Another state takes the Medicaid MCO plunge as questions about delayed, denied care mount
By
Jessica R. Towhey
Oct 13, 2023
As Indiana transitions its senior and long-term care Medicaid beneficiaries into plans run by several managed care organizations, a snag in the rollout is giving skilled nursing providers another reason...
Also in the News for Wednesday, Oct. 4
By
Kimberly Marselas
Oct 04, 2023
$81million NIH grant to study nursing home dementia care … Consider these documentation practices help mitigate litigation risks for providers … Senator urges CMS to crack down on Medicaid MCOs denying...
Block grants won’t lead to cost-cutting efficiency
By
Brendan Williams
May 31, 2019
Eviscerating the social safety net through block grants can only further contribute to a dystopian future for aging adults and all others on Medicaid.
Feds investigating Medicaid managed care
By
Elizabeth Newman
Apr 22, 2019
The OIG will be reviewing medical and dental services, and drug prescription denials, by the managed care organizations overseeing Medicaid beneficiaries. A final report is expected next year.
The truth behind MLTSS
By
Brendan Williams
Oct 08, 2018
In studying “managed long-term services and supports” for a law review article, I was struck by the lack of accountability and cost overruns that have accompanied placing the administration of a vital...
CMS plan would completely overhaul Medicaid managed care
By
John Hall
May 12, 2015
Over the next few weeks, the Centers for Medicare & Medicaid Services is expected to unveil an ambitious and comprehensive policy-making effort that promises to completely transform and radically overhaul...
Managing managed care
Apr 27, 2015
The common loopholes offered by the Fee for Service model made it harder for governments to maintain balanced budgeting.
Mental health would have coverage parity with medical care under federal proposal
By
John Hall
Apr 08, 2015
The Centers for Medicare & Medicaid Services has announced a proposed rule that would require Medicaid managed care patients to receive the same level of coverage for mental health and addiction treatment...
Also in the news for Sept. 30, 2014 . . .
Sep 30, 2014
CMS clarifies appropriate use of power strips in long-term care resident rooms …GAO: Integrating Medicare and Medicaid may not reduce costs on dual-eligible care … Brookdale discriminated against...
Medicaid fraud units recovered $10 million from nursing homes in 2013, annual report shows
By
Tim Mullaney
Mar 11, 2014
Medicaid Fraud Control Units recovered about $10.3 million from nursing facilities in fiscal year 2013, according to an annual report issued Friday. Civil fraud settlements and judgments accounted for...