46 assisted living communities named in $4.5 million home health kickback settlement
By
Kimberly Bonvissuto
Jul 03, 2024
Forty-six assisted living communities have been named as recipients of alleged illegal kickbacks that were the focus of a $4.5 million settlement reached between the federal government and a group of home...
US healthcare spending for NFs and CCRCs to reach $337.4 billion by 2032, CMS says
By
Lois A. Bowers
Jun 13, 2024
National health expenditures for nursing facilities and continuing care retirement communities are expected to reach $337.4 billion by 2032, according to new estimates released Wednesday by the Office...
Substituting lower-wage staff for registered nurses tied to worse outcomes
Jun 25, 2024
Harms include avoidable patient deaths, readmissions, longer lengths of stay, excess Medicare costs and forgone cost savings.
Business briefs, June 17
By
Kathleen Steele Gaivin
Jun 17, 2024
Provider groups praise bill streamlining Medicare Advantage prior authorization process … Consumer, industry advocates make recommendations for states to help combat rise in elder real estate fraud,...
Dual proposals aim to redesign ‘patchwork’ of LTSS delivery for dual-eligible recipients
By
Kimberly Bonvissuto
May 29, 2024
Redesigning the nation’s patchwork approach to delivering long-term services and supports to dually eligible individuals is the goal behind two proposals.
Medicare among top voting issues for Gen Xers, millennials, report finds
By
Kathleen Steele Gaivin
Jun 10, 2024
Will Medicare still be solvent for Gen Xers (born between 1965 and 1980) and millennials (born between 1981 and 1996)? That’s a big question for many in these generations, according to a report from...
Hospice fraudster sentenced to 20 years in prison, ordered to pay $42 million penalty
By
Adam Healy
May 21, 2024
The US Attorney’s Office for the Eastern District of Louisiana sentenced a hospice owner to 240 months in prison and $42 million in penalties for charges related to Medicare fraud.
Social Security, Medicare solvency improves slightly, but ‘significant financing issues’...
By
Lois A. Bowers
May 07, 2024
The Treasury Department — with the departments of Health and Human Services and Labor, the Centers for Medicare & Medicaid Services and the Social Security Administration — released the annual Social...
Major drug companies agree to price negotiations with US government
Oct 03, 2023
Ten drugs have been chosen for price negotiations by the Centers for Medicare & Medicaid Services.
New group will advocate for dually eligible nursing home residents, other beneficiaries
By
Kathleen Steele Gaivin
Feb 22, 2024
A newly formed alliance of healthcare and consumer organizations has formed to advance the integration of Medicare and Medicaid for dually eligible nursing home residents and other older adults.