Medicare spending spikes at time of dementia diagnosis
By
Alicia Lasek
May 27, 2022
Spending jumps by about $8,400 in the quarter following a dementia diagnosis and then falls, likely related to skilled nursing facility and inpatient treatment, investigators say.
‘Very good deal’ in House would give providers big relief from Medicare cuts
By
Danielle Brown
Dec 09, 2021
Industry stakeholders are pushing Congressional leaders to finish the job after lawmakers took their first steps toward averting three separate Medicare cuts that would reduce payments to providers by...
Lawmakers push for long-term Medicare reform as physician pay cuts loom
By
Danielle Brown
Oct 19, 2021
More than 245 Congressional lawmakers are demanding long-term reform solutions to the current Medicare payment system as skilled nursing therapists and other healthcare providers face impending cuts.
CMS proposes 1.3% pay increase — with plenty of strings attached
By
Kimberly Marselas
Danielle Brown
Apr 09, 2021
A proposal that would boost Medicare payments to skilled nursing providers by 1.3% next fiscal year also could trigger additional reporting requirements and increase the potential for penalties.
More than half of nursing homes missing out on PDPM, could lead to deals: expert
By
James M. Berklan
Jan 25, 2021
The federal government’s second-year Medicare payment system for nursing homes continues to be a boon for them, especially under pandemic conditions, but more than half are missing rightful reimbursements.
Value of extended Medicare loan repayment period hinges on how neediest rebound: expert
By
Danielle Brown
Oct 13, 2020
The effectiveness of the federal government’s move to extend the repayment terms for providers who received advanced Medicare payments during the pandemic will depend “how quickly the industry and...
Medicare rates could be adjusted for start and end of hospice care episodes, CMS report suggests
By
Tim Mullaney
Jul 31, 2014
Medicare payments could be adjusted to reflect how hospice services tend to be more intensive at the beginning and end, according to findings recently published by the Centers for Medicare & Medicaid Services...
The Centers for Medicare & Medicaid Services recently finalized 2014 Medicare rate updates for hospices and inpatient rehabilitation facilities, and also laid out quality metrics. Hospices will receive...
Fix flaws before changing nursing home pay: AHCA says
By
James M. Berklan
Aug 01, 2013
The Centers for Medicare & Medicaid Services should consider a higher market basket update for nursing homes due to improper calculations that could be costing providers, the American Health Care Association...
Medicare payment reforms need to be based on more than geography, IOM says
By
McKnight's Staff
Jul 18, 2012
States should allow a broader scope of practice among healthcare providers to improve access to care, rather than have the federal government base Medicare payment adjustments around geographic locations,...