CMS proposes ‘universal’ quality measures to ease provider burden, confusion
By
Lois A. Bowers
Feb 06, 2023
Centers for Medicare & Medicaid Services leaders are proposing the creation of a “universal foundation” of quality measures to reduce the reporting burden and confusion for providers and better align...
Medicaid unwinding complicates care decisions for some assisted living providers
By
Kimberly Bonvissuto
Apr 03, 2024
As states navigate the Medicaid redetermination process, some assisted living providers that accept Medicaid for their low-income residents have experienced payment disruptions. This situation leaves them...
Paper analyzes government policy’s role in creating LTC problems
By
Kathleen Steele Gaivin
Oct 11, 2022
The Medicaid program is largely responsible for problems in long-term care, according to a paper recently published by the Paragon Institute.
Elevated Medicaid use no threat to health insurers in the long term: Fitch
By
Kathleen Steele Gaivin
Jun 27, 2024
Headwinds from an increase in the use of Medicaid are unlikely to have a long-term negative effect on health insurers, according to a new brief from Fitch Ratings. Insurers may experience short-term margin...
High concentration of dually eligible older adults in assisted living warrants study of care quality,...
By
Kimberly Bonvissuto
Mar 17, 2023
Older adults who are dually eligible for the Medicare and Medicaid programs are highly concentrated in assisted living communities, according to a research letter published in JAMA Health Forum.
Medicare spending expected to top $1 trillion this year, CMS says
By
Kathleen Steele Gaivin
Jun 15, 2023
says
Medicare expenditures are expected to exceed $1 trillion despite the end of the COVID-19 public health emergency this year, the associated expirations of the skilled nursing facility three-day stay...
CMS updates spousal impoverishment standards
By
Lois A. Bowers
May 22, 2024
The Centers for Medicare & Medicaid Services on Wednesday announced updated 2024 spousal impoverishment standards, which apply when married individuals seek coverage of certain long-term services and supports...
EHR misuse at center of $21M rehab upcoding settlement for Grand Health
By
James M. Berklan
Jul 12, 2024
The Grand Health Care System and its 12 affiliated skilled nursing facilities will pay more than $21.3 million to settle allegations of therapy upcoding that involved a quota system for keeping billing...
Racial and ethnic disparities seen in use of hospice
Dec 18, 2023
Older age was associated with lower odds of short length of stay in those dually eligible for Medicare and Medicaid.
Sociodemographics tied to rehab use during critical illness hospitalization
May 10, 2024
Dual Medicare and Medicaid eligibility and rural residence were linked to lower odds of physical and occupational therapy receipt.