The government should collect and release more claims information from managed care plans, the nation's largest long-term care provider association stated in a recent letter to leaders of the Senate Finance Committee.
Providers should expect to be paid exclusively through managed care systems by 2025, a former White House adviser said in July.
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Healthcare providers should expect that they will be paid exclusively through managed care systems by 2025, a former White House adviser said Tuesday.
The government's oversight of Medicaid managed care organizations is not strong, even though these entities cover about 50 million people and are growing rapidly, according to a recently released report from a watchdog agency.
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Long-term care was the only healthcare sector to experience an increase in mergers and acquisitions last year, according to a new analysis from business intelligence firm Irving Levin Associates Inc.
Skilled nursing facilities could take major hits to their bottom lines unless a coordinator is on top of managed care contracts, a prominent healthcare consultant said last month at the American College of Health Care Administrators annual meeting in Las Vegas.
Long-term care operators take note: You soon could fail residents, anger family members, increase survey deficiencies, drop Nursing Home Compare stars and lose money unless you hire a Coordinator of Coordinators.
Advanced certified nursing assistants — with specialized skills in care transitions, dementia and other areas — could become important staff leaders in long-term care facilities through newly proposed federal legislation. The "Improving Care for Vulnerable Older Citizens through Workforce Advancement Act of 2014" was introduced Thursday by Rep. Matt Cartwright (D-PA) and Sen. Bob Casey (D-PA).
Skilled nursing facilities stand to lose substantial sums of money as they increasingly do business with managed care plans, unless a coordinator is on top of exclusions and other contract elements, a prominent healthcare consultant told an audience Monday at the American College of Health Care Administrators annual meeting.
Federal investigators recovered more than $10 million in incorrect Medicaid payments made to nursing homes in 2013, an annual review shows.
People with complex needs could find themselves squeezed out of the most appropriate long-term care settings as Medicaid beneficiaries become enrolled in programs from private sector companies, The New York Times reported in a lengthy Page 1 examination of the subject Friday.
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.