LHC Group disappoints again in dismal Q3 … Home health final rule ‘is not a win,’ Enhabit CEO says … Montana governor praises work-based public school offerings, such as assisted living...
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%...
Business briefs, June 17
By
Kathleen Steele Gaivin
Jun 17, 2024
Provider groups praise bill streamlining Medicare Advantage prior authorization process … Consumer, industry advocates make recommendations for states to help combat rise in elder real estate fraud,...
FFS admissions grow 5.8% for skilled nursing, drop 8.6% for home health: report
By
Kathleen Steele Gaivin
May 10, 2023
Medicare fee-for-service admissions increased among skilled nursing facilities by 5.8% and decreased among home health providers year-over-year in the third quarter of 2022, according to a report released...
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...
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...
Nearly 6 in 10 seniors don’t understand what a deductible is
By
Amy Novotney
Sep 14, 2020
At a life stage where having a clear understanding of healthcare is critical, nearly seven in 10 Medicare beneficiaries agree that Medicare insurance is confusing and difficult to understand. That’s...
Pandemic likely to jeopardize financial security of next generation of retirees
By
Amy Novotney
Apr 16, 2020
The COVID-19 pandemic could undermine the financial security of the next generation of retirees, according to a blog post by Richard W. Johnson, director of the Program on Retirement Policy at the Urban...
CMS releases guidance for SNFs on increasing Medicaid reimbursement rates amid pandemic
By
Amy Novotney
Aug 26, 2020
The Centers for Medicare & Medicaid Services released a Medicaid informational bulletin Monday providing guidance to states on how they can help increase Medicaid reimbursement for skilled nursing facilities...
Medicare, many third-party insurers to cover coronavirus testing
By
Amy Novotney
Mar 10, 2020
Medicare and several leading insurers have committed to helping mitigate the costs associated with testing for and treating the novel coronavirus that has been spreading nationwide. In addition, officials...