The report from the state Comptroller is another alarm bell in the night
, whose duties as state Comptroller include oversight of the Medicaid program, and he cannot be more forthright: “We raised the alarm a year ago, but the state has chosen to maintain the status quo,” he said. “Nursing homes can get one-star ratings for years and still never face any meaningful consequences.”are not just having a bad year. With many of them, “these issues have existed in various forms for nearly a decade,” it read.
The first way is to compel low-performance homes to improve by barring Medicaid admissions and capping beneficiaries – a significant sanction, given that 95% of the residents in many homes are funded with Medicaid dollars. Most of the pushback has been about the audited reports, because according to VP John Indyk of the Hospital Care Association, the industry’s trade group, it would cost that $100,000 per year, per home. But as Vitale put it, “We’ll be happy to talk about Medicaid reimbursement rates and support, but we’d just like to know how you’re spending every dollar. That’s not an unreasonable ask.”
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