Medicare drug price negotiations: A game-changer for seniors’ healthcare
By
Luka Yancopoulos
Nov 02, 2023
The relatively recent passage of the Inflation Reduction Act, which among other provisions, allows Medicare to negotiate prescription drug prices, marks a monumental shift in senior healthcare in America.
Should home healthcare be a new focus for Medicare Advantage?
By
Jeff Fox
Apr 20, 2021
Home-based services are not a common, or even widely accepted, part of most Medicare Advantage plans. However, there have been some signs that the Centers for Medicare & Medicaid Services (CMS) have begun...
Make Medicare bigger? First let’s make it better
By
John O'Connor
Feb 28, 2019
Democratic lawmakers introduced Medicare-for-all legislation in the House Wednesday. Talk about a case of pick-your-poison.
Innovative solutions could increase Medicare sustainability
By
Jay Baker
Sep 27, 2018
For Medicare Advantage plans and risk-bearing entities to remain sustainable, they must adopt innovative quality and risk programs to meet the growing demand for effective risk, quality and care strategies,...
May we recommend the chicken, or perhaps the fish?
By
John O'Connor
Nov 09, 2023
Few things are causing more provider angst than the federal government’s newly hatched plan to implement minimum staffing requirements for nursing homes.
So, you want to call yourself a healthcare provider?
By
John O'Connor
Oct 19, 2023
Transitioning to healthcare holds the promise of portfolio expansion and new revenues for senior living, but new challenges will arise, too.
Adult-children households are declining. Should you be worried?
By
Lynne Moore
Oct 02, 2023
The key to staying relevant in this constantly changing industry will be understanding the consumer’s existing and future needs and identifying flexible, efficient and cost-effective ways to satisfy...
A real reason to be upset
By
John O'Connor
Feb 09, 2023
Instead of screaming at each other and pointing fingers, perhaps lawmakers should do something that actually will help the senior voting block they covet: start making long-term care better.
Leverage payment integrity solutions to ensure proper billing of telehealth services
By
Subrahmanyam Mantha
Jul 07, 2022
Don’t be surprised if the U.S. Department of Health and Human Services continues the COVID-19 public health emergency in mid-July, based on what government officials have said. If it ends, however, the...
So you want to manage more payment risk?
By
John O'Connor
Apr 28, 2022
Always remember this about risk management: the first word.