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Medicare/Medicaid

Silver linings

February 20, 2017  |  Pamela Tabar, Editor-in-Chief
blog

Long-term and post-acute care has plenty of challenges for 2017, but trials and tribulations can be good for the industry in the long run.

New federal rules for home health agencies

February 15, 2017  |  Kaiser Health News
news

Federal regulations, set to go into effect in July, would require the more than 12,000 home health agencies participating in Medicare and Medicaid be more responsive--and responsible--for patients and caregivers. 

Price confirmed to head HHS

February 10, 2017  | 
news

The Senate has approved the president’s nomination of Representative Tom Price as the new secretary of the Department of Health and Human Services.

Re-examining CMS' 5-star rating system

February 6, 2017  |  Alan C. Horowitz, RN, Esq.
blog

A new GAO report highlights why experts say the next addition to the Nursing Home Compare five-star ratings should be customer service.

Providers, Medicare renew battle over therapy services

February 1, 2017  |  Susan Jaffe, Kaiser Health News
news

Four years after the Jimmo court case, Medicare officials, providers and senior advocates still can't agree on how to handle ongoing therapy services for patients who aren't improving.

PointRight, Pathway launch 5-star ratings solution

January 24, 2017  |  newswire
news

The product will help skilled nursing facilities maximize their 5-star ratings under the CMS's Nursing Home Compare system.

Judge says no to Aetna/Humana merger

January 23, 2017  |  Pamela Tabar, Editor-in-Chief
news

The risks to pricing and competition among Medicare plans were key factors in the denial, the court says.

CMS applauds readmission reduction

January 20, 2017  |  Robert Gatty
article

The Centers for Medicare & Medicaid Services has seen a substantial decline in hospitalization admissions among Medicare beneficiaries in long-term care. 

CMS releases home health agency rules

January 9, 2017  |  Pamela Tabar, Editor-in-Chief
news

Home health agencies that receive Medicare or Medicaid funds must now comply with a new set of rules designed to close the gaps in care documentation.

Medicaid Qualified Income Trust a trying process

January 3, 2017  |  Kathleen Mears
blog

Resident blogger Kathleen Mears details her lengthy—and frustrating—journey of setting up a Qualified Income Trust (QIT/Miller trust) to meet Ohio’s changing Medicaid eligibility requirements.

CMS issues final rule for cardiac bundled payments

December 27, 2016  |  Pamela Tabar, Editor-in-Chief
news

CMS released its latest episodic care models Tuesday, including the 90-day bundles for heart and bypass patients.

CMS offers compliance guidelines to HCBS settings on wandering

December 22, 2016  |  Pamela Tabar, Editor-in-Chief
news

The Centers for Medicare and Medicaid Services has released compliance guideline fact sheet for home- and community-based providers who care for people who exhibit wandering or exit-seeking.

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