Brookdale asks court to uphold ‘whistleblower’ lawsuit dismissal
By
Lois A. Bowers
Mar 20, 2016
Brookdale Senior Living has requested that the U.S. Court of Appeals for the Sixth Circuit uphold the November dismissal of a former employee’s False Claims Act lawsuit against the company.
Medicare Advantage plans often deny coverage for eligible, necessary care: Report
Apr 28, 2022
About 28 million older Americans have Medicare Advantage plans.
Seniors report medical care missed during the pandemic
Dec 30, 2021
The rates of forgone medical care because of COVID-19 decreased over time; about 70% of forgone care was due to physician-driven factors.
Government agencies look back on 2015, ahead to 2016
By
Lois A. Bowers
Jan 04, 2016
Antibiotic resistance, elder abuse and fraud were among the topics mentioned in end-of-the-year reports from federal governmental agencies noting major activities during 2015 and plans for 2016.
Medicare could negotiate drug prices under Democrat proposal
Nov 03, 2021
For the first time, the measure would enable the federal government to negotiate prices for medications covered by Medicare.
MedPAC-proposed 5 percent cut to home health pay misses mark: NAHC
By
Joe Jancsurak
Dec 08, 2020
The 5% cut to home health pay recommended by the Medicare Payment Advisory Commission does not consider all the costs of care operation and does not include home health agencies that are integrated into...
Caught in a Medicare claims appeals case? You may not have to immediately turn over disputed funds.
By
John O'Connor
Apr 06, 2018
Senior living firms engaged in a Medicare claims appeal currently are required to return any disputed payments right away. A recent court ruling, however, gives operators a chance to retain disputed amounts...
Insurers likely to add and trim senior living benefits, thanks to relaxed Medicare rule
By
John O'Connor
Apr 06, 2018
Medicare managed care enrollees soon may enjoy enhanced senior living benefits, thanks to a new rule. But existing coverage also may be reduced or eliminated when revamped policies hit the marketplace,...
CBO: Social Security, Medicare spending could lead to record debt
By
Lois A. Bowers
Jul 12, 2016
Spending on Social Security and Medicare could contribute to the highest level of debt relative to gross domestic product ever seen in the United States, according to a report released Tuesday by the Congressional...
House expected to vote to delay start of Medicare sequester
By
Diane Eastabrook
Mar 15, 2021
The U.S. House of Representatives is expected to vote this week to extend the pause on mandatory 2% cuts to Medicare known as sequester — scheduled to go into effect April 1.