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   <news:title>Nebraska Is First in the Nation to Enforce Medicaid Work Requirements — and Providers Aren&amp;#039;t Ready</news:title>
   <news:publication_date>2026-04-18T23:03:57Z</news:publication_date>
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  <loc>https://skilledcarejournal.com/cmss-new-joint-replacement-bundle-could-squeeze-skilled-nursing-revenue-and-nobody-knows-by-how-much/</loc>
  <lastmod>2026-04-18T21:04:16Z</lastmod>
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   <news:title>CMS&amp;#039;s New Joint Replacement Bundle Could Squeeze Skilled Nursing Revenue — and Nobody Knows by How Much</news:title>
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  <loc>https://skilledcarejournal.com/cms-is-delaying-a-key-medicaid-protection-for-people-with-disabilities-and-the-clock-wont-restart-until-2028-2/</loc>
  <lastmod>2026-04-18T17:06:34Z</lastmod>
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   <news:title>CMS Is Delaying a Key Medicaid Protection for People With Disabilities — and the Clock Won&amp;#039;t Restart Until 2028</news:title>
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  <loc>https://skilledcarejournal.com/cms-is-delaying-a-key-medicaid-protection-for-people-with-disabilities-and-the-clock-wont-restart-until-2028/</loc>
  <lastmod>2026-04-18T17:06:24Z</lastmod>
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   <news:title>CMS Is Delaying a Key Medicaid Protection for People With Disabilities — and the Clock Won&amp;#039;t Restart Until 2028</news:title>
   <news:publication_date>2026-04-18T17:06:24Z</news:publication_date>
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  <loc>https://skilledcarejournal.com/nyc-home-care-workers-are-on-hunger-strike-and-nursing-homes-could-feel-the-fallout/</loc>
  <lastmod>2026-04-18T01:05:05Z</lastmod>
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    <news:name>Skilled Care Journal</news:name>
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   <news:title>NYC Home Care Workers Are on Hunger Strike — and Nursing Homes Could Feel the Fallout</news:title>
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  <loc>https://skilledcarejournal.com/cms-just-killed-a-rule-that-would-have-helped-seniors-escape-broken-medicare-advantage-networks/</loc>
  <lastmod>2026-04-17T21:07:31Z</lastmod>
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    <news:name>Skilled Care Journal</news:name>
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   <news:title>CMS Just Killed a Rule That Would Have Helped Seniors Escape Broken Medicare Advantage Networks</news:title>
   <news:publication_date>2026-04-17T21:07:31Z</news:publication_date>
   <news:genres>Blog</news:genres>
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  <loc>https://skilledcarejournal.com/indiana-nursing-homes-are-owed-462-million-and-the-federal-government-still-hasnt-signed-off-on-their-payments/</loc>
  <lastmod>2026-04-17T19:05:10Z</lastmod>
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   <news:title>Indiana Nursing Homes Are Owed $462 Million — and the Federal Government Still Hasn’t Signed Off on Their Payments</news:title>
   <news:publication_date>2026-04-17T19:04:02Z</news:publication_date>
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  <loc>https://skilledcarejournal.com/cms-is-about-to-make-every-hospital-in-america-accountable-for-what-happens-after-your-surgery/</loc>
  <lastmod>2026-04-17T13:06:52Z</lastmod>
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   <news:title>CMS Is About to Make Every Hospital in America Accountable for What Happens After Your Surgery</news:title>
   <news:publication_date>2026-04-17T13:06:52Z</news:publication_date>
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  <loc>https://skilledcarejournal.com/a-judge-just-cleared-a-class-action-over-understaffing-at-40-illinois-nursing-homes-to-go-to-trial/</loc>
  <lastmod>2026-04-17T11:04:03Z</lastmod>
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    <news:name>Skilled Care Journal</news:name>
    <news:language>en</news:language>
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   <news:title>A Judge Just Cleared a Class Action Over Understaffing at 40+ Illinois Nursing Homes to Go to Trial</news:title>
   <news:publication_date>2026-04-17T11:03:40Z</news:publication_date>
   <news:genres>Blog</news:genres>
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