As a child, Adrienne Mims, M.D., MPH, thought about being a lawyer. But when her beloved grandmother died of cervical cancer when she was in high school, she redirected her attention to a career in healthcare.
The federal government could reduce its Medicaid contributions to states as a deficit reduction measure, but the move likely would achieve savings only by putting seniors at risk, according to the Congressional Budget Office.
When the federal Commission on Long-term Care issued its report last month, there was a sense of déjà vu all over again. Sixteen years ago, in New York State, we were staff person and task force member, respectively, for New York's Task Force on Long-term care Financing. Despite the passage of time, there were some interesting similarities between the federal Commission and the New York State Task Force -- these included the compressed time frame for deliberations and the issuance of dissenting reports.
Captains of the long-term care profession get to their lofty positions by using their intellect and superior vision skills, as a gathering of minds recently re-emphasized.
Dual eligible managed care plans involved in an upcoming Centers for Medicare & Medicaid Services demonstration project will need to submit data in a variety of areas, the agency explained in a draft statement last week.
In a nutshell, troubled long-term care operators seem to be encountering this scenario with managed care companies: initial romance, followed by heightened accountability and reduced payments.
A facility that has proposed to offer grocery store gift cards in return for health screenings or clinical services will be sanctioned, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) has announced.
States are expected to shift an increasing number of Medicaid enrollees from fee-for-service plans into managed care, nearly doubling its size in the sector over the next two years, a prominent healthcare exec said late last week.
As states expand enrollment in managed care plans, operators should focus on quality improvement, according to panelists at a National Investment Center for the Seniors Housing and Care Industry session.
Dual eligibles in an Arizona integrated coordinated care plan had a 21% lower hospital readmission rate than their counterparts in Medicare fee-for-service programs, a new analysis reveals.
There currently are 154 accountable care organizations in operation, according to federal officials. They announced today that 89 brand new ACOs began service July 1.
Managed long-term care can provide a solution to many challenges facing providers. Coordinating patients' care, working with family members, and focusing on the right type of treatment can lead to lower costs and better outcomes.
Medicaid managed care contracting should come under increased federal and state scrutiny, a prominent senator said Wednesday.
Nursing homes that provide below-average consultant pharmacist salaries may be getting what they pay for, a state investigation suggests.
All of the 15 states selected by the Centers for Medicare & Medicaid Services to develop better plans for dual eligibles have proposed managed care models.
States will have to consider changes to their Medicaid managed care plans in order to accommodate the bigger, more diverse population expected to apply for Medicaid benefits, according to a new report.
A lesser known provision of Florida's newly adopted Medicaid reform law includes an incentive for health plans that can reduce the number of seniors in nursing homes, according to Florida elder law attorney Ellen Morris.
The Florida Legislature has approved a bill to move three million Medicaid enrollees into a managed care program, making it one of the biggest states to do so.
More than one-third of 93,000 Medicare managed care enrollees who received care for rheumatoid arthritis in recent years did not receive recommended drugs, according to researchers. In addition, the quality of drug treatments varied among geographic areas, socio-economic groups and health plans. Study results appeared in Wednesday's issue of the Journal of the American Medical Association.
The Florida House of Representatives this week approved two bills that would gradually shift most of the state's Medicaid recipients to managed care plans, according to local reports.
Modernizing long-term care and other Medicaid-funded programs could yield hundreds of billions of dollars in government savings over the next 10 years, according to a new report from UnitedHealth Group.