Medicare/Medicaid

CMS proposed rule would force providers to report overpayments in 60 days

February 14, 2012    
news
The CMS announcement followed a separate HHS report finding that the government had recovered nearly $4.1 billion in healthcare fraud cases during FY2011.

Skilled nursing provider groups blast Obama’s 2013 budget

February 14, 2012    
news
The Alliance for Quality Nursing Home Care called Obama’s approach to achieving the proposed $4 trillion in deficit reductions a “strategy of ‘cuts only’ without reforms.”

Obama’s proposed budget calls for Medicare/Medicaid cuts

February 8, 2012    
news
The 2013 budget includes proposals to cut approximately $248 billion on Medicare and $72 billion on Medicaid and to lower payments to nursing homes.

Most states to see Medicaid matching rates decline in 2014

February 7, 2012    
news
Only a handful of states are expected to see an increase in Federal Medical Assistance Percentage, according to projections by the National Association of Medicaid Directors.

Poll: Most voters oppose reducing Medicare funding for SNF care

February 6, 2012    
news
The Alliance for Quality Nursing Home Care, which announced the poll's findings, intends to broadcast the results “on Capitol Hill and in states across the nation.”

The impact of ‘never events’ on post-acute care

February 2, 2012     Paula G. Sanders, Esq.
article
The current Medicare payment policy for hospital “never events” has created risks for unassuming post-acute providers. Nursing homes, assisted living facilities and CCRCs need to prepare for the coming impact.

CBO: 10-year repeal of sustainable growth rate would cost $316 billion

January 31, 2012    
news
The CBO said outlays for Medicare would be $9 billion higher in 2012 alone if Congress overrides a scheduled 27 percent reduction under the SGR, which would take effect March 1.

Pork gets political for nursing homes

January 31, 2012     Patricia Sheehan, Editor-in-Chief
blog
"Don’t mess with residents’ dietary requirements" is the rallying cry of Jewish nursing home advocates after a past veto by Mitt Romney for funding kosher meals garners renewed attention.

CMS rule would increase Medicaid drug pricing transparency, save $17.7 billion

January 31, 2012    
news
The CMS rule, which implements prescription drug provisions of the Affordable Care Act, would increase transparency in drug pricing to ensure states are not overpaying for prescription drugs.

In face of fiscal meltdown, Illinois funds nursing home safety

January 30, 2012     Kevin Kolus, Editor
blog
Gov. Quinn has boosted nursing home funding by millions of dollars to help carry out safety reforms passed in 2010. This is because the state won’t have to touch its own coffers to distribute the cash.

AHCA finds providers commit to quality in 2011 despite threat of cuts

January 24, 2012    
news
The industry is focused on reducing hospital readmissions and improving patient and staff satisfaction, AHCA/NCAL said. However, those goals may be in jeopardy with the likelihood of diminishing reimbursement.

MedPAC targets Medicare payments to SNFs

January 23, 2012     Bob Gatty
article
With margins averaging 18.5 percent in 2010, MedPAC contends SNFs are making a killing on Medicare. Under the proposed rebasing plan, there would be a zero update in 2013, followed by an initial reduction of four percent in 2014.
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