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.
CMS needs to improve handling of beneficiary data, GAO says
By
John O'Connor
May 13, 2018
The Centers for Medicare & Medicaid Services needs to improve how it handles shared beneficiary data, according to the Government Accountability Office.
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...
Home-based primary care demonstration project scores another win
By
Diane Eastabrook
Aug 02, 2021
Home-based primary care proved to reduce healthcare costs and hospital admissions for the sixth year in a row, according to a Centers for Medicare and Medicaid Services (CMS) demonstration project.
CMS issues guidance to states on how to use enhanced Medicaid HCBS funding from stimulus package
By
Liza Berger
May 14, 2021
States can only use enhanced Medicaid funds from the recently passed $1.9 trillion economic stimulus package to strengthen their home- and community-based services, the Centers for Medicare & Medicaid...
CMS’ innovation arm signals it is moving toward palliative care, capitation payment models
By
Liza Berger
Jun 10, 2021
The Centers for Medicare & Medicaid Services’ (CMS) likely will be initiating a palliative care payment model, the agency said Wednesday.
Senate Finance Committee splits over CMS nominee
By
Diane Eastabrook
Apr 26, 2021
The Senate Finance Committee was divided along party lines late last week on the nominee to head the Centers for Medicare and Medicaid Services (CMS).
‘Ticking time bomb’ could invalidate thousands of rules pertaining to older adults: HHS lawsuit
By
Kimberly Bonvissuto
Mar 17, 2021
A Trump administration rule finalized the day before President Biden’s inauguration is a “ticking time bomb” that could invalidate thousands of other rules, including protections for the elderly,...
Study: More seniors could live longer at home with the right equipment
By
Joe Jancsurak
Mar 24, 2021
Many elderly Americans lack the basic self-care equipment that could enable them to live at home longer, a study by University of California San Francisco researchers found.