The promise of $8 billion for high-risk and pre-existing conditions pushed the bill in the GOP's favor. The bill now moves on to the Senate, where the margins for passage are predicted to be tougher. Read More »
State legislators are rallying behind bills to increase wages for nursing home workers and Medicaid reimbursement levels for nursing homes and rehabilitation facilities. Read More »
CMS mandates, dementia care strategies, cross-team collaboration and ageism culture change—We checked our web visits and social media stats to see which in-depth articles were the most popular among our readers in 2016. Did you miss any of these? Read More »
The pilot will let accountable care organizations manage the Medicaid claims for beneficiaries who receive both Medicare and Medicaid benefits. Read More »
A Place For Mom is partnering with a veterans resource organization to spread the word about the Veterans Aid and Attendance Pension, which can help pay the costs for assistance for those who qualify. Read More »
The Centers for Medicare and Medicaid Services has finalized a rule that will change the way services are reimbursed in off-campus and on-campus settings. Read More »
The nation’s largest private nursing home company will pay $145 million to settle claims it overcharged the government for therapy treatments. Read More »
There’s an argument to be made for being an early adopter with Bundled Payments for Care Improvement (BPCI) Model 3, but there are also questions about how much participants will ultimately save. Read More »
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Adding Medicaid to your mix
By Chris Junker, CEO of Procura Leveraging technology can maximize revenue and diversification of home healthcare service, especially in the complex environment of serving the Medicaid-eligible population. Learn More »
The Notice Act, which went into effect Saturday, would requires hospitals to notify patients of their outpatient status to warn them of potential out-of-pocket hospital expenses and impact on possible nursing home stays funded by Medicare. Read More »
The largest-ever fraud case involved the owner of more than 30 skilled nursing facilities and two others accused of kickbacks and false billing, the Department of Justice indictment says. Read More »
The Centers for Medicare and Medicaid Services has proposed changes to the Physician Fee Schedule to change how Medicare pays for primary care with an emphasis on care management and behavioral health. Read More »
The Medicare Payment Advisory Commission (MedPAC) submits it recommendations to Congress for how to establish a unified, cross-setting post-acute care payment system. The plan would redistribute payments among types of stays, making profits more uniform and hopefully reducing unnecessary services and admission preferences. Read More »
A new study on implementation of electronic health records (EHR) has identified several obstacles for doctors, chief among them poor user experience. Read More »
The Medicare Payment Advisory Commission (MedPAC) has issued its annual report on refinements to Medicare payment systems and on issues affecting the medicare program Read More »
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Learning to operate under the value-based payment model
By Richard A. Royer, MBA, CEO of PrimarisFor nursing homes, learning to operate under a new payment model is challenging after existing in the fee-for-service sphere for so long. But the introduction of new value-based programs requires nursing homes to adapt and embrace payment changes. Learn More »
The Centers for Medicare & Medicaid Services adds six new quality measures to the Nursing Home Compare system, including data on short-stay residents' trips to the emergency room. Read More »
Texas has one of the highest turnover rates for nursing home employees. The facilities are having trouble staying competitive with Wendy’s or McDonald’s, which can offer hourly workers a job with better pay and less stress. Read More »
The Centers for Medicare and Medicaid Services (CMS) will test a new payment model that encourages doctors to focus on health outcomes rather than volume of visits or tests. Read More »
The Centers for Medicare & Medicaid Services has imposed steep fines and threatened to terminate Woodbriar Health Center from its programs if serious problems are not resolved by next week. Read More »
The Center for Innovation has invested more than $30 million for Indiana University’s project to reduce avoidable hospitalizations for nursing home residents by providing higher levels of care on site. Read More »
A U.S. Senate Working Group has outlined priorities for improving Medicare delivery to beneficiaries with multiple, complex chronic illnesses while reducing healthcare expenditures. Read More »
The FBI is looking into claims the 34-year old accountant himself chose which home healthcare patients would be moved to hospice, recruited unqualified patients and charged the government for services not medically necessary. Read More »
