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...
MedPAC finds single post-acute payment system feasible but says smaller-scale fix might be better
By
Kimberly Marselas
Jun 16, 2023
An attempt to unify payments for providers across all types of post-acute care is “analytically within reach,” but extensive policy changes that would likely be needed,
After dry spells, providers get vital Medicaid increases. Now the big fear: Will they be ‘1-and-done’?
By
Jessica R. Towhey
Kimberly Marselas
Jun 12, 2023
As Medicaid negotiations successfully continue in various states, worries are already arising about how to sustain increases
‘Critical access’ not at critical mass, but skilled nursing providers push on
By
Kimberly Marselas
Feb 02, 2023
Support for the concept of critical access nursing homes is growing among providers, but it has yet to gain much traction among industry leaders or the politicians who would need to create such a safety...
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
MedPAC recommends fresh Medicare cuts for skilled nursing
By
Joe Bush
Dec 12, 2022
MedPAC Friday recommended a 3% cut to Medicare base payments made to skilled nursing facilities in 2024.
Ask the payment expert … about pending removal of Section G
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Dec 05, 2022
What is the impact of Section G being removed from the MDS?
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....
Measuring patient function a big hitch in creating fair, post-acute pay
By
Kimberly Marselas
Sep 30, 2022
As a Congressional advisory board grapples with how to bring all post-acute providers under a single payment system, the use of self-reported data continues to raise doubts about the ability to accurately...
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...