'Wake-up call': MA beneficiaries with certain conditions less likely to visit emergency room, report findsJuly 12, 2018
Medicare Advantage beneficiaries with hypertension, hyperlipidemia and diabetes are less likely to become hospital inpatients or visit the emergency room compared to traditional fee-for-service Medicare patients, a new analysis finds.
A budget proposal released by House Republicans on Tuesday takes a big chunk out of two of skilled nursing's biggest sources of revenue.
Many of us working on reform since the advent of Medicare and Medicaid in the turbulent 1960s witnessed reform in the guise of reworking, re-engineering, redevising, recreating, redesigning and refashioning.
Rankings unveiled by the Department of Veterans Affairs for the first time this week allow consumers to compare 133 federally run nursing homes against thousands of privately operated ones ranked by the Centers for Medicare & Medicaid Services.
New Medicare scorecard compares state efforts, but still lacks detail ... GAO: Soon-to-expand private program for VA patients has left them waiting months for care ... Most Florida nursing homes unprepared for hurricane season
Powerful House subcommittee opens arms to nursing home providers' suggestions for cutting 'administrative burdens'May 24, 2018
Long-term care professionals took full advantage of an invitation to tell House leaders Tuesday how they could cut Medicare red tape and improve resident care.
The growing drumbeat for greater use of telehealth in long-term care may have encountered a muffler.
Four influential Republican Congressmen sent a letter to federal regulators Tuesday, requesting sweeping answers about the agency's oversight of nursing homes.
There is a much more efficient solution to reducing Medicare spending than the proposed broad cuts to the program budget: Reduce the billions of dollars in incorrect payments each year.
Providers taking part in a Medicare experiment saved money by funneling care away from skilled-nursing facilities and other settings, and toward physician services, according to a new analysis.
Several therapy associations Thursday called on Congress to permanently end Medicare Part B caps on physical, speech and occupational therapy by adding language to a funding measure expected next week.
The Centers for Medicare & Medicaid Services is holding a Special Open Door Forum conference call on new Medicare card numbers at 2 p.m. Eastern on Jan. 23.
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.
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.
After tax votes, Congress' focus may shift to mandatory spending cuts and Medicare.
The current implementation of Medicare's sliding scale ADR limit policy is preventing the recovery of improper payments and has afforded a significant portion of providers with immunity from billing accuracy review due to the low volume of claims they submit
Some Senate Republicans are skeptical about cutting spending on social programs — Medicare included — in the months leading up to the 2018 elections.
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.
One of the nation's largest senior advocacy groups is warning lawmakers of the "lasting impact" of Medicare cuts that would be potentially included in the GOP's final tax reform bill.
Long-term care providers may be headed for another major Medicaid-funding fight in 2018 if House GOP leaders get their way.
Skilled nursing providers found both good news and bad news Thursday in a House bipartisan agreement statement on a Medicare extender package.
Republican Senators on Tuesday added a provision to their tax overhaul bill that would roll back the individual insurance mandate included in the Affordable Care Act.
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.
Fox Rehabilitation received at least $29.9 million in Medicare Part B payments for services that did not meet Medicare requirements, according to an August report by the Office of the Inspector General of the U.S. Department of Health and Human Services.
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.