Nursing home consumers—residents and their families—say the survey process has flaws that need to be addressed, according to a new report from the Coalition for Quality Care. Read More »
New data on hospital readmission shows that healthcare reform is making an impact--changing the rates for the first time in five years, says CMS. Read More »
The California Public Employees’ Retirement System, the country's third-largest health benefits purchaser, dropped a bombshell on its long-term care policyholders—switch LTC policies or deal with a massive rate increase. Read More »
A new report from the Office of Inspector General accuses skilled nursing facilities (SNFs) of misusing their Medicare payments, since more than one-third of SNFs don’t fulfill—or even create—the care plans and discharge goals required for their residents. Read More »
Widely recognized by his bushy beard and somber uniform, former U.S. Surgeon General C. Everett Koop became a household name for his anti-smoking campaign. Read More »
How many of your residents are on track to exceed the $1,900 payment cap on physical or occupational therapies? We examine the current therapy cap situation, and why it's such a challenge for long-term and post-acute care. Read More »
Florida’s governor, once one of the loudest voices against “ObamaCare,” has done a policy about-face and now supports limited Medicaid expansion in the state. Read More »
The Centers for Medicare & Medicaid Services has released its proposals for rate and payment changes for 2014. Seniors may be happy about the Part D drug changes, but insurers aren't as pleased with their end of deal. Read More »
Hospitals made little progress on hospital readmission rates between 2008 and 2010, and some regions have far more readmissions than the national average. Read More »
New trio of commissioners brings a wealth of experience to addressing the serious issues of services and supports for seniors and others with disabilities across the healthcare continuum. Read More »
The Congressional Budget Office on Tuesday released dismal statistics on how many employers may stop offering health benefits because of the new employer-based health plan rules. Read More »
The Congressional Budget Office lowered spending expectations for Medicare and Medicaid for 2013-2023, according to a report released Tuesday. Read More »
Modern detergents and new laundering technologies have prompted the Center for Medicare & Medicaid Services to revise the laundry notes under F tag 411. Read More »
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. Read More »
The Obama Administration on Friday said it would seek public comment on a new "opt-out" provision that is designed to meet the concerns of faith-based opponents to the earlier contraceptive mandate proposed for the ACA. Read More »
The Affordable Care Act requires states to have policies to combat fraud, but each state can choose how to do it. A new database shows what each state is doing to combat Medicaid fraud on their home turf. Read More »
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. Read More »
Although therapy billing has taken a lot of the heat lately in CMS’ hunt for fradulent billing practices, the next big target might be something more durable. Read More »
The Department of Health and Human Services (HHS) on Thursday issued a final “omnibus” rule, expanding the direct liability of contractors and subcontractors of healthcare providers, plans and insurers that violate patient privacy. Read More »
While the original filing deadline has passed, states have been given another extension for compliance with Obamacare’s health insurance exchange mandate. Read More »
MedPAC recommends that Congress vote to keep the special needs plans under Medicare Advantage, although some of the plans perform better than others. Read More »
