2025 SEP 17 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting out of Providence, Rhode Island, by ...

Nursing homes have forced Medicare to realign its spending on patients with higher medical complexity, including those with a primary diagnosis of congestive heart failure, Alzheimer’s disease and ...

2025 NOV 07 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Researchers detail new data in Managed Care. According to news reporting originating in Providence, Rhode Island, ...

On April 11, 2025, CMS proposed a rule that would update policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for FY 2026 (Proposed Rule). The ...

Skilled nursing operators are anxiously awaiting further findings from the Office of Inspector General after the federal watchdog said an initial audit found a provider had grossly misused the ...

The patient-driven payment model (PDPM) has revolutionized health care for providers and their patients. These systems heighten treatment accuracy and ensure clients receive accurate billing for their ...

The skilled nursing sector is entering 2026 on firmer footing than a year ago. At that time, a new presidential administration and the unknown fate ...

Skilled nursing facilities get a 4.1% payment increase for 2025, according to a proposed rule released by the Centers for Medicare and Medicaid Services under the Skilled Nursing Facility Prospective ...

Inconsistent interpretation of federal regulations at the state level, and surveyor subjectivity are gray areas that will ...

Coding intensity and Medicare expenditures increased at skilled-nursing facilities after the implementation of the Patient Driven Payment Model in October 2019, according to a study published July 21 ...

As part of its Modernization Initiative, the Department of Health and Human Services’ Office of Inspector General (OIG) recently published its first industry-segment specific Compliance Program ...