Medicaid Shell Game – Part Two

A while back I wrote about the annual/bi-annual shell game that is perpetrated  in Wisconsin with the Medicaid program – specifically, the SNF funding and reimbursement components thereto.  Now that the Joint Finance Committee of the Legislature has completed its budget process, we can see, fully exposed, how much of the shell game has really … Read more

Continued Medicaid Shell Game

Here we go again, another round of the bi-annual Medicaid shell game to theoretically increase Medicaid SNF rates in Wisconsin.  If you aren’t familiar with this trick, watch closely because the moving parts are designed to confuse you – hence the illusion.  The trick starts with the State having a continuing budget deficit overall.  Don’t … Read more

Hospice MedPAC Wrap Up

Hospice Update – Spring 09   Overview   Commencing with its June 2004 report to Congress, MedPAC (Medicare Payment Advisory Commission) has been trending a series of reform recommendations to the Medicare Hospice Benefit.  The Hospice benefit remains essentially intact along with its payment system since its inception in 1983.  Originating from a demonstration program … Read more