FEDS ANNOUNCE INSURERS, MA PLANS WILL REDUCE, REFINE USE OF PRIOR AUTHORIZATIONS
McKnight's LTC News, June 23, 2025
Providers have long criticized the use of prior authorization to keep patients in need of skilled care out of nursing homes, or to reduce their length of stay against their doctor’s wishes or care plans.
FEDERAL JUDGE VACATES 24/7 RN AND NURSE-HOUR DEMANDS IN STAFFING MANDATE
McKnight's LTC News, June 20, 2025
US District Judge Leonard T. Strand of the US District Court for Northern Iowa, ruled that the staffing requirements exceeded the legal authority of the Centers for Medicare & Medicaid Services.
CMS DROPPING THIRD-CYCLE INSPECTIONS FROM CARE COMPARE RATINGS, ADDING MORE CHAIN INFO
McKnight's LTC News, June 18, 2025
“While there have been improvements in the backlogs, CMS believes that third-cycle standard health inspections may not accurately reflect the current performance of nursing homes, given their age.."
SENATE RECONCILIATION BILL DELIVERS "DEVASTATING" BLOWS, SILVER LININGS
McKnight's Senior Living, June 18, 2025
Specifically, the proposed Senate bill would cap most states’ provider taxes at 3.5% by 2031, down from the current 6% limit, according to CNN. The provision would only apply to 40 states and Washington, D.C...
CMS RESISTS OIG CALL FOR MORE INTENSE USE OF NURSING HOME STAFFING DATA
McKnight's LTC News, June 10, 2025
“...OIG is saying the surveyors should get more complicated results, and CMS is saying we’re not going to do that.”
"PROVIDENTIAL" MOMENT FOR NURSING HOMES AS AHCA MEMBERS LOOK TO SWAY CONGRESS ON MEDICAID
McKnight's LTC News, June 10, 2025
“They absolutely need to hear from you and they need to understand exactly what the impact is of Medicaid cuts on your facilities...”
FEDS CONTINUE COURT FIGHT TO KEEP NURSING HOME STAFFING MANDATE
McKnight's LTC News, June 3, 2025
HHS had 60 days to appeal the decision, and observers had been split on whether the case would live on, given the Trump administration’s typical anti-regulatory bent.
PDPM RESOURCES
CAHF'S STAFF RATIO TOOLKIT