Pay attention to these regulatory developments or you may be looking at anything but a happy new year.
Have they lost their minds?
By
John O'Connor
May 14, 2020
We are seeing some pandemic responses that are real jaw-droppers.
Did Nancy Pelosi just kill Medicare for All?
By
John O'Connor
Nov 04, 2019
House Speaker Nancy Pelosi on Friday panned a Medicare for All proposal being forwarded by a number of Democrats currently running for president. Her implicit suggestion to fellow Democrats: Stick with...
For some of your senior living residents, fraud may be in the cards
By
John O'Connor
Apr 05, 2018
The new Medicare cards represent a huge opportunity for those with larceny in their hearts.
House Democrats crafting plan to reduce Medicare drug costs
By
John O'Connor
Sep 11, 2019
A plan being hatched by House Democratic leaders would allow the Department of Health and Human Services to negotiate prices for up to 250 Medicare-covered medications, as well as insulin.
Beneficiaries often reluctant to change Medicare or drug coverage, report finds
By
John O'Connor
Dec 13, 2019
In theory, beneficiaries in private Medicare Advantage plans and Part D stand-alone prescription drug plans could be switching plans each year. But as a new Kaiser Family Foundation report shows, that...
Hospitals as business partners? It’s not such a far-fetched notion
By
John O'Connor
Jan 28, 2016
Some will argue that senior living can never replace skilled care when it comes to post-acute care. You’ll be able to recognize them by the strength of their convictions and the shortness of their...
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,...
Make Medicare bigger? First let’s make it better
By
John O'Connor
Feb 28, 2019
Democratic lawmakers introduced Medicare-for-all legislation in the House Wednesday. Talk about a case of pick-your-poison.