NIC | CARES BLOG
A place for connections, analysis, research, and education on seniors housing and care

CMS Says Medicare Advantage Plans Can Offer More Benefits, and Seniors Housing Providers May Be the Real Beneficiaries

Each year the Centers for Medicare & Medicaid Services (CMS) announces adjustments to regulations and compensation for Medicare Advantage for the following year. Medicare Advantage (MA) providers then have a widow of time in which to submit to the federal government program designs for the following year’s MA plans in compliance with the announced adjustments. […]

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Medicaid Reimbursement Rates Draw Attention

Medicaid Reimbursement Rates Draw Attention At around $200 per day, Medicaid is the lowest priced payor source for skilled nursing properties. The American Health Care Association (AHCA), a trade association representing skilled nursing providers, has been calling on policy makers to address Medicaid reimbursement rates for years. Until recently, this concern did not draw significant […]

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Do New Bundles Leave Post-Acute Care Out of the Driver’s Seat?

The Centers for Medicare & Medicaid Services (CMS) recently announced a new, voluntary bundled payment program, designed to curb Medicare costs for 32 different medical episodes by paying providers a single payment per episode. The new program puts hospitals and physicians in the driver’s seat, enabling them to select or convene care delivery partners and […]

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2017: The Year of Deregulation for the Skilled Nursing Industry

On Christmas Eve, the New York Times published an article describing measures the Centers for Medicare and Medicaid (CMS) took during 2017 to reduce fines levied against skilled nursing properties. The skilled nursing industry may view this change as a welcome respite from real or perceived government over-regulation, especially in an era of downward pressure […]

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NIH-Funded Study Raises Questions about Accuracy of Five-Star Quality Ratings

A recent study conducted with financial support from the National Institute for Health Care Management, part of the National Institutes of Health (NIH), and published in the journal Production and Operations Management found that California nursing homes may be artificially inflating their self-reported data to the Centers for Medicare and Medicaid (CMS) for the five-star […]

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