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Let skilled-nursing providers take risk in bundled-payment demonstration

Let skilled-nursing providers take risk in bundled-payment demonstration

By Mark Parkinson  |  October 17, 2015

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...

Nursing home facilities up in arms over new rules

By Virgil Dickson  |  October 16, 2015

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.

Blog: Assisted living eyed as gap in care coordination

By Melanie Evans  |  October 05, 2015

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.

Rehab care reimbursement under renewed fire from OIG

Rehab care reimbursement under renewed fire from OIG

By Melanie Evans  |  October 03, 2015

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...

OIG report suggests nursing homes game Medicare

By Melanie Evans  |  September 30, 2015

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.

Is New York's duals demonstration on verge of collapse?

By Virgil Dickson  |  September 30, 2015

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.

CDC steps up battle to squash superbugs in nursing homes

CDC steps up battle to squash superbugs in nursing homes

By Aurora Aguilar  |  September 15, 2015

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.

Data Points for Aug. 31, 2015

Data Points for Aug. 31, 2015

By Modern Healthcare  |  August 29, 2015

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.

The world isn't waiting for better healthcare quality measures

The world isn't waiting for better healthcare quality measures

By Merrill Goozner  |  August 08, 2015

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.

Nursing homes' use of binding arbitration comes under fire

Nursing homes' use of binding arbitration comes under fire

By Lisa Schencker  |  August 08, 2015

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.

Advocates split with health plans, states over Medicaid long-term care rules

By Virgil Dickson  |  July 29, 2015

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...

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