Providers hoping that policy makers might some day show some backbone when dealing with Medicare Advantage plans can take heart. Well, at least a little.
Hans and CMS: Two peas in a value-based pod
By
James M. Berklan
Feb 02, 2024
In another life, in another millennium, on another continent, your faithful scribe was an auto factory worker. This led to many unexpected insights into human nature that I still recall decades later....
CMS proposal offers long-awaited fix for Medicare Advantage appeals
By
Kimberly Marselas
Nov 08, 2023
Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.
Minimum staff proposal will fail, provider groups warn CMS
By
Kimberly Marselas
Nov 06, 2023
Providers came out swinging with the comment period for the minimum staffing rule proposal coming to a close tonight.
As values shift, it’s time to add something back to nursing
By
Kimberly Marselas
Oct 24, 2023
It seems like everything these days requires a value proposition to be appealing. What can we add to an experience or a product to make it better and one-up the competition?
Parkinson says proposed staffing mandate a ‘death sentence’ for rural nursing homes, offers answers
By
Alicia Lasek
Oct 19, 2023
Long-term care industry advocates pulled no punches Wednesday when asked at a Sanford Health summit about likely outcomes facing rural operators if CMS’s proposed minimum staffing mandate becomes...
Hitting the road for rural respect
By
Kimberly Marselas
Oct 17, 2023
This week takes me on a road trip, but I assure you there’s no VW bus with a dashboard full of party snacks.
Nurse aide association calls on feds to raise proposed staffing rule from 3.0 hours per day to 4.2 hours
By
Jessica R. Towhey
Oct 16, 2023
A trade group representing certified nursing assistants wants federal officials to increase the number of direct care hours proposed under a mandatory staffing rule by 40%.
Care teams now at risk as MDS changes roll out
By
Kimberly Marselas
Sep 28, 2023
It’s been widely billed as the biggest change to the Minimum Data Set in more than a decade, and on Sunday, version 1.18.11 of the MDS 3.0 finally kicks in.
Nursing home critics attack staffing cost argument, urge providers to come to the table
By
Kimberly Marselas
Sep 21, 2023
Federal officials and the public need more visibility into nursing home spending to determine whether their concerns about the cost of complying with a nationwide staffing mandate are justified, well-known...