Medicare could negotiate drug prices under Democrat proposal
Nov 03, 2021
For the first time, the measure would enable the federal government to negotiate prices for medications covered by Medicare.
Outpatient care has shifted toward more specialist care for Medicare recipients
Nov 01, 2021
“We find that during the past 20 years, healthcare for Medicare beneficiaries is increasingly fragmented across several physicians, mostly specialists, with little change in annual engagement with...
States overlooking untapped potential of dual-eligible special needs plans: report
By
Kimberly Bonvissuto
Oct 28, 2021
The American Rescue Plan Act is expected to infuse $11 billion in federal dollars to states to bolster home- and community-based services in Medicaid. But few states are connecting the dots on how integrated...
Medicare revenue per patient day decline plateaued mid-summer: NIC MAP Vision
By
Kathleen Steele Gaivin
Oct 07, 2021
After a steady decline since January, Medicare revenue per patient day held steady month over month from June through the end of July, at $560, according to market trends data NIC MAP Vision published...
Assisted living deserves equal billing with other provider types for Phase 4 Provider Relief Fund bonuses,...
By
Kimberly Bonvissuto
Oct 06, 2021
The senior living industry will be “left behind again” if the formula for Phase 4 Provider relief Fund bonus payments considers only Medicare reimbursement to facilities without also considering the...
From transportation to housekeeping, MA plans moving further into the home in 2022
By
Diane Eastabrook
Oct 05, 2021
Medicare Advantage plans are moving more benefits into the home in 2022. In-home primary care, transportation, meals and in-home support are just a handful of new benefits private insurers are offering...
Medicare claims data can aid development decisions: NIC MAP Vision
By
Kathleen Steele Gaivin
Oct 05, 2021
Operators trying to determine which markets are under- or over-served can use Medicare data to make better development decisions, according to Arick Morton, CEO of NIC MAP Vision.
MA hospice carve-in model failing beneficiaries, NHPCO charges
By
Diane Eastabrook
Oct 04, 2021
The National Hospice and Palliative Care Organization is blasting the Centers for Medicare & Medicaid Services for continuing a two-year Medicare Advantage hospice carve-in demonstration that NHPCO considers...
Legislation would expand in-home dialysis
By
Diane Eastabrook
Oct 04, 2021
A bipartisan bill introduced late last week would allow more kidney patients to receive dialysis in the comfort of their homes.
Congress likely to scale back HCBS funding as part of budget compromise
By
Diane Eastabrook
Sep 29, 2021
Home- and community-based services are in the crosshairs as top Democrats look to pare down their ambitious healthcare proposals in the massive $3.5 trillion proposed budget.