States overlooking untapped potential of dual-eligible special needs plans: report
By
Kimberly Bonvissuto
Oct 28, 2021
The American Rescue Plan Act is expected to infuse $11 billion in federal dollars to states to bolster home- and community-based services in Medicaid. But few states are connecting the dots on how integrated...
Federal investigators confirm that UnitedHealth short-changed suppliers that administered COVID-19 vaccinations...
By
Kathleen Steele Gaivin
Oct 26, 2021
UnitedHealth Group will reprocess all of its commercial claims related to COVID-19 vaccine administration, after federal investigators confirmed that the nation’s largest insurer paid “millions”...
Erickson’s Medicare Advantage plan earns 5-Star CMS rating for second consecutive year
By
Kathleen Steele Gaivin
Oct 25, 2021
Erickson Advantage, Erickson Senior Living’s resident-only Medicare Advantage plan, has received top recognition from the Centers for Medicare & Med
Medicare revenue per patient day decline plateaued mid-summer: NIC MAP Vision
By
Kathleen Steele Gaivin
Oct 07, 2021
After a steady decline since January, Medicare revenue per patient day held steady month over month from June through the end of July, at $560, according to market trends data NIC MAP Vision published...
Assisted living deserves equal billing with other provider types for Phase 4 Provider Relief Fund bonuses,...
By
Kimberly Bonvissuto
Oct 06, 2021
The senior living industry will be “left behind again” if the formula for Phase 4 Provider relief Fund bonus payments considers only Medicare reimbursement to facilities without also considering the...
From transportation to housekeeping, MA plans moving further into the home in 2022
By
Diane Eastabrook
Oct 05, 2021
Medicare Advantage plans are moving more benefits into the home in 2022. In-home primary care, transportation, meals and in-home support are just a handful of new benefits private insurers are offering...
MA hospice carve-in model failing beneficiaries, NHPCO charges
By
Diane Eastabrook
Oct 04, 2021
The National Hospice and Palliative Care Organization is blasting the Centers for Medicare & Medicaid Services for continuing a two-year Medicare Advantage hospice carve-in demonstration that NHPCO considers...
Legislation would expand in-home dialysis
By
Diane Eastabrook
Oct 04, 2021
A bipartisan bill introduced late last week would allow more kidney patients to receive dialysis in the comfort of their homes.
Congress likely to scale back HCBS funding as part of budget compromise
By
Diane Eastabrook
Sep 29, 2021
Home- and community-based services are in the crosshairs as top Democrats look to pare down their ambitious healthcare proposals in the massive $3.5 trillion proposed budget.
OIG audit gives home health industry a passing grade with room for improvement
By
Diane Eastabrook
Sep 29, 2021
Six out of eight home health agencies had infection control policies and procedures in place that met Centers for Medicare & Medicaid Services requirements.