MedPAC recommendations could deal a blow to vulnerable partial dual eligibles
By
Diane Eastabrook
Jun 18, 2021
The most vulnerable people could be adversely affected by the Medicare Payment Advisory Committee’s (MedPac) recent recommendation to change the benchmark policy for growing Medicare Advantage (MA) plans....
10 ALF owners indicted on kickback and fraud charges
By
Lois A. Bowers
Oct 26, 2016
Ten owners of assisted living facilities in Florida have been charged with receiving kickbacks and bribes and committing healthcare fraud.
Should home-delivered meals be the next area of Medicare, Medicaid coverage? Several groups say yes
By
Diane Eastabrook
Apr 09, 2021
Thanks to a push by several nonprofit organizations and the natural evolution of Medicare coverage, the time could be ripe for the federal government to make home-delivered meals a part of the nation’s...
Racial and ethnic disparities seen in use of hospice
Dec 18, 2023
Older age was associated with lower odds of short length of stay in those dually eligible for Medicare and Medicaid.
Nursing home industry on verge of financial collapse, group claims
By
Amy Novotney
Jun 11, 2020
Even before the industry was dealing with the COVID-19 pandemic, the average nursing home was operating on a razor-thin profit margin or net loss. That’s because Medicaid reimbursements only cover 70%...
OIG plans review of Medicaid waivers, employee background checks, more
By
Lois A. Bowers
Nov 10, 2016
Reviews of Medicare and Medicaid payments, fraud and abuse, and employee background check efforts are some of the items on the agenda for the Department of Health and Human Services Office of Inspector...
Home-based primary care demonstration project scores another win
By
Diane Eastabrook
Aug 02, 2021
Home-based primary care proved to reduce healthcare costs and hospital admissions for the sixth year in a row, according to a Centers for Medicare and Medicaid Services (CMS) demonstration project.
CMS needs to improve handling of beneficiary data, GAO says
By
John O'Connor
May 13, 2018
The Centers for Medicare & Medicaid Services needs to improve how it handles shared beneficiary data, according to the Government Accountability Office.
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,...
Study: More seniors could live longer at home with the right equipment
By
Joe Jancsurak
Mar 24, 2021
Many elderly Americans lack the basic self-care equipment that could enable them to live at home longer, a study by University of California San Francisco researchers found.