News

By now the healthcare industry and every stakeholder knows that the pandemic’s impact will be felt indefinitely. However, with escalating numbers of unemployed, and uninsured, I’ve received countless emails from colleagues and our Monitor Mondays listeners asking about how the payers are stepping up? What’s the status of Medicaid expansion?…
Email is a wonderful thing.  As a kid, or even as an adult, I rarely wrote letters because the act of addressing an envelope was too much for me.  (Please don’t judge me too harshly!) But I whip off emails to friends all the time.  While I love email, it…
Congress has just a few weeks before its August recess to start reaching across the aisles and come together on the next COVID-19 package. House Democrats have already put forward their proposal for $3 trillion in funding, mostly for support of state and local government and individual employees and families,…
The CEO of a health center in central Nebraska needed all hands on deck when the global pandemic hit close to home.   The city of Lexington, Nebraska sits just north of a pair of mighty east-west thoroughfares, U.S. Route 30 and Interstate 80, more or less equidistant from the…
Unabashedly, this is a teaser for an upcoming webinar "How to Outflank Capricious and Arbitrary Medical Necessity Guidelines from Payers" - a deep-dive look to the role and relevance of these two national standards for guiding a hospital’s utilization and denial management efforts.  There’s much to unpack, especially for nurses…
The new coronavirus is linked to 1,502 deaths among residents of nursing homes and assisted-living facilities in Florida, a new state report shows. It’s an increase of 145 deaths in one week. This is particularly sad when we remember the patients that died in the Rehabilitation Center of Hollywood Hills following Hurricane Irma.  While there was…
The dual settlements represent the Department of Justice’s continued crackdown on possible False Claims Act violations. Novartis Pharmaceuticals Corporation reached an over $642 million-dollar agreement to resolve claims of violating the False Claims Act (FCA). The company based out of East Hanover, New Jersey was involved in two settlements. The first…
As some states begin to reopen, others are seeing increasing numbers of COVID-19 cases with hospitals reporting rising ICU utilization and near-capacity conditions. But one thing has not changed throughout the pandemic, the question of when a skilled nursing facility (SNF) or swing bed may accept a patient Part A…