ care, working with family members, and focusing on the right type of treatment can lead to...
Managed care plans to play a bigger role in Medicaid: Exec
By
McKnight's Staff
Oct 29, 2012
States are expected to shift an increasing number of Medicaid enrollees from fee-for-service plans into managed care, nearly doubling its size in the sector over the next two years, a prominent healthcare...
Use of managed care for long-term care could save $140 billion, insurance report finds
Apr 19, 2010
Modernizing long-term care and other Medicaid-funded programs could yield hundreds of billions of dollars in government savings over the next 10 years, according to a new report from UnitedHealth Group.
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...
Increase managed care transparency, long-term care providers urge Senators
By
Tim Mullaney
Aug 18, 2014
The government should collect and release more claims information from managed care plans, the nation’s largest long-term care provider association stated in a recent letter to leaders of the Senate...
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.
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...