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Congress needs to hear from aging services stakeholders that now is the time to bring Medicare Advantage reforms over the finish line and to enactment… More...
MCW leaders expressed regret for the inconvenience to members, citing accountability steps like referral guidance, recredentialing feedback, and new P… More...
DHS has placed My Choice Wisconsin on a corrective action plan and paused new Family Care enrollment. Join our September 14 town hall with MCW leaders… More...
A key CMS moratorium has expired, raising new questions about whether home health and hospice providers will soon see the same outcome. More...
DHS has announced key changes to Medicaid reimbursement methodology, audit requirements and rate-setting for 2026. Here are eight takeaways providers … More...
Most appealed Medicare Advantage denials are overturned, fueling calls for greater transparency and faster access to care for seniors. More...
Don't miss these important reimbursement developments, including Medicare rate increases, proposed adjustments, and upcoming deadlines. More...
Gain more time to address Medicare Part A cost report overpayments as CMS extends the default recoupment timeline from 16 to 41 days, effective Januar… More...
A new proposal could expand Medicare to cover in-home personal care services, helping older adults stay independent while reducing financial burdens o… More...
Whether you have a question on a cost report, audit or any other financial or reimbursement-related question or concern, LeadingAge Wisconsin's expert… More...
With final Medicaid rates still months away, how best to budget in the meantime? Estimating rates is complex, with many factors yet unknown. LeadingAg… More...
A House committee advanced a healthcare transparency package that includes major Medicare Advantage reforms focused on prior authorization and plan ac… More...
A bipartisan Senate inquiry is demanding answers from three major Medicare Advantage plans over prior authorization denials for post-acute care and SN… More...
WI Direct Care Workforce payments are set for July 3, with minor delays possible for some providers. Meanwhile, a proposed CMS rule could reshape fund… More...
OIG reports 12% of SNF prior authorization requests denied by Medicare Advantage plans, with 95% of appealed denials overturned — signaling widespread… More...
LeadingAge Wisconsin is monitoring ongoing contract negotiations between HealthDirect and United Healthcare and working to ensure uninterrupted pharma… More...
Dr. Kari Everson details known, significant issues affecting the Payroll-Based Journal (PBJ) submission system in May 2026. Many facilities are experi… More...
CMS is pressing states to swiftly revalidate high-risk Medicaid providers, setting tight deadlines and signaling that failure to act could factor into… More...
LeadingAge Wisconsin members headed to Washington, DC to learn, lead, and advocate—bringing workforce and Medicare priorities to Capitol Hill while ma… More...
As DHS considers its next contracts with Family Care Managed Care Organizations (MCOs), LeadingAge Wisconsin relates members' operational, billing and… More...
From Rob Schlicht, Director at Wipfli and interim finance consultant for LeadingAge Wisconsin More...
