Category: CMS

Biden Pledges Better Nursing Home Care, but He Likely Won’t Fast-Track It

CMS chief Chiquita Brooks-LaSure says the agency reserves its power to quickly institute new regulations for “absolute emergencies.” On staffing, nursing home residents might need to wait years to see any real change.

Biden’s Promise of Better Nursing Home Care Will Require Many More Workers

The president wants to set minimum staffing levels for the beleaguered industry, but the industry’s opaque finances make it a mystery how homes will shoulder the added costs.

Desperate for Cash: Programs for People With Disabilities Still Not Seeing Federal Funds

Almost a year after the American Rescue Plan Act allocated what could amount to $25 billion to home and community-based services run by Medicaid, many states have yet to access much of the money due to delays and red tape.

Inside the Tactical Tug of War Over the Controversial Alzheimer’s Drug

An epic battle is playing out behind the scenes over whether the government should pay for Aduhelm, an FDA-approved Alzheimer’s drug that scientists say has not been proven to work.

Why Millions on Medicaid Are at Risk of Losing Coverage in the Months Ahead

State Medicaid agencies for months have been preparing for the end of a federal mandate that has prevented states from removing people from the safety-net program during the pandemic.

KHN’s ‘What the Health?’: FDA Takes Center Stage

Congress is set to start its once-every-five-years review of the law that authorizes user fees to finance the hiring of personnel to speed the FDA review of drugs. The periodic renewals of “PDUFA” also give lawmakers a chance to make other changes to the agency at the hub of the pandemic. Meanwhile, the FDA could also find itself at the center of the abortion debate and a controversial new medication to treat Alzheimer’s disease. Anna Edney of Bloomberg News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.

Skirmish Between Biden and Red States Over Medicaid Leaves Enrollees in the Balance

The Biden administration is getting rid of several policies implemented by Trump-era appointees that restricted enrollment. Federal officials now say states can no longer charge premiums to low-income residents enrolled in Medicaid and have ruled out work requirements.

Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

Among the 764 hospitals hit with a 1% reduction in Medicare payments this year for having high numbers of patient infections and avoidable complications are more than three dozen that Medicare also ranks as among the best in the country.

At Nursing Homes, Long Waits for Results Render Covid Tests ‘Useless’

As omicron surges, more nursing homes are facing a double whammy: Lab tests are taking too long, and fast antigen tests are in short supply.

Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

If federal officials accept a court’s decision, some patients will get a chance to seek refunds for their nursing home and other expenses.