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...
Nursing home sector’s economic recovery ‘in limbo,’ AHCA says
By
Kathleen Steele Gaivin
Feb 07, 2023
Economic recovery remains “in limbo” for the nursing home sector, especially as the public health emergency — and the funds that go along with it — is set to end this spring. That’s according...
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...
Operator faces nearly $1M in damages for alleged racketeering
By
Kathleen Steele Gaivin
Oct 16, 2023
A group of nursing home residents and their families asked the 11th Circuit Court earlier this month to revive a 2018 class action suit accusing the operator of several skilled nursing facilities in Florida...
Providers need ‘meaningful aid,’ groups say as president unveils executive order
By
Kathleen Steele Gaivin
Apr 19, 2023
Building a pipeline of professional caregivers and then retaining them in long-term care are some of the goals of an executive order signed Tuesday by President Biden. Provider groups responded by calling...
Home health is fastest-growing component of national health spending
By
Kathleen Steele Gaivin
Jan 08, 2024
Year-over-year growth in the home health space was 13.5% in October, making it the fastest-growing component of national health spending, according to Altarum’s monthly Health Sector Economic Indicators...
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...
Minimum staffing requirements good idea in theory only: AHCA/NCAL
By
Kathleen Steele Gaivin
Jul 13, 2023
A federal nursing home minimum staffing mandate “sounds like a good idea, but in practice, it is not,” American Health Care Association / National Center for Assisted Living President and CEO Mark...
Sharing ownership data good for enforcers, families, researchers, HHS secretary says
By
Kathleen Steele Gaivin
Apr 21, 2023
Medicare-certified home health agencies and hospice programs will be subject to additional scrutiny with Thursday’s announcement by the Department of Health and Human Services of the release of ownership...
5-star SNF cites staffing issues in closure notice
By
Kathleen Steele Gaivin
Aug 19, 2022
Citing staffing and other issues, Clairemont Healthcare & Wellness Center LLC, doing business as Abby Gardens Healthcare Center, plans to close by the end of the year. The San Diego skilled nursing facility...