CMS has set a May 2026 effective date and a 2028 hard deadline for electronic transaction standards. For nursing homes, that means the fax machine era is officially on borrowed time — and the clinical risk case for moving faster has never been stronger.
Author: Avery S
After several years of steep increases, the cost of long-term care showed signs of stabilization in 2025 — though prices remain historically high. New data released by CareScout, a subsidiary of Genworth Financial, found that nursing home costs rose modestly compared to the larger increases reported in recent years. Most long-term care settings experienced annual price growth between 1% and 5%, suggesting the market may be returning to more typical inflation patterns. For nursing homes, the national median daily rate for a semi-private room was reported at about $315, bringing the estimated annual cost to roughly $114,975. Private rooms reached a…
Bronx, NY — A federal watchdog has opened a new chapter in oversight of the Patient Driven Payment Model, launching a series of audits targeting how nursing homes bill Medicare under the system. Its first review has already sparked fierce pushback from the facility at the center of the findings. The US Department of Health and Human Services Office of Inspector General (OIG) reported Tuesday that Pinnacle Multicare Nursing and Rehabilitation Center failed to meet Medicare rules for 99 out of 100 sampled PDPM claims filed in 2020 and 2021. The agency says those errors resulted in $1.1 million in…
Massachusetts regulators approved UMass Memorial’s $9 million purchase of a Leicester hospital and nursing home, a move aimed at preserving 181 beds and hundreds of jobs in Worcester County.
