From transportation to housekeeping, MA plans moving further into the home in 2022
By
Diane Eastabrook
Oct 05, 2021
Medicare Advantage plans are moving more benefits into the home in 2022. In-home primary care, transportation, meals and in-home support are just a handful of new benefits private insurers are offering...
Long-term care should include more HCBS, panelists assert
By
Liza Berger
Mar 12, 2021
The long-term care system in coming years should include an expansion of home- and community-based services (HCBS), policy, advocacy and consumer experts said during a virtual roundtable discussion Thursday...
Insurance companies pocketing millions in overpayments through their Medicare Advantage subsidiaries,...
By
Kathleen Steele Gaivin
Nov 22, 2022
The Centers for Medicare & Medicaid Services released the results of 90 audits of Medicare Advantage plans. The federal audits discovered $12 million in net overpayments for the care of 18,090 patients...
Long-term care resident Medicare beneficiaries spend $22,384 out of pocket for healthcare annually: study
By
Lois A. Bowers
Nov 06, 2019
Residents of long-term care facilities who have traditional Medicare coverage spent an average of $22,384 out of pocket for healthcare in 2016, the latest data available, according to a new analysis of...
InnovAge grows members, centers in latest quarter as ModivCare weathers pandemic with personal care acquisition
By
Liza Berger
May 14, 2021
InnovAge, a new publicly traded company that contracts with Medicare and Medicaid through the Program for All-Inclusive Care for the Elderly (PACE), experienced signs of pandemic recovery in the fiscal...
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.
AHCA/NCAL releases FAQs about Medicare Accelerated and Advance Payment program
By
Amy Novotney
Apr 03, 2020
The American Health Care Association/National Center for Assisted Living released a series of frequently asked questions and answers about the Medicare Accelerated and Advance Payment program Thursday,...
HCBS providers face more serious challenges ahead than institutional providers: report
By
Kimberly Bonvissuto
Sep 21, 2022
Expanding the availability and quality of long-term services and supports will continue to be a focus for policymakers as individual preferences and state requirements shift from institutional settings...
Innovations in long-term care for the elderly begin at home
By
Josefina Carbonell
Mar 21, 2016
The U.S. healthcare system must continue to accelerate the rebalancing of long-term care services for the elderly, an approach that improves quality of life and saves money.
Key congressional committee members back palliative care demonstration model
By
Diane Eastabrook
Sep 24, 2021
The prospect of a palliative care demonstration model got a big boost this week from members of the House Ways and Means Committee.