In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.
The ACA’s ‘comprehensive’ long-term care failure
By
Tim Mullaney
Nov 19, 2013
There’s been a lot of talk lately about what constitutes “comprehensive” health insurance coverage — and long-term care notably has not been part of this national conversation.
Another week, more Medicare dis-Advantages
By
Kimberly Marselas
Aug 22, 2023
It’s starting to feel like every week brings another reason to begrudge Medicare Advantage plans their market-dominating growth.
Troubling steps ahead for Nursing Home Compare?
By
John O'Connor
Apr 13, 2012
A newly announced plan to mine data from Medicare Advantage plans might give many operators an unexpected spine shiver.
Amid cacophony of action, some happy noise on Medicare Advantage
By
Kimberly Marselas
Nov 08, 2023
CHICAGO — I was drawn into the provider payment conversation early and often at the LeadingAge conference here this week, but the tone wasn’t quite what I expected. After years of dark messaging on...
When one dangerous compromise leads to another
By
James M. Berklan
Jun 28, 2021
Sometimes providers are backed into a corner and must do non-preferred things. But the big question becomes what’s the next step after the first concession?
A Medicare Advantage fix: What took so long?
By
James M. Berklan
Apr 12, 2024
Providers hoping that policy makers might some day show some backbone when dealing with Medicare Advantage plans can take heart. Well, at least a little.