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...
One quarter of SNFs stuck with Medicare margins below 4%
By
Danielle Brown
Jul 21, 2022
Medicare margins for all freestanding skilled nursing facilities across the United States varied widely in 2020, according to new data from the Medicare Payment Advisory Commission.
Federal COVID funding averted skilled nursing ‘collapse,’ but new dangers ahead
By
Danielle Brown
May 12, 2022
Federal COVID-19 relief funding saved the skilled nursing industry from crumbling during the earlier days of the pandemic as providers struggled with increased expenses and historic occupancy lows, an...
How providers can prepare now for upcoming PRF reporting
By
Danielle Brown
Apr 25, 2022
As the next Provider Relief Fund reporting period approaches, long-term care providers must have a clear understanding of the type of relief payments received and establish policies on staffers tasked...
Kansas losing $350,000 for not enforcing healthcare worker vaccine mandate
By
Danielle Brown
Mar 31, 2022
The Centers for Medicare & Medicaid Services is cutting Kansas’ Medicaid funding by nearly $350,000 for not enforcing the federal healthcare worker COVID-19 vaccine mandate in nursing homes and hospitals.
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...
CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
By
Kimberly Marselas
May 05, 2021
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
Industry may ‘never be the same’ without increases in Medicaid reimbursement, advisors warn
By
Danielle Brown
Feb 19, 2021
Increased state Medicaid reimbursement is necessary if providers ever hope to improve their financial and operational outlooks, a new analysis by advisory firm Marcum LLP suggests.
Is it the docs’ turn to get stoned?
By
James M. Berklan
Apr 25, 2018
The Centers for Medicare & Medicaid Services brought out its equivalent of a brass band and confetti machine Tuesday to tout a new provider payment strategy. One could almost hear strains of “Happy...
Payment reform: Ready! Set! Don’t go! No, I mean go!
By
Steven Littlehale
Apr 23, 2018
Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.