The Centers for Medicare & Medicaid Services is taking steps to protect consumers from scams or misleading ads for Medicare Advantage plans that target older adults. A proposed rule would ban ads that...
Business briefs, Nov. 3
By
Kathleen Steele Gaivin
Nov 03, 2022
LHC Group disappoints again in dismal Q3 … Home health final rule ‘is not a win,’ Enhabit CEO says … Montana governor praises work-based public school offerings, such as assisted living...
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,...
FFS admissions grow 5.8% for skilled nursing, drop 8.6% for home health: report
By
Kathleen Steele Gaivin
May 10, 2023
Medicare fee-for-service admissions increased among skilled nursing facilities by 5.8% and decreased among home health providers year-over-year in the third quarter of 2022, according to a report released...
The needs of middle-class Americans over 55 often go unmet: SCEPA
By
Kathleen Steele Gaivin
Dec 06, 2023
Many adults aged 55 and older who have difficulty with daily and instrumental activities aren’t getting the help they need, research associate Jessica Forden of the Schwartz Center for Economic Policy...
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...
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,...
Lawmakers re-introduce bill to waive 3-day stay requirement
By
Kathleen Steele Gaivin
Jun 03, 2021
A bipartisan cadre of lawmakers reintroduced the Improving Access to Medicare Coverage Act of 2021 in the House of Representatives on Tuesday. If passed, the legislation would make permanent last year’s...
Bipartisan legislation would expand access to advance care planning in Medicare
By
Kathleen Steele Gaivin
Sep 19, 2022
The Improving Access to Advance Care Planning Act pending in Congress would, if passed and signed into law, expand access to advance care planning services in Medicare.
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...