Baseline proficiency for success with managed care payers
By
Susie Mix
Mar 11, 2024
Setting up a building with proficiencies in working with managed care payers is a key to success at this midpoint of the 2020s. Fifty-one percent of Medicare-eligible Americans are covered by Medicare...
Not much to be thankful for?
By
John O'Connor
Nov 19, 2023
It’s easy to take what we have here for granted. This is a land of unmatched freedom and opportunity. Not that it’s always crimson and clover. For example, consider what skilled care providers are...
Skilled nursing care’s cloudy Medicare future
By
Brendan Williams
Aug 18, 2023
A net gain of $1.4 billion for a sector comprised of over 15,000 nursing homes somewhat pales in comparison to a looming CMS staffing mandate estimated to cost nursing homes $11.3 billion a year.
Insurgence of leveled contracts
By
Susie Mix
Jul 14, 2023
By now, we’re all pretty familiar with the fact that managed care is altering the post-acute care payor mix with Medicare Advantage plans. This is a byproduct of national policy, intended to offset our...
When the wolf actually shows up
By
John O'Connor
Jan 13, 2023
There are times when actual survival is at stake. As it happens, one of those times happens to be right now
Yo, I’ll tell you what I want, what I really, really want
By
Steven Littlehale
Oct 14, 2022
It’s a curious day when I lift a lyric from the Spice Girls to title an article. The Spice Girls’ first single, “Wannabe,” was released in 1996 and rocketed to the top of the British singles chart....
Final pay rule and rates: A primer for rehab professionals
By
Renee Kinder
Sep 01, 2022
The October 2019 industry shift to the Patient Driven Payment Model allowed all rehabilitation professionals the opportunity to document specific clinical characteristics about the patients we serve and...
Guess who’s pushing for better long-term care payments?
By
John O'Connor
Aug 13, 2022
So who are the nation’s most powerful advocates for better long-term care funding? There’s an outside sleeper candidate.
2022: What will the technical experts say?
By
Renee Kinder
Dec 09, 2021
The new year is upon us. What new areas of regulatory change will your teams monitor in 2022? CPT? Parity? Survey trends? Quality? Yes, obviously quality, Renee, but the future of quality… where...
Long-term care’s problems are bad and getting worse — but fixable
By
Stephen A. Moses
Oct 01, 2021
The long-term care business is hurting: labor shortages, wage pressures, vax mandates, too much Medicaid, too little private pay, value-based reimbursement, MedPAC vs. Medicare and so on and on. What should...