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House won’t change nursing home reimbursement formula this year

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The House won’t pursue a proposal to change the way the state reimburses nursing homes caring for Medicaid patients — at least, not this year. They think the program is not quite cooked yet. “Although we like the idea of a prospective payment system … perhaps the calculations that were done in that study don’t meet all the needs,” Jason Brodeur, chairman of the Health Care Appropriations Subcommittee, told members Wednesday. He referred to a plan by Navigant Consulting Inc., under which the…

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House panel weighs in on nursing home reimbursement proposal

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The House Health Care Appropriation Subcommittee got the ball rolling on discussions about whether the state should change the way it pays nursing homes that accept Medicaid, with some members of the committee expressing concerns about parts of the plan. During the two-hour committee meeting Wednesday, the panel heard from Navigant officials about their proposed Medicaid nursing facility prospective payment system. Under the Navigant plan, nursing homes would be reimbursed using a per diem rate calculated based on four components,…

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House panel to discuss changing how nursing homes that accept Medicaid are paid

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Nursing homes that accept Medicaid could see changes in how they are paid in the coming fiscal year, but exactly what those changes will look like remain to be seen. The House Health Care Appropriations Subcommittee is expected to begin discussions about new payment plans Wednesday, when Agency for Health Care Administration officials give members a presentation detailing the Navigant recommendations for a new payment method. The Navigant proposal would move the state away from its current cost-based model and…

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Aaron Bean files bill focused on nursing home Medicaid reimbursement rates

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Industry advocates said a Senate proposal filed this week could change the way nursing homes that accept Medicaid are paid without severely impacting high-quality nursing homes. Sponsored by Sen. Aaron Bean, the bill (SB 712) transitions nursing homes that accept Medicaid payments to a prospective payment system. But LeadingAge Florida CEO Steve Bahmer said Bean’s bill “creates a better way to pay for care without devastating the highest quality” homes, unlike a model recently put forth by consultants. The Florida…

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What’s the aftermath of King v Burwell? Column offers ‘pedestrian view’

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The Supreme Court of the United States has never had such a central role in the healthcare system as it recently has. First in 2012, when it was asked to decide whether the federal healthcare law is constitutional, and again now as the court prepares to issue a ruling in the second challenge to the law, King v Burwell. Paul H. Keckley, managing director in the Navigant Healthcare Practice, offers a “pedestrian view” of the practical implications of the court’s…

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