Philip Esformes sentenced to 20 years in prison in healthcare fraud case
By
Lois A. Bowers
Sep 12, 2019
Former Florida assisted living and skilled nursing facility owner Philip Esformes has been sentenced to 20 years in prison for his role in a case that the federal government continues to describe as “the...
Report is ‘new territory,’ GAO director says
By
Lois A. Bowers
Feb 06, 2018
A new report about federal oversight of Medicaid beneficiaries who live in assisted living communities is “new territory” for the Government Accountability Office, the report’s author...
Senators call for more than $1B in COVID-19 funding for seniors
By
Joe Jancsurak
Feb 17, 2021
As the House stands poised to pass a massive COVID-19 relief bill, there is a good chance home care will secure a portion of the package. Senators have proposed various funding measures for home- and community-based...
Lawmakers to press Biden to increase funding for HCBS as part of larger system reform
By
Diane Eastabrook
Mar 25, 2021
Some Democratic lawmakers are holding President Joseph Biden’s feet to the fire, demanding he fulfill a campaign promise to direct $450 billion to home- and community-based services (HCBS). This funding...
Supreme Court spars over case that could limit power of federal agencies
By
Kimberly Marselas
Jan 18, 2024
Some Supreme Court justices on Wednesday signaled their willingness to give courts more discretion in interpreting “ambiguous” federal statutes rather than leaving that work to the agencies tasked...
Medicaid Access Rule review completed by White House
By
Lois A. Bowers
Apr 16, 2024
A proposed federal rule establishing mandatory quality measures for home- and community-based services and requiring providers to allocate 80% of HCBS payments to direct care worker pay is one step closer...
Senior living’s slide into the welfare class
By
John O'Connor
Sep 03, 2020
The push for support for assisted living from Uncle Sam is intensifying. But as any skilled care operator will remind you, Uncle Sam tends to be a very demanding business partner.
Members of Congress call on CMS to collaborate in addressing nursing home workforce challenges
By
Kathleen Steele Gaivin
Sep 14, 2022
A bipartisan group of members of the House of Representatives is looking to the Centers for Medicare & Medicaid Services to work with them to resolve workforce shortages experienced by nursing homes across...
MFCU efforts result in 20 convictions, $9.41 million in recoveries related to assisted living in FY 2023:...
By
Lois A. Bowers
Mar 18, 2024
Efforts by state Medicaid Fraud Control Units resulted in a total of 20 criminal convictions and $9.41 million in criminal case recoveries related to assisted living in fiscal year 2023, according to a...
Stiffer requirements for SNF Medicaid payments could be coming down the pike
By
Kathleen Steele Gaivin
Jun 13, 2022
The nation’s 15,500 Medicaid-certified nursing homes could find that there are strings attached to future Medicaid payments if a proposal from the federal government proceeds, Kaiser Health News reports.