Long-term care providers among 193 criminally charged, $2.75 billion in fraud recoveries so far in 2024
By
Kathleen Steele Gaivin
Jul 01, 2024
The Justice Department has recovered more than $2.75 billion in false claims against healthcare providers and charged 193 defendants so far this year in criminal cases through its 2024 National Health...
Elevated Medicaid use no threat to health insurers in the long term: Fitch
By
Kathleen Steele Gaivin
Jun 27, 2024
Headwinds from an increase in the use of Medicaid are unlikely to have a long-term negative effect on health insurers, according to a new brief from Fitch Ratings. Insurers may experience short-term margin...
Record-high False Claims Act settlements recovered in first half of 2024
By
Kathleen Steele Gaivin
Jun 21, 2024
After a record-breaking 2023, settlements under the False Claims Act continue along the same trajectory in the first half of 2024, “with notable healthcare fraud settlements under the FCA, AKS [the Anti-Kickback...
CMS to conduct ‘focused review’ of Missouri, Texas delays in processing Medicaid applications
By
Kathleen Steele Gaivin
Jun 20, 2024
The Centers for Medicare & Medicaid Services is launching a focused review of how the states of Missouri and Texas process Medicaid applications.
Here’s where retirees’ savings could last longer
By
Kathleen Steele Gaivin
Jun 17, 2024
Overall spending for Americans aged 65 or more years has increased by 43.1% over the past decade, according to an analysis by DepositAccounts, so when choosing a place to retire, they may be drawn to places...
‘Private equity abuse’ in long-term care is target of new federal bill
By
Lois A. Bowers
Jun 13, 2024
Two Democratic senators from Massachusetts have introduced a bill they say is meant to “root out corporate greed and private equity abuse” in nursing homes, assisted living communities, home health...
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...
SNFs face ‘increased and increasingly hostile’ government scrutiny, attorneys say
By
Kathleen Steele Gaivin
Jun 06, 2024
The increased scrutiny facing nursing home providers since the COVID-19 pandemic includes “overall increased and increasingly sort of hostile approach by surveyors in the quality-of-care area,” according...
Healthcare cost growth rate down year over year, except for skilled nursing
By
Kathleen Steele Gaivin
May 23, 2024
Healthcare cost rates grew by 2.8% year over year in April, down from the growth rate of 3.1% seen the previous month.
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.