Assisted living owner, three managers charged with defrauding Medicaid of more than $1 million
By
Lois A. Bowers
Mar 12, 2017
The owner and three managers of an Alaska assisted living home have been indicted after the home allegedly billed the state for more than $1 million in home- and community-based services that were not...
ACA replacement would harm providers, caregivers, elderly, groups say
By
Lois A. Bowers
Mar 07, 2017
Long-term services and supports providers, Medicaid beneficiaries and professional caregivers would suffer if the bill that Republicans in the House of Representatives proposed Monday to replace the Affordable...
Government expects to recover $1.9 billion for 2016 Medicaid fraud cases
By
Lois A. Bowers
Mar 06, 2017
The federal government expects to recover almost $1.9 billion from Medicaid fraud, abuse and neglect cases that were settled or for which judgments were issued in 2016, according to new data released Monday.
Proposed changes would put Medicaid recipients, providers at risk, advocates say
By
Lois A. Bowers
Mar 05, 2017
Congress should reject proposed “radical structural changes” to Medicaid funding that would lead to reduced services for beneficiaries and payments for providers, 100 advocacy organizations,...
GAO: CMS needs better data to prevent HCBS overpayments, fraud
By
Lois A. Bowers
Feb 13, 2017
The Medicaid program needs better data to be able to ensure that it does not overpay for personal care services and to reduce the risk of fraud occurring, the Government Accountability Office said in a...
GAO recommends increased CMS oversight of Medicaid LTSS payment rates
By
Lois A. Bowers
Feb 08, 2017
In the wake of findings detailed in a new report from the Government Accountability Office made public on Wednesday, the Centers for Medicare & Medicaid Services will take steps to ensure that states have...
Data issues complicate Medicaid oversight, GAO says
By
Lois A. Bowers
Feb 06, 2017
The incomplete, inaccurate and late reporting of Medicaid expenditure and utilization data makes it difficult for the Centers for Medicare & Medicaid Services to ensure that payments are proper and that...
The expansion of Medicaid under the Affordable Care Act has negatively affected vulnerable beneficiaries such as the elderly, according to a witness testifying Tuesday at a House Energy and Commerce Subcommittee...
Advocates for seniors identify their top issues for Trump administration
By
Lois A. Bowers
Jan 22, 2017
Medicaid, home- and community-based services, long-term services and supports, the elder care workforce and Medicare are among the important areas that President Donald Trump and members of Congress should...
GAO targets improper Medicare, Medicaid payments
By
Lois A. Bowers
Jan 17, 2017
Reducing improper payments made from the Medicare and Medicaid programs is a big step that the federal government can take to improve the country’s long-term fiscal health without legislative action,...