Should home healthcare be a new focus for Medicare Advantage?
By
Jeff Fox
Apr 20, 2021
Home-based services are not a common, or even widely accepted, part of most Medicare Advantage plans. However, there have been some signs that the Centers for Medicare & Medicaid Services (CMS) have begun...
Business briefs, April 2
By
Kathleen Steele Gaivin
Apr 02, 2024
CMS finalizes 3.7% adjustment in MA rates for 2025 … Experts fear ‘bigger, stronger stick’ in new Medicare pay rule … White House designates April as Case Workers Recognition Month … National...
Million hearts model cuts five-year heart attack, stroke risk in at-risk patients
Oct 18, 2023
Improved outcomes were seen, with no significant changes in Medicare spending.
Many Medicare beneficiaries do not fill high-price prescriptions
Apr 20, 2022
Among beneficiaries without a low-income subsidy, noninitiation was reported in 30% of those with new prescriptions for anticancer drugs.
Joining or forming a Medicare Advantage plan? Read these survey results
By
Lois A. Bowers
Jun 21, 2019
With an increasing number of senior living operators joining or forming their own Medicare Advantage plans, or considering doing so, the results of new J.D. Power customer satisfaction research could provide...
Leverage payment integrity solutions to ensure proper billing of telehealth services
By
Subrahmanyam Mantha
Jul 07, 2022
Don’t be surprised if the U.S. Department of Health and Human Services continues the COVID-19 public health emergency in mid-July, based on what government officials have said. If it ends, however, the...
Federal COVID-19 vaccination, testing mandates have pros, cons, experts say
By
Kimberly Bonvissuto
Nov 05, 2021
Although generally supportive of federal COVID-19 vaccine mandates for members of its workforce, senior living leaders are concerned about the effects on its workforce.
NPHI implores Congress to extend Medicare sequestration moratorium another year
By
Diane Eastabrook
Sep 28, 2021
The National Partnership for Healthcare and Hospice Innovation is still waiting to hear from congressional leaders about its request to extend the suspension of the 2% Medicare payment cuts through the...
Feds target Medicare Advantage scam advertising
By
Kathleen Steele Gaivin
Dec 16, 2022
The Centers for Medicare & Medicaid Services is taking steps to protect consumers from scams or misleading ads for Medicare Advantage plans that target older adults. A proposed rule would ban ads that...
Proposal creating Medicare LTSS benefit gains senior living industry support
By
Lois A. Bowers
May 04, 2018
Proposed legislation to create a federal program within Medicare to support those with substantial long-term care costs when they need care is drawing support from senior living industry groups.