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States Begin Adding Medical Respite Care to Medicaid Waiver Programs

Throughout 2021 and 2022, states have been seeking to include or have successfully included medical respite to Medicaid 1115 waivers. These experimental Medicaid-reimbursed programs are reviewed and approved by the Secretary...more

Drastic Scheduled Cuts to Disproportionate Share Hospital Funding Would Increase Financial Distress for Safety Net Hospitals

Over 2500 hospitals across the country historically have relied upon Disproportionate Share Hospital (DSH) Medicaid payments for financial stability. These DSH payments, made in large measure to hospitals with high Medicaid...more

Proposed Nursing Home Disclosure Requirements Target Private Equity Companies and REITs

On February 15, 2023, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule which would require greater disclosures of the ownership and management of Medicare and Medicaid nursing homes. Specifically,...more

Increased Federal Attention to Skilled Nursing Facility Compliance and Quality Improvement Results in Modified Program...

The Biden Administration has embraced an aggressive and multi-part agenda designed to improve the safety and quality of care nationally in skilled nursing facilities (SNFs). The Biden Administration’s nursing home agenda...more

Navigating the ‘New Normal’: Resuming Elective Surgeries and  Procedures at Health Care Organizations

Across the country, health care providers have struggled during the COVID-19 pandemic in the face of declining revenue and increased expenses. This financial stress has adversely affected almost all entities within the...more

CMS Proposes Increased Scrutiny of Medicaid Supplemental Payments and Related State Financing Arrangements

In what is widely considered to signal intensified focus by the Federal government on Medicaid supplemental payments and related State Medicaid financing mechanisms, the Centers for Medicare & Medicaid Services (CMS) on...more

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