Through overpayments, the federal government has effectively created unbeatable competition to the Medicare Fee For Service model, but at what cost to consumers and providers?
Unlocking the value of ISNPs: Elevating resident care and financial results in a post-PHE era
By
Michael Bailey
May 19, 2023
The expiration of COVID-related waivers and the challenges that lie ahead necessitate a re-evaluation of strategies to embrace value-based care and secure partnerships that can help navigate these uncertain...
More nursing homes should provide residents with I-SNP option
By
John Capasso
Apr 17, 2023
The Medicare Modernization Act of 2003 established a Medicare Advantage Coordinated Care Plan intended for individuals with special care needs, including nursing home residents with lengths of stay over...
When one dangerous compromise leads to another
By
James M. Berklan
Jun 28, 2021
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?
CMS announces new ‘innovations’ to Medicare Advantage plans
By
Marty Stempniak
Jan 22, 2019
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
By
Kimberly Marselas
Apr 04, 2018
Medicare Advantage plans will get 3.4% more in federal payments next year, while beneficiaries can hope for drug prices to decline.
CMS proposes Medicare Advantage and Part D updates, including 1.84% payment increase
By
Kimberly Marselas
Feb 05, 2018
The Centers for Medicare & Medicaid Services has issued Medicare Advantage and Part D updates that include an average payment increase of 1.84% and policy changes that include new supplemental benefits...
Also in the News for Friday, Jan. 19
Jan 19, 2018
As predicted, HHS announces new division to protect healthcare workers’ “rights of conscience and religious freedom” … Canadian EMTs deliver flu care to nursing homes, heading off...
AHCA warns automatic Medicare Advantage enrollment could ‘significantly impact’ plan sponsors,...
By
Kimberly Marselas
Jan 19, 2018
The American Health Care Association/National Center for Assisted Living said proposed changes in Medicare Advantage in 2019 could hurt beneficiaries in a letter to Centers for Medicare & Medicaid Services.
Medicare Advantage partnership announced
Aug 22, 2017
naviHealth, a Cardinal Health company, will now manage post-acute care for enrollees in the MVP Health Care Medicare Advantage program, the company announced this month.