Lutheran Senior Services / Diakon agreement forms one of largest US nonprofit LTC organizations … CMS releases Medicare, Medicaid enrollment figures … CMS issues new guidance, other resources related...
Senator delays confirmation of CMS administrator over Biden’s refusal to extend Texas Medicaid waiver
By
Diane Eastabrook
Apr 22, 2021
Texas’s senior senator is holding up the confirmation of Chiquita-Brooks-LaSure as Centers for Medicare and Medicaid (CMS) administrator over the Biden administration’s decision to rescind the state’s...
CMS proposes ‘universal’ quality measures to ease provider burden, confusion
By
Lois A. Bowers
Feb 06, 2023
Centers for Medicare & Medicaid Services leaders are proposing the creation of a “universal foundation” of quality measures to reduce the reporting burden and confusion for providers and better align...
Collaboration needed if assisted living is to continue serving dually eligible older adults: study
By
Kimberly Bonvissuto
Feb 01, 2021
As states continue to work to rebalance long-term services and supports spending away from nursing home care, assisted living is gaining as an option for Medicare-Medicaid dually eligible older adults...
High concentration of dually eligible older adults in assisted living warrants study of care quality,...
By
Kimberly Bonvissuto
Mar 17, 2023
Older adults who are dually eligible for the Medicare and Medicaid programs are highly concentrated in assisted living communities, according to a research letter published in JAMA Health Forum.
Affiliations pose risk to Medicaid, Medicare participation under new CMS rule
By
Lois A. Bowers
Sep 06, 2019
Under a final rule issued Thursday, Centers for Medicare & Medicaid Services can deny or revoke Medicaid and Medicare program enrollment from providers and suppliers if an owner or manager is directly...
MedPAC recommendations could deal a blow to vulnerable partial dual eligibles
By
Diane Eastabrook
Jun 18, 2021
The most vulnerable people could be adversely affected by the Medicare Payment Advisory Committee’s (MedPac) recent recommendation to change the benchmark policy for growing Medicare Advantage (MA) plans....
10 ALF owners indicted on kickback and fraud charges
By
Lois A. Bowers
Oct 26, 2016
Ten owners of assisted living facilities in Florida have been charged with receiving kickbacks and bribes and committing healthcare fraud.
Should home-delivered meals be the next area of Medicare, Medicaid coverage? Several groups say yes
By
Diane Eastabrook
Apr 09, 2021
Thanks to a push by several nonprofit organizations and the natural evolution of Medicare coverage, the time could be ripe for the federal government to make home-delivered meals a part of the nation’s...
OIG plans review of Medicaid waivers, employee background checks, more
By
Lois A. Bowers
Nov 10, 2016
Reviews of Medicare and Medicaid payments, fraud and abuse, and employee background check efforts are some of the items on the agenda for the Department of Health and Human Services Office of Inspector...