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...
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...
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.
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...
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...
Biden’s $6.8 trillion budget aims to bolster programs for older adults
By
Kathleen Steele Gaivin
Mar 10, 2023
President Biden’s proposed $6.8 trillion budget for 2024, if passed as written, would extend the solvency of the Medicare Trust Fund by at least 25 years “without cutting any benefits or raising costs...
AI-shortened nursing home stays fuel drive for potential class action suit against insurer
By
Kimberly Marselas
Nov 17, 2023
The nation’s largest insurer is illegally using AI to wrongfully force seniors from nursing homes, a potential class action lawsuit alleges.
A real reason to be upset
By
John O'Connor
Feb 09, 2023
Instead of screaming at each other and pointing fingers, perhaps lawmakers should do something that actually will help the senior voting block they covet: start making long-term care better.
‘Landmark legislation’ aims to streamline, coordinate care for 12 million dually eligible individuals
By
Kimberly Bonvissuto
Mar 21, 2024
A bipartisan bill aiming to streamline and coordinate care for the nation’s more than 12 million dually eligible individuals — people who are enrolled in both Medicare and Medicaid — is being called...
Medicare Advantage needs to ‘wake up’ to value of senior living, experts say
By
Kimberly Bonvissuto
Mar 20, 2023
A new report from LeadingAge looks at the challenges and potential solutions to address the failures of Medicare Advantage. Senior living advocates are looking at it as a learning experience and opportunity...