Ongoing lawsuits indicate there’s little advantage to seniors for letting AI determine their MA coverage
By
Aaron Dorman
Apr 04, 2024
A new report calls out the role of AI in validating cost-cutting measures that leave seniors in need without coverage.
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...
How to navigate senior living background checks and compliance
By
Jeff Ernste
Jul 13, 2023
Getting background checks right must be a continuing concern for senior living operators.
Proposed initiative effectively would kill long-term care payroll tax program
By
Kimberly Bonvissuto
Feb 06, 2024
A new initiative “cleverly framed to sound like a reasonable change” to allow people to opt out of Washington state’s long-term care insurance program would effectively kill the program and take...
Med-management software company releases new tool for nursing facilities to meet new need for CMS compliance
By
Aaron Dorman
Sep 20, 2023
To meet new CMS rules for nursing homes, one company is releasing a new service that focuses on ensuring a patient’s medication listings are up-to-date.
Medicare will cover new class of Alzheimer’s drugs if fully approved by FDA, with limits
Jun 02, 2023
Drug makers also will have to gather and keep data in a registry showing how the drugs are working in the real world.
Business briefs, Aug. 28
By
Kathleen Steele Gaivin
Aug 28, 2023
DHC reports SHOP recovery continuing at uneven pace … Deceptive ad practices alleged to generate unqualified leads for providers … Nikki Haley: 65 is ‘way too low’ for retirement age … Florida...
Bill would expand provider National Practitioner Data Bank access to long-term care providers
By
Kathleen Steele Gaivin
Jul 24, 2023
Legislation re-introduced last week by Sens. Marco Rubio (R-FL) and Jacky Rosen (D-NV) would expand access to the National Practitioner Data Bank to include long-term care providers such as nursing homes...
Congress, CMS clash over AI role in Medicare claims denials
By
Aaron Dorman
Nov 07, 2023
Thirty House Democrats released a letter Friday urging CMS to take several steps to make sure AI is not unfairly denying coverage.
Medicare monthly premiums to drop for seniors
Sep 28, 2022
The fee cuts come at the same time as seniors receive a Social Security cost-of-living increase for 2023 of up to 9 or 10%.