However, the introduction of new insulin products after 2015 was followed by substantial discounting practices that lowered net prices.
Medicaid reimbursement app latest tool to deal with MDS changes
By
Aaron Dorman
Sep 27, 2023
A new software application for Medicaid reimbursement will help healthcare providers and facilities comply with the new CMS MDS 3.0 rules.
Rate surge seen as threat to middle market enthusiasm
By
Kathleen Steele Gaivin
Sep 27, 2022
Many senior living and care providers across the country have raised their rates this year, as inflation continues to drive expenses for staples such as food, supplies and energy.
MFCU efforts result in 17 assisted living convictions, $265,000 in recoveries in FY 2022: OIG report
By
Lois A. Bowers
Mar 14, 2023
Efforts by state Medicaid Fraud Control Units resulted in a total of 17 criminal convictions and $265,040 in criminal case recoveries related to assisted living in fiscal year 2022, according to a new...
Medicaid Access Rule review completed by White House
By
Lois A. Bowers
Apr 16, 2024
A proposed federal rule establishing mandatory quality measures for home- and community-based services and requiring providers to allocate 80% of HCBS payments to direct care worker pay is one step closer...
Supreme Court spars over case that could limit power of federal agencies
By
Kimberly Marselas
Jan 18, 2024
Some Supreme Court justices on Wednesday signaled their willingness to give courts more discretion in interpreting “ambiguous” federal statutes rather than leaving that work to the agencies tasked...
MFCU efforts result in 20 convictions, $9.41 million in recoveries related to assisted living in FY 2023:...
By
Lois A. Bowers
Mar 18, 2024
Efforts by state Medicaid Fraud Control Units resulted in a total of 20 criminal convictions and $9.41 million in criminal case recoveries related to assisted living in fiscal year 2023, according to a...
Medicare spending expected to top $1 trillion this year, CMS says
By
Kathleen Steele Gaivin
Jun 15, 2023
says
Medicare expenditures are expected to exceed $1 trillion despite the end of the COVID-19 public health emergency this year, the associated expirations of the skilled nursing facility three-day stay...
So, you want to call yourself a healthcare provider?
By
John O'Connor
Oct 19, 2023
Transitioning to healthcare holds the promise of portfolio expansion and new revenues for senior living, but new challenges will arise, too.
78 people charged for $2.5 billion in alleged healthcare fraud
By
Lois A. Bowers
Jun 29, 2023
A two-week nationwide law enforcement action has culminated in criminal charges against 78 defendants for their alleged participation in telemedicine, pharmaceutical and other healthcare fraud, as well...