Medicaid

Court rules nursing homes can't sue state over Medicaid decisions

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Ohio nursing homes don't have standing to sue the state over Medicaid eligibility determinations unless specifically authorized.

Still no word on whether CMS will approve lifetime Medicaid limits

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Lawmakers and reporters alike have been unable to pin down Centers for Medicare & Medicaid Services Administrator Seema Verma on her agency's view of states' requests to impose lifetime coverage limits on Medicaid beneficiaries.

Also in the News for Wednesday, Feb. 7

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Reports: Trump administration considering lifetime cap on Medicaid coverage ... CNA and mother-in-law charged with stealing $34K from resident under his care ... Hospital location often dictates LTAC placement when skilled nursing would fit better

Republicans reconsider targeting Medicare, Medicaid in election year

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Last weekend's Camp David retreat has Republicans rethinking their earlier ambitions to reform safety-net programs, including Medicare and Medicaid, fearing a lack of support heading into midterm election season.

Hackers may have tricked FL worker into giving up info on 30,000 Medicaid patients

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Florida officials announced Friday that hackers may have stolen the personal information and medical records of up to 30,000 Medicaid recipients in November.

3 bold predictions for the coming year in long-term care

3 bold predictions for the coming year in long-term care

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There's nothing like a budding new year to awaken that urge in scribes to warn better-informed readers what to expect. It must be some kind of occupational hazard. So in the spirit of not always being right but never being in doubt, here are three predictions you can take to the bank.

A no-brainer plan for Medicare and Medicaid

A no-brainer plan for Medicare and Medicaid

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But for those of you who think outrageous political trickery is dead, please let me point you in the direction of Capitol Hill. For we appear to be in the midst of one of the better con jobs to come along in quite some time, and it's threatening your supply of Medicare and Medicaid dollars.

House threatening Medicare and Medicaid reform in 2018

House threatening Medicare and Medicaid reform in 2018

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Long-term care providers may be headed for another major Medicaid-funding fight in 2018 if House GOP leaders get their way.

State, fed relationship will be 'reset' by Medicaid overhaul

State, fed relationship will be 'reset' by Medicaid overhaul

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The relationship between the federal government and states participating in the Medicaid program will be "reset" under Centers for Medicare & Medicaid Services' Administrator Seema Verma's vision.

Nursing home CEO who spent Medicaid funds at strip clubs admits to stealing from employees' benefits accounts

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The former CEO of a Missouri nursing home who embezzled $667,000 in Medicaid funds from the facility for use on personal expenses also took money from workers' 401(k) and health benefits accounts, local reports say.

Court allows SNF to sue state over refusal to pay Medicaid bills

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A North Carolina skilled nursing facility will be allowed to pursue a case against the state's Medicaid agency after it denied payment for residents who couldn't pay their share of their bill after their Social Security checks were stolen.

Retroactive Medicaid coverage in jeopardy, could hurt providers

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More states may soon be able to opt out of providing retroactive Medicaid coverage, a trend that could put more cost burden on providers, according to some observers.

SNFs' neighborhoods, Medicaid reliance linked to providers' fiscal stress

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The economic and racial makeup of the neighborhood where a nursing home is located plays a big role in how financially stressed it is, a new study confirms.

Medicaid chief announces new 'vision' for program — and policies to reduce regulatory burden

Medicaid chief announces new 'vision' for program — and policies to reduce regulatory burden

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The future of Medicaid will include a stronger focus on the relationship between the federal and state governments, as well fewer barriers to innovation within the program, the head of the program shared on Tuesday.

The hell with this guy

The hell with this guy

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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

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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

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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

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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

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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

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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

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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

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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

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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?

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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?

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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

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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'

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

GOP health bill gets tougher on Medicaid

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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

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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.