Prospective payment system

2% Medicare payment reductions begin today

April 2, 2013     Pamela Tabar, Senior Editor
news

The waiting is over. No resolution to the budget crisis means that sequestration begins—today. Long-term care facilities will feel the effects upfront, but a quieter casuality might be healthcare's information technology and data-sharing initiatives.

White House, Congress might consider combining Medicare Parts A and B

March 28, 2013     Pamela Tabar, Senior Editor
news

Sweeping changes may be on the horizon for the way Medicare billing is divided, as President Obama and Republicans put the idea of combining Medicare Parts A and B back on the discussion table, the New York Times reports today.

MedPAC to Congress: Reduce SNF payments by 4% in 2014

March 18, 2013     Pamela Tabar, Senior Editor
news

Skilled nursing facilities and home health agencies face payment reductions, but hospices and long-term care hospitals get a first-round bye in MedPAC's latest Medicare payment recommendations to Congress.

CMS mandates greater disclosure on provider/manufacturer relationships

February 4, 2013     Pamela Tabar, Senior Editor
news

How much do you know about your GPO? CMS has instituted stricter disclosure rules pertaining to the financial relationships between providers and drug and device manufacturers.

CMS announces test sites for bundled payment program

January 31, 2013     Pamela Tabar, Senior Editor
news

Hundreds of provider sites are ready to test the Centers for Medicare & Medicaid Services’ four new models for restructuring the way episodes of care are paid for.

Washington budget fight has LTC industry fretting over more cuts

January 17, 2013     Bob Gatty
article

The fiscal cliff battle is behind us, but the nation is heading to another possible financial crisis caused largely by politics, and the nursing home sector—and their residents—could well be caught in the middle.

MedPAC to Congress: Renew Medicare’s special needs plans for long-term care

January 14, 2013     Pamela Tabar, Associate Editor
news

MedPAC recommends that Congress vote to keep the special needs plans under Medicare Advantage, although some of the plans perform better than others.

Are SNFs causing their own headaches?

December 18, 2012     Bob Gatty
article

MedPAC proposes more cuts for 2014, and the skilled nursing industry objects. But the GAO issues a report that can only make the industry’s case more difficult.

AHCA: Medicaid payment shortfalls projected at $7 billion for 2012

December 18, 2012     Pamela Tabar, Associate Editor
news

A new report released today by the American Health Care Association shows historic shortfalls in what Medicaid pays and what skilled nursing care actually costs.

HHS says no to full funding for partial Medicaid expansions

December 11, 2012     Pamela Tabar, Associate Editor
news

The Department of Health & Human Services clarified its position Monday on funding ratios for state Medicaid expansions and published an extensive FAQ list on state health insurance exchanges.

DOJ orders repayment of improper Medicare reimbursements

November 28, 2012     Pamela Tabar, Associate Editor
news

In the wake of federal reports of rampant fraudulence Medicare billing, the letters begin arriving at hospitals and other healthcare sites: Medicare wants its money back.

BREAKING: HHS releases proposed rules for state insurance premiums, workplace wellness programs

November 20, 2012     Pamela Tabar, Associate Editor
news

The release of today's proposed rules brings the Department of Health & Human Services a few steps closer in building the rules for state health exchanges (HIX).

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