We face a Medicare crisis. Millions of baby boomers are reaching an age where they depend on the program to meet their healthcare needs. At the same time, the government is still struggling to control healthcare costs. This isn't a new problem, but it is one that we must approach strategically and...
A sweeping proposed rule aimed at significantly improving the quality of care Medicaid and Medicare beneficiaries receive in nursing homes is overly burdensome, industry insiders say, while advocates are praising the attempt to bring forth change.
Medicare could reduce spending with better care coordination for seniors who are too healthy for nursing homes but too frail to live without some support, researchers write in the journal Health Affairs.
A majority of frail Medicare patients who enter nursing homes in need of rehabilitation therapy now receive higher-paying intensive therapy before they leave, a major shift from just years ago, despite no evidence that such therapy is needed. The shift makes the rehab arena an attractive target for...
Nursing homes that have seen little change in the age or ailments of their patients have increasingly billed Medicare for highly intensive and profitable services at significant cost to the program, according to a new report that may spur the government to change how the facilities are paid.
New York state's experiment to better coordinate care for low-income and disabled residents who are dually eligible for Medicaid and Medicare is losing hundreds of enrolled beneficiaries.
The Centers for Disease Control and Prevention issued new recommendations Tuesday to help nursing homes combat antibiotic-resistant bacteria. The CDC says up to 75% of antibiotics prescribed in nursing homes are given incorrectly.
While value-based payment and delivery innovations by Medicare and commercial insurers have gotten more media attention, some experts say Medicaid has proven more fertile ground for innovation.
Data Points for the week of Aug. 31, 2015, covered the following topics: Estimated cost for U.S. military to provide transition-related healthcare to transgender personnel, nursing home care, Medicare Advantage competition and physician diversity.
It doesn't matter how much healthcare providers and researchers rail about the inadequacy and inconsistency of the consumer ratings offered by the CMS, the Leapfrog Group, journalism outfits and online startups. They are not only here to stay, they are proliferating.
There's general agreement that a CMS rule barring nursing facilities from requiring arbitration agreements is long overdue. But while industry representatives generally support the proposed rule, parts of it have left some trial lawyers and patient advocates fuming.
Patient advocates are praising a section of the CMS' proposed Medicaid managed-care rule related to long-term care. But health plans and states are sharply critical of provisions imposing new credentialing requirements on long-term care providers and allowing beneficiaries to opt out of managed...