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.
CBO analyzes Medicaid caps to curb federal healthcare spending
By
Tim Mullaney
Nov 15, 2013
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...
Long-term care financing reform – progress is possible
By
Brian D. Ellsworth and Arthur Y. Webb
Nov 13, 2013
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,...
Heard around the table: Provider execs listening to the right people
By
James M. Berklan
Oct 02, 2013
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.
Data mandated for dual eligibles outlined as states move to managed care
By
Elizabeth Newman
Jun 10, 2013
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...
Managed care: Panacea, death knell or something in between?
Mar 18, 2013
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.
Gift cards for patients don’t violate anti-kickback statute, OIG says
Jan 07, 2013
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...
Managed care plans to play a bigger role in Medicaid: Exec
By
McKnight's Staff
Oct 29, 2012
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...
Managed care holds opportunities for SNF, experts say
By
McKnight's Staff
Sep 21, 2012
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.
Integrated care coordination for dual eligibles lowers readmission rates in case study
By
McKnight's Staff
Jul 20, 2012
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.