Risk for decline up for low-income seniors after ICU stay
Mar 08, 2022
The risks for disability and transition to probable dementia increased after an ICU stay for seniors with dual eligibility for Medicare and Medicaid.
New group will advocate for dually eligible nursing home residents, other beneficiaries
By
Kathleen Steele Gaivin
Feb 22, 2024
A newly formed alliance of healthcare and consumer organizations has formed to advance the integration of Medicare and Medicaid for dually eligible nursing home residents and other older adults.
Affiliations pose risk to Medicaid, Medicare participation under new CMS rule
By
Lois A. Bowers
Sep 06, 2019
Under a final rule issued Thursday, Centers for Medicare & Medicaid Services can deny or revoke Medicaid and Medicare program enrollment from providers and suppliers if an owner or manager is directly...
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...
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...
GAO calls for more sharing of best practices for reducing improper Medicaid payments
By
Lois A. Bowers
Apr 18, 2017
The Centers for Medicare & Medicaid Services should collaborate with states to develop a systematic approach for collecting and sharing promising practices through which states have identified and reduced...
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.
1.65 million Medicaid beneficiaries receive HCBS through waivers like those used in assisted living
By
Kimberly Bonvissuto
Aug 30, 2022
A total of 1.65 million Medicaid beneficiaries received home- and community-based services through section 1915(c) waiver programs in 2019, according to a report released Friday by the Centers for Medicare...
Collaboration needed if assisted living is to continue serving dually eligible older adults: study
By
Kimberly Bonvissuto
Feb 01, 2021
As states continue to work to rebalance long-term services and supports spending away from nursing home care, assisted living is gaining as an option for Medicare-Medicaid dually eligible older adults...