Ask the payment expert … about quality of care and reimbursements
By
Patricia Boyer
May 01, 2014
Many states are at the forefront of pay for performance initiatives. These tie payment incentives to quality measurements and outcomes. These programs are encouraged by the Centers for Medicare & Medicaid...
Administrators pan pay-for-performance
By
John O'Connor
Jun 01, 2014
Most nursing home administrators do not believe that pay-for-performance initiatives lead to improved resident care or stronger bottom lines, according to findings recently published in the Journal of...
Hospital readmission incentives on hold, and ‘no one wins but Medicare’
By
Kimberly Marselas
Aug 02, 2022
Skilled nursing operators will forgo bonuses for a second straight year for limiting hospital readmissions, a regulatory pause one compliance expert says will lead to losses all around.
Medicare reform proposal needs fixes for long-term care physicians, AMDA says
By
Tim Mullaney
Nov 15, 2013
Prospective Medicare changes regarding physician payments might unfairly penalize doctors working in long-term care settings, according to a prominent medical directors association.
Congress should increase funding for non-institutional care, link payment and performance, Medicaid directors...
By
Tim Mullaney
Aug 30, 2013
The U.S. system for providing long-term care should be changed to reduce the number of people living in facilities and better align spending with health outcomes, according to comments that state Medicaid...
MedPAC eyes replacing SNF VBP with new model that reimburses more evenly
By
Danielle Brown
Mar 11, 2021
The current value-based purchasing program for skilled nursing facilities would be replaced by an alternative incentive model that rewards providers more evenly under a proposal by the Medicare Payment...
MedPAC endorses recommendation to ditch VBP in favor of more equitable model
By
Danielle Brown
Apr 02, 2021
The Medicare Payment Advisory Commission is urging Congress to eliminate the current value-based purchasing program for skilled nursing facilities and establish an alternative that builds in more equitable...
Former HHS chief: Nursing homes playing a part in Medicare ‘drifting toward disaster’
By
Marty Stempniak
Jan 17, 2019
A former secretary of Health and Human Services and Utah governor believes Medicare is “drifting toward disaster,” requiring immediate attention from lawmakers on both sides of the aisle.
House to vote on skilled nursing facility readmissions penalties, ICD-10 extension
By
Tim Mullaney
Mar 27, 2014
Skilled nursing facilities could see reimbursements tied to their number of hospital readmissions starting in 2018, under Medicare legislation announced by House and Senate leaders Wednesday. The bill...