AI-shortened nursing home stays fuel drive for potential class action suit against insurer
By
Kimberly Marselas
Nov 17, 2023
The nation’s largest insurer is illegally using AI to wrongfully force seniors from nursing homes, a potential class action lawsuit alleges.
Record-high False Claims Act settlements recovered in first half of 2024
By
Kathleen Steele Gaivin
Jun 21, 2024
After a record-breaking 2023, settlements under the False Claims Act continue along the same trajectory in the first half of 2024, “with notable healthcare fraud settlements under the FCA, AKS [the Anti-Kickback...
Paying for LTSS via Medicare would improve outcomes, lower costs: report
By
Lois A. Bowers
Apr 25, 2017
Paying for long-term services and supports through Medicare for some residents of independent and assisted living communities and seniors living at home would improve care and lower costs for the government...
Nonprofit helps seniors and disabled at home navigate Medicaid, Medicare
By
Emma Baumgartel
Aug 02, 2021
Charities Pooled Trust aims to help people needing home care receive government services.
Advocates for seniors identify their top issues for Trump administration
By
Lois A. Bowers
Jan 22, 2017
Medicaid, home- and community-based services, long-term services and supports, the elder care workforce and Medicare are among the important areas that President Donald Trump and members of Congress should...
Long-term care providers among 193 criminally charged, $2.75 billion in fraud recoveries so far in 2024
By
Kathleen Steele Gaivin
Jul 01, 2024
The Justice Department has recovered more than $2.75 billion in false claims against healthcare providers and charged 193 defendants so far this year in criminal cases through its 2024 National Health...
PACE in a sweet spot for growth but faces policy challenges, program leaders say
By
Diane Eastabrook
Jul 15, 2021
Programs of All-Inclusive Care for the Elderly (PACE) are enjoying a moment in the limelight, as the Biden Administration and congressional Democrats push to expand home-and-community-based services.
CMS: Older adults dominate HCBS participant numbers but not spending or time
By
Lois A. Bowers
Nov 14, 2016
Older adults and/or people with disabilities account for the majority of recipients of home- and community-based services funded through Medicaid Section 1915(c) waivers, although the average dollar amount...
HHS says new rule allows healthcare workers, organizations to honor religious and moral principles in...
By
Lois A. Bowers
May 03, 2019
Individual healthcare workers as well as healthcare organizations can decline to provide care that conflicts with their religious and moral beliefs or mission under a final rule issued Thursday by the...
Economist’s solution for Medicare, Medicaid funding woes? Term limits
By
Lois A. Bowers
Oct 19, 2018
Imposing term limits on elected officials would help solve funding issues for Medicare, Medicaid and Social Security, Gary D. Cohn, former director of the National Economic Council in the Trump administration,...