When one dangerous compromise leads to another
Sometimes providers are backed into a corner and must do non-preferred things. But the big question becomes what’s the next step after the first concession?
Medicare Advantage
ACOs don’t reduce burden of care for nursing home dementia patients: study
Nursing home dementia patients enrolled in Medicare Advantage plans had less burdensome care towards the end of their lives than residents with an accountable care organization, new study results show.
As Medicare Advantage drives rate lower, fed-up CEOs embrace strategies that limit carriers’ influence
Medicare Advantage’s aggressive market penetration represents a major threat to skilled nursing providers, some of whom now find themselves clearing less per resident day through MA plans than they do in state Medicaid programs.
‘Strap on your seat belts,’ as post-acute experts forecast opportunities amid threats of week-old Biden administration
Long-term care providers wary of extra scrutiny should also be prepared for new opportunities in an administration that will likely expand insurance coverage and embrace innovative care models that could reshape the referral process. That was one of several takeaways from Wednesday’s NIC Leadership huddle featuring post-acute care policy experts Dan Mendelson, founder of Avalere…
MA plans ordered to cover COVID-19 lab tests
Coronavirus lab tests for nursing home residents must be covered by Medicare Administrative Contractors and Medicare Advantage plans, the Centers for Medicare & Medicaid Services announced Friday.
Clinical Briefs for Wednesday, May 27
White House lowers insulin costs to $35 a month for Medicare enrollees … CMS rule changes aim to increase telehealth access for Medicare Advantage beneficiaries … Sleep disturbances appear to predict deterioration in Alzheimer’s … Dementia gene raises risk of severe COVID-19 … Fears of coronavirus second wave prompt flu push at U.S. pharmacies, drugmakers
CMS rule changes aim to increase telehealth access for Medicare Advantage beneficiaries
Changes under a recent final rule encourage Medicare Advantage plans to increase their telehealth benefits and plan options for beneficiaries in rural areas.
Operators treating Medicare Advantage enrollees for depression, dementia and frailty are unfairly penalized: viewpoint
Operators who serve a disproportionate share of beneficiaries with these conditions are penalized twice, argue researchers.
CMS announces new ‘innovations’ to Medicare Advantage plans
The federal government announced a broad array of changes to Medicare Advantage plans last week in hopes it will further pressure providers to up their game in caring for seniors.
New Medicare Advantage rules boost payments to plans, promise drug savings
Medicare Advantage plans will get 3.4% more in federal payments next year, while beneficiaries can hope for drug prices to decline.
