Providers poke holes in calls to make ‘dangerous’ state Medicaid suspensions a national model
By
Josh Henreckson
Mar 29, 2024
Consumer advocates cheered when the New Jersey State Comptroller recently suspended four nursing homes from Medicaid — calling the enforcement tactic a “model for nursing home enforcement nationwide.”...
CMS finalizes rule streamlining Medicaid enrollment and renewals
By
Josh Henreckson
Mar 28, 2024
Federal officials on Wednesday issued a new final rule that helps seniors better navigate the Medicaid enrollment process, and that’s likely very good news for long-term care providers.
New York lawmakers offer historic Medicaid lifeline for nursing homes after years of neglect
By
Josh Henreckson
Mar 19, 2024
New York long-term care providers are one big step closer to making up Medicaid funding shortfalls 16 years in the making.
90-year-old nursing home guts long-term care amid ‘unsustainable’ Medicaid funding
By
Josh Henreckson
Mar 19, 2024
Faced with steep Medicaid reimbursement shortfalls, one 90-year-old facility believes its only way forward is to cut back more than half of its available long-term care beds.
Also in the News for Friday, March 15, 2024
By
Kimberly Marselas
Mar 15, 2024
Duals Act of 2024 would create ‘integrated health plan’ for those eligible for Medicare and Medicaid … Nursing facilities rank high for total Medicaid Fraud Control convictions in 2023 … CMS issues...
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
Medicaid unwinding delays and cancelations cost state’s nursing homes $2.3M
By
Josh Henreckson
Feb 29, 2024
Montana’s Medicaid redetermination process in the wake of the pandemic has left more than 150 residents at 18 nursing homes without coverage. As a result, delayed reimbursement payments have left those...
Also in the News for Monday, Feb. 26, 2024
By
Kimberly Marselas
Feb 26, 2024
CMS to employees: Come back to the office … Facing Medicaid cut, staff rally at dozens of NY nursing homes … Community protests looming closure of 100-year-old nursing homes
How government prevaricates about long-term care
By
Stephen A. Moses
Feb 23, 2024
Most federal officials and the analysts who advise them are progressives. They prefer public over private sector solutions for most social problems. Sometimes progressives bend the truth to tip public...
Nursing homes sue state Medicaid program, claiming massive underfunding
By
Josh Henreckson
Feb 23, 2024
Three of the largest provider associations in Ohio are suing the Ohio Department of Medicaid, alleging the department incorrectly calculated care quality incentives passed by the state Legislature —...