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,...
CMS announces 2.2% Medicare raise for SNFs in 2021
By
Danielle Brown
Aug 04, 2020
Nursing home operators will receive an aggregate $750 million Medicare pay increase for fiscal year 2021 under a final rule announced Friday by the Centers for Medicare & Medicaid Services. It would amount...
Lawmakers re-introduce bill to waive 3-day stay requirement
By
Kathleen Steele Gaivin
Jun 03, 2021
A bipartisan cadre of lawmakers reintroduced the Improving Access to Medicare Coverage Act of 2021 in the House of Representatives on Tuesday. If passed, the legislation would make permanent last year’s...
Genesis and Ensign Group see shares drop amidst House COVID-19 nursing home investigation
By
Amy Novotney
Jun 22, 2020
Last week, a House of Representatives committee launched an investigation into how five large nursing home companies have handled COVID-19. Among the nursing homes under investigation are publicly traded...
Bipartisan legislation would expand access to advance care planning in Medicare
By
Kathleen Steele Gaivin
Sep 19, 2022
The Improving Access to Advance Care Planning Act pending in Congress would, if passed and signed into law, expand access to advance care planning services in Medicare.
SNFs see increase in Medicaid, Medicare payer mix; other payer mixes decrease
By
Kathleen Steele Gaivin
Dec 21, 2022
Skilled nursing facilities across the United States have experienced increases in both Medicaid and Medicare payer mix while other payer mixes have decreased in recent years, according to a three-year...
New group will advocate for dually eligible nursing home residents, other beneficiaries
By
Kathleen Steele Gaivin
Feb 22, 2024
A newly formed alliance of healthcare and consumer organizations has formed to advance the integration of Medicare and Medicaid for dually eligible nursing home residents and other older adults.
Action needed for long-term sustainability of Medicare, Social Security, Yellen says
By
Kathleen Steele Gaivin
Jun 06, 2022
Medicare and Social Security trustees reports released last week showed “strong economic recovery and growth in the past year,” Treasury Secretary Janet L. Yellen said. In the long term, however, both...
Members of Congress call on CMS to collaborate in addressing nursing home workforce challenges
By
Kathleen Steele Gaivin
Sep 14, 2022
A bipartisan group of members of the House of Representatives is looking to the Centers for Medicare & Medicaid Services to work with them to resolve workforce shortages experienced by nursing homes across...
Inflation Reduction Act called a ‘game-changer’
By
Kathleen Steele Gaivin
Aug 09, 2022
Medicare beneficiaries will not have to pay more than $2,000 per year for their medications, and beneficiaries with diabetes will not have to pay more than $35 per month for insulin, under the terms of...