In a case believed to be the first to use Medicaid’s retroactivity requirement to challenge federal LTSS payment policies, a U.S. District Court in Ohio has ruled that the state must cover assisted...
AMA considers advocating that CCRCs be part of ACOs
By
Lois A. Bowers
Jun 19, 2017
The American Medical Association will lobby the Centers for Medicare & Medicaid Services to allow continuing care retirement communities to initiate investment models of accountable care organizations...
Personal care service reforms make OIG list of top unimplemented recommendations
By
Lois A. Bowers
Jul 23, 2019
A new report from the Department of Health and Human Services Office of Inspector General references personal care services and personal care services attendants, long-term care employee background checks...
CMS giving $165M more in Medicaid funding for home- and community-based care
By
Danielle Brown
Sep 25, 2020
The federal government is providing $165 million in supplemental funding to states for a longstanding Medicaid program designed to transition residents of nursing homes and other institutions and into...
Federal investigators confirm that UnitedHealth short-changed suppliers that administered COVID-19 vaccinations...
By
Kathleen Steele Gaivin
Oct 26, 2021
UnitedHealth Group will reprocess all of its commercial claims related to COVID-19 vaccine administration, after federal investigators confirmed that the nation’s largest insurer paid “millions”...
PACE in a sweet spot for growth but faces policy challenges, program leaders say
By
Diane Eastabrook
Jul 15, 2021
Programs of All-Inclusive Care for the Elderly (PACE) are enjoying a moment in the limelight, as the Biden Administration and congressional Democrats push to expand home-and-community-based services.
LHC Group offers bullish outlook on home care based on new policies, legislation in Washington
By
Diane Eastabrook
May 07, 2021
National home care and hospice provider LHC Group sees nothing but tailwinds ahead, despite ongoing uncertainty over the COVID-19 pandemic.
Meet Cynthia Morton, Hall of Honor inductee
By
James M. Berklan
Jul 22, 2020
Cynthia Morton, executive vice president, National Association for the Support of Long Term Care, Washington, D.C., is a member of the 2020 McKnight’s Women of Distinction Hall of Honor.
Meet your new foe, same as the old foe
By
John O'Connor
Jul 28, 2016
Assisted living got where it is today largely by promising to do a better job than nursing homes. That same strategy — under admittedly different circumstances — also may be the key to future success.
Narcotics theft alleged in first Medicaid fraud unit case
By
John O'Connor
Apr 20, 2020
Charlotte Kay Reilly, has become the first person to be prosecuted by the North Dakota Medicaid Fraud Unit. She was charged with theft of prescription medication and reckless endangerment.