Medicare/Medicaid

Immediate jeopardy: True or false?

An immediate jeopardy deficiency can cost providers dearly in finances and reputation. But what if it’s not true? Legal expert Alan C. Horowitz discusses a recent case where the provider challenged CMS over nearly $1 million in fines—and won.

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Price resigns from HHS: Now what?

As the head of the U.S. Department of Health and Human Services steps down amid scandal over the use of travel funds, how will it affect the swirl of unsolved healthcare issues?

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Medicaid cuts could cause greater care gaps

An analysis of Nusing Home Compare shows cuts to Medicaid could harm the poorest residents and lowest-rated facilities that will have to do more with less. That could cost the government even more. 

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Bye-bye, CMMI?

CMS Administrator Seema Verma has announced the dawn of big changes at the Center for Medicare and Medicaid Innovation (CMMI). What will happen to all the bundled payment projects?

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CMS launches Hospice Compare site

Much like the Nursing Home Compare site for skilled nursing facilities, the new data comparison tool will allow consumers to see quality measures data on hospice and palliative care providers.

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CMS raises reimbursement by 1%, pushes VBP

With the Value-Based Purchasing program due to begin in 2019, CMS is pushing SNFs to get on board with performance baselines now.

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Senate says no to ‘skinny repeal’ healthcare bill version

The Senate has voted 51-49 to keep the Affordable Care Act law the way it is—for now. Majority Leader Mitch McConnell says it’s time to “move on.”

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412 charged in largest-ever fraud bust

July has been a record-breaking month for the Department of Justice’s fraud squad, which orchestrated a 30-state takedown totaling $1.3 billion in fraudulent or illegal activities.

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The new LTC bundle: housing and insurance

A few nursing home companies have begun selling their own private insurance policies on the Medicare Advantage market

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Senate abandons second healthcare bill

The Senate GOP has pulled the plug on its most recent attempt to repeal and replace the Affordable Care Act.

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