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...
Bake sale-supported nursing home turns to assisted living to survive
By
Josh Henreckson
Apr 05, 2024
A Rhode Island nursing home that had turned to a grassroots funding campaign that included a resident-run bake sale to avoid closure is reworking one of its floors into a memory-care focused assisted...
Updated CMS telehealth toolkit offers tips to states for improving access
By
Aaron Dorman
Feb 27, 2024
CMS has released a new report on telehealth intended to give states guidance on how to assist access for those on Medicaid programs.
New federal rule means hospitals need written consent for pelvic, prostate exams
Apr 01, 2024
The HHS also issued a new set of guidelines clarifying a longstanding requirement that hospitals must obtain written informed consent as a condition for being reimbursed by Medicare and Medicaid.
Almost 1 in 4 people disenrolled from Medicaid are now uninsured
Apr 12, 2024
Nearly a quarter of Americans who lost their pandemic-era Medicaid coverage say they’re now without any health insurance, a new survey finds.
CMS readies providers for Interoperability and Prior Authorization rule
By
Adam Healy
Apr 03, 2024
CMS offered providers resources to help prepare for the newly finalized Interoperability and Prior Authorization final rule.
Medicaid Access Rule shortcomings could decrease access to care, industry advocates say
By
Kimberly Bonvissuto
Apr 23, 2024
No guarantee exists that a final rule that the federal government promoted as increasing transparency in Medicaid payments and improving wages for direct care workers will accomplish either goal, senior...
MFCU efforts result in 20 convictions, $9.41 million in recoveries related to assisted living in FY 2023:...
By
Lois A. Bowers
Mar 18, 2024
Efforts by state Medicaid Fraud Control Units resulted in a total of 20 criminal convictions and $9.41 million in criminal case recoveries related to assisted living in fiscal year 2023, according to a...
CMS changes quality measure set for home- and community-based services
By
Lois A. Bowers
Apr 15, 2024
The Centers for Medicare & Medicaid Services announced changes to the quality measure set for home- and community-based services and described reporting requirements for Money Follows the Person grant...
Electronic visit verification will become industry standard in near future, expert predicts
By
Adam Healy
Feb 07, 2024
Electronic visit verification, or EVV, will become industry standard soon, a marketplace executive predicts.