Managed Care

There’s a key question more providers need to know the answer to: What is a contract exclusion? A contract exclusion details the medications and treatments that are not included in the levels of a managed...

Legislation that would extend the discharge notice period to Wisconsin nursing facility residents who need to relocate could end up in the “unintended consequences” category of laws. 

Amid some good news in healthcare hiring as we recover from the pandemic, staff shortages involve a range of difficult challenges that will persist for years. Among other factors, it’s difficult to find...

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...

AHCA asks Occupational Safety and Health Administration to use ‘consistent’ COVID-19 protocols in coming healthcare standard … Virginia legislators propose nursing home staffing minimum … MedPAC...

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....

America’s nursing homes are at a crossroads. Operators are challenged by a history of insufficient funding under the Medicaid program and eroding Medicare payments. Coupled with long-term care facilities...

With denials on the rise, some long-term care providers are questioning the worth of admitting residents covered by managed care plans because they doubt they’ll be reimbursed for their services.  

The ability to care for patients more seamlessly through ancillary services excites referral partners. So do better outcomes facilitated across the continuum and during transitions of care. But it takes...

Providers struggling with everyday expenses and reimbursement rates that have largely failed to keep up with the costs of care plan to pursue a broad range of new revenue streams this year. That’s according...