Medicare/Medicaid

Long-term care, Medicare Advantage find growth together

Health care providers selling Medicare Advantage (MA) products isn’t a new trend, but typically “providers” refers to hospitals, health systems, or physician groups.

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Top 2019 trends for skilled nursing

According to Skilled Nursing News, these trends we will experience in 2019. Starting off, CMS will step up enforcement and look to cut reimbursements.

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Insurer SCAN open to work with senior living providers

Senior housing operators across the country are evaluating Medicare Advantage opportunities in light of a change announced last April. 

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Skilled nursing facilities voice displeasure with Medicare Advantage plans

The study authors conducted 154 interviews with the stakeholders, who hailed from eight markets across the U.S.

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CMS will up its weekend inspections of nursing homes

The CMS notified state survey agencies it will use payroll-based staffing data to identify facilities with reduced weekend staffing, and require the agencies to conduct at least 50% of off-hours surveys of those facilities on weekends, starting immediately. Read More >>

Lawsuit alleges skilled nursing violation by Molina

The insurer Molina Healthcare was accused of neglecting to provide a mandatory skilled nursing program in violation of its managed Medicaid contracts with the state of Illinois.

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Market leads providers to expect spike in insurance costs

Liability insurance rates for senior living and long-term care (LTC) providers are expected to go up anywhere from 5% to 30% in 2019.

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Despite concerns, Senate pushes bill to ease home health services’ homebound requirements

The home health industry has won another victory in Washington, D.C., in its battle against certain parts of the Patient-Driven Groupings Model (PDGM) and shift toward a more pre-acute care identity.

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New paper states that long-term care hospitals should be paid the same as skilled nursing facilities

Study claims LTC hospitals cost three times as much as cheaper venues, such as SNFs, for the same care.

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Washington skilled nursing faces tough times due to Medicaid

“At this point I can’t even tell you how they’re coping. That’s how bad it is,” WHCA president and CEO Robin Dale told Skilled Nursing News.

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