Long Medicaid call center wait times are preventing people from renewing coverage, feds warn
By
Kathleen Steele Gaivin
Aug 21, 2023
Lengthy call center wait times are hurting people’s attempts to renew Medicaid coverage before being disenrolled. The federal government has issued warnings to states that this situation is unacceptable.
Healthcare-related False Claims Act settlements, judgments top $5 billion
By
Kathleen Steele Gaivin
Feb 03, 2022
Healthcare industry-related settlements and judgments from civil cases involving fraud and false claims uncovered by the Department of Justice in the fiscal year ending Sept. 30, 2021, topped $5 billion,...
CMS: Health spending grew by a slower 2.7% in 2021 as pandemic influenced trends
By
Kathleen Steele Gaivin
Dec 15, 2022
National healthcare spending rose 2.7% in 2021 to $4.3 trillion, according to new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services released Tuesday.
Business briefs, Sept. 7
By
Kathleen Steele Gaivin
Sep 07, 2022
CVS’ $8B acquisition of Signify could redefine home healthcare, observers say … Senators urge consumer protections for seniors who use peer-to-per payment applications … Social Security recipients...
Navigating insurance for those with dementia a major challenge for family caregivers
By
Kathleen Steele Gaivin
Jan 30, 2024
Family caregivers face many challenges in helping their loved ones who are living with dementia, not the least of which is navigating the insurance landscape for long-term care. That’s according to the...
Long-term care infrastructure needs centralized access point for information: Experts
By
Kathleen Steele Gaivin
Jun 15, 2021
The United States needs a centralized access point for families to learn about long-term care options as well as Medicare and Medicaid, write Anne Tumlinson, David Grabowski, Ph.D., and Robert Kramer in...
Nursing home owner faces 10 felony counts for Medicaid or tax fraud
By
Kathleen Steele Gaivin
Dec 22, 2021
The owner of a national nursing home chain is in hot water in Arkansas, where he faces eight counts of Medicaid fraud and two tax fraud counts. If convicted on any of the charges — all of which are felonies...
Medi-Cal to drop asset test for Medicaid long-term care benefits
By
Kathleen Steele Gaivin
Mar 14, 2022
Medi-Cal, California’s Medicaid public health insurance program, is dropping its asset test for residents needing long-term care.
National health spending could hit $6.8 trillion by 2030, CMS predicts
By
Kathleen Steele Gaivin
Mar 29, 2022
National health spending should grow 4.2% for 2021, reaching nearly $4.3 trillion, according to estimates released Monday by the Office of the Actuary at the Centers for Medicare & Medicaid Services. National...
SNFs see increase in Medicaid, Medicare payer mix; other payer mixes decrease
By
Kathleen Steele Gaivin
Dec 21, 2022
Skilled nursing facilities across the United States have experienced increases in both Medicaid and Medicare payer mix while other payer mixes have decreased in recent years, according to a three-year...