Category: Medicare and Medicaid

Study Reveals Frozen Medicaid Payments to SNFs in 40 States

Between 2010 and 2012, skilled nursing facilities in 40 states across the nation dealt with Medicaid payment rates that were either cut or frozen, highlighting the importance of stabilizing federal nursing home rates, according to a recent Avalere survey. “These findings speak to the financial pressures nursing facilities face on the Medicaid front,” said Emil Parker, [...]

Op-Ed: GOP Primaries Emphasize Need for Medicare Reform

The Republican primary in Florida brought discussions of healthcare, particularly Medicare, back to the forefront of the national discourse. With its sizeable senior population,  Medicare  and Social Security were top of mind to Florida voters. It is certainly important that health care, and particularly Medicare, be debated thoroughly during the Presidential campaign, as entitlement reform [...]

CBO: Government Healthcare Spending to Double by 2022 to $1.8 Trillion

In the next decade, the cost of government healthcare programs like Medicare and Medicaid are expected to more than double, according to the Congressional Budget Office’s economic outlook for fiscal years 2012 to 2022, and if lawmakers don’t substantially restrain the spending, it will result in “unsupportable” federal debt levels. By 2022, federal spending on [...]

GOP: Medicare and Social Security Will Implode if Not Changed

The United States needs to create a “new, affordable safety net” of Social Security and Medicare so that future Americans can continue to be protected along with current generations, Governor Mitch Daniels (R-Ind.) said in his rebuttal to President Obama’s State of the Union address on Tuesday night. After the president’s speech, Daniels fired back [...]

State Pushes Medicaid Toward In-Home Care, Away From Nursing Homes

Tennessee is expanding changes made to its state Medicaid program that allow beneficiaries to receive in-home care rather than moving to nursing care facilities. The program, TennCare, currently serves between 8,500 and 11,000 people and the program aims to increase that number to up to 15,000 this year. “Statewide, we have moved from 17% of [...]

CBO: What Happens if Medicare & Social Security Eligibility Ages are Raised?

The Congressional Budget Office recently examined the effects of raising the eligibility ages for Social Security and Medicare at the same time, since life expectancy has increased and doing so would reduce federal expenditures, but ultimately concluded that lack of evidence prevents it from predicting the “sign or magnitude of the interaction effects if the [...]

Alliance to MedPAC: Don’t Make Medicare Funding Decisions in a Vacuum

The Medicare Payment Advisory Commission (MedPAC) should make Medicare funding decisions based upon the “significant, documented underfunding of skilled nursing facility patient care by state Medicaid programs,” says the Alliance for Quality Nursing Home Care. This recommendation was made after a recent study found the nursing home industry is existing on “razor-thin” operating margins due [...]

Kaiser: New Year, New Healthcare Battles

With the new year upon us, Kaiser Health News has a list of current healthcare-related topics in its lineup that merit close attention in 2012. Medicare and Medicaid will feature largely along with the upcoming presidential elections. One reporter will be looking into state waivers for the Medicaid program, as states such as Florida, Utah, [...]

U.S. Goes After National Hospice Chain for Allegedly Swindling Medicare

The US has filed a complaint in a whistleblower suit against AseraCare Hospice, the Department of Justice announced on Jan. 3, alleging that the hospice provider misspent millions of taxpayer dollars intended for Medicare patients who qualify for hospice care through a prognosis of six months or less to live. “When a business admits a [...]