Oct 16, 2018 | Skilled Nursing Facilities (SNF)
The National Investment Center for Seniors Housing & Care (NIC) regularly reports on national skilled nursing facility (SNF) trends, including occupancy, quality, and patient/payer mix data. The most recent report visualizes data from late 2011 through June 2018. This brief discusses a few key takeaways from the report. Click to read more.
Oct 12, 2018 | Managed Care Friday
Note: We will reporting live from the Payer’s Behavioral Health Summit in DC Oct 16-17; the first Managed Care Friday Forum series will be held at the end of this month; guests and topics to be announced. 1. 1 in 5: That’s the number of women who suffer from post-partum depression in some states according to CDC research. New studies show that most post-partum depression symptoms actually occur during pregnancy. 1 in 4 men can also experience post-partum. Read more from an interview with a Connecticut delivery nurse by clicking here. 2. MA Drug Step Down: United’s step therapy program for...
Oct 10, 2018 | Labs, Physician Fee Schedule
As part of the Protecting Access to Medicare Act (PAMA) legislation that directed an overhaul of Medicare’s clinical lab fee schedule, Congress required the HHS Office of Inspector General (OIG) to produce an annual report on Medicare lab payments. In the latest report, the OIG paints a picture of lab payments in 2017, showing lab payments as very stable and highly concentrated among a few tests. Click to read more.
Oct 9, 2018 | Inpatient Rehab (IRF)
The HHS OIG recently released a report that audited Medicare payments to Inpatient Rehab Facilities (IRFs). This brief highlights the report’s findings and recommendations for CMS. Click to read more.