Medicaid

The hell with this guy

The hell with this guy

By

Speaking at the same Mandalay Bay complex in Las Vegas from which a "madman" committed the deadliest mass shooting by a single person in U.S. history just two weeks earlier, American Health Care Association CEO Mark Parkinon delivered a bold, unscripted edict.

11 more states working on wage increases for direct care workforce

By

Seventeen states currently have Medicaid-related initiatives underway to bolster their long-term care workforce, with many of those focused on raising wages for workers, a new survey shows.

SNF biller charged in $600,000 Medicaid fraud scheme after facility alerts authorities

By

A former biller for a Michigan nursing home has been charged with multiple fraud-related charges after authorities say she pocketed residents' cash payments to the facility.

GOP budget that cuts $1 trillion from Medicaid over next decade may be smokescreen

By

The House passed a budget proposal on Thursday that would slash roughly $1 trillion from the Medicaid program over the course of 10 years. But representatives aren't planning on seeing those cuts through, according to some observers.

Biting off your nose to spite Obama's face

Biting off your nose to spite Obama's face

By

It's hard to describe how incredibly dangerous and stupid the latest GOP effort to replace Obamacare really is. But I'll try.

Add Medicaid directors and McCain: Graham-Cassidy bill not the answer for reform

Add Medicaid directors and McCain: Graham-Cassidy bill not the answer for reform

By

The National Association of Medicaid Directors and Sen. John McCain (R-AZ) joined long-term care provider groups late last week in rejecting Republican lawmakers' latest Affordable Care Act replacement bill.

Gear up for another healthcare payment fight

Gear up for another healthcare payment fight

By

Watching the GOP try to force through its latest healthcare reform plan, which would once again hit Medicaid hard, I was reminded of something my mother used to jokingly say: "It's like deja vu all over again."

Texas could seek Medicaid expansion during Harvey recovery

By

Hurricane Harvey's impact on Texas may spur the state to pursue Medicaid expansion as a way to receive public funding in the storm's aftermath, some observers say.

How to police recidivist nursing homes: 3 strikes and you're out

How to police recidivist nursing homes: 3 strikes and you're out

By

The Centers for Medicare & Medicaid Services has the option of terminating nursing homes from the Medicare and Medicaid programs that it deems harmful. But to say the government has been reluctant to do so would be an extreme understatement.

 Will governors ride to providers' rescue?

Will governors ride to providers' rescue?

By

Now that the U.S. Senate has apparently decided to make healthcare somebody else's problem, I suggest keeping an eye on another pack of politicians: the governors.

Time to praise Medicaid and more regulations?

Time to praise Medicaid and more regulations?

By

If you see two providers having a pleasant conversation, it's unlikely they are discussing the joys of Medicaid -- or new regulations.

One threat removed, but even bigger one remains

One threat removed, but even bigger one remains

By

Make no mistake: Long-term care providers will take a victory wherever they can, and the Trump administration's move to rescind the Obama administration's ban on pre-dispute arbitration agreements is a win with a capital "W."

Reform's new 'lynchpin'

Reform's new 'lynchpin'

By

The long-term care sector is reeling a bit, thanks to two recent developments.

GOP health bill gets tougher on Medicaid

By

It was unclear at press time whether Senate Republicans could reach 50 votes needed for passage of a controversial healthcare bill that would involve deep long-term cuts to Medicaid.

Trump budget wields more Medicaid cuts than expected

Trump budget wields more Medicaid cuts than expected

By

Providers who first thought they would be on uncommonly good footing with Republicans controlling both chambers of Congress and the White House were stunned earlier this year when Medicaid reform was put on the table.

Senators search for Medicaid agreement

Senators search for Medicaid agreement

By

Senators sought middle ground in May over an Obamacare replacement bill and its ability to expand and fund Medicaid.

Court: Medicaid may collect SNF room-and-board outlays

Court: Medicaid may collect SNF room-and-board outlays

By

In a ruling that could create ripple effects on state Medicaid programs around the country, Nebraska's highest court decreed that the state may pursue payment from beneficiaries for room-and-board costs for skilled nursing stays.

State News for June 2017

State News for June 2017

State drafting measures to create universal, single payer healthcare program after Canada's example

Averting deep Medicaid cuts key as Senators draft own health bill

Averting deep Medicaid cuts key as Senators draft own health bill

By

Senate Republicans headed into the long Memorial Day weekend determined to make progress on a bill to replace Obamacare, but some notable players were guarded, if not outright skeptical, that much could be accomplished soon.

Medicaid just might sink Trumpcare

Medicaid just might sink Trumpcare

By

With recent major funding proposals about Medicaid causing such a tizzy, it's fair to ask why the powers-that-be find Medicaid such a tempting piñata. There are two main drivers. But only one is usually mentioned in polite company.

The ACA repeal and its impact on nursing homes

The ACA repeal and its impact on nursing homes

The public dialogue surrounding repeal of the Patient Protection and Affordable Care Act, also known as Obamacare, has made little mention of the nuts and bolts of the legislation that would be lost when it is gone.

MedPAC wants to put SNF Medicare claims to the test

MedPAC wants to put SNF Medicare claims to the test

By

Skilled operators have been telling lawmakers and regulators that they are the cheapest post-acute care option out there, and it appears the Medicare Payment Advisory Commission has not only heard the claim, but wants to take the industry up on it.

State to settle with nursing homes for $12 million

By

Almost all South Carolina nursing homes in dispute with the state over Medicaid processing have agreed to a proposed settlement, according to local reports.

Where are we going with long-term care?

Where are we going with long-term care?

Long-term care was never planned. It was never even consistently defined. A generally useful definition is that it is a set of services to assist persons who have lost, or never acquired, basic capabilities for self-care and management.

Don't be worried about Medicaid funding cuts — be very afraid

Don't be worried about Medicaid funding cuts — be very afraid

By

The long-term care industry's worst fears about what a Trump healthcare plan might contain have not just been met after last week's unveiling, they have been far exceeded.

Giving Trump a chance

Giving Trump a chance

By

It's interesting to see how this sector has generally responded to Donald Trump's recent presidential victory. In some quarters, demonstrators have taken to the streets. Others are predicting Armageddon. As for the long-term care sector's response? You might say the silence has been just about deafening. So was the field pulling for Trump all along?

When the star goes down and payment's involved, beware

When the star goes down and payment's involved, beware

By

A leader in the quest to increase long-term care insurance activity delivered a blow to its followers this week. The fallout might not be pretty.

Just when you think Medicaid payments couldn't get worse ...

Just when you think Medicaid payments couldn't get worse ...

By

Providers have long-enjoyed a like-hate relationship with Medicaid. Many operators view the program much as a circus trainer might eye a recently acquired wild animal: There's lots of potential, but danger too.

Good news for Medicaid facilities

Good news for Medicaid facilities

By

Nursing homes that take Medicaid beneficiaries or dual eligibles often know they are admitting low-income, chronically ill seniors. Now there is some good news: The Centers for Medicare & Medicaid Services announced it will increase payments for dual eligibles enrolled in one of 12 state-administered demonstration programs.

CMS sneaks a trick in with its treats

CMS sneaks a trick in with its treats

By

With so many regulatory changes kicking in on Oct. 1, it's no wonder providers were likely too distracted to notice the latest "trick" by the Centers for Medicare & Medicaid Services.