CMS lowers final home health rate increase from $540 million to $390 million; PDGM’s behavioral adjustment...
By
Joe Jancsurak
Nov 02, 2020
The final 2021 home health payment rule issued last week by the U.S. Centers for Medicare and Medicaid Services contains an estimated increase of $390 million in home health payments for agencies, for...
Provider group pushes CMS for more guidance on HCBS
By
Lois A. Bowers
Oct 11, 2016
Delays by CMS in issuing additional guidance on its final rule related to home- and community-based services may mean that assisted living communities are excluded from providing such services to older...
Nebraska launches LTC redesign project
By
Lois A. Bowers
Jan 26, 2016
Nebraska has launched a long-term care redesign project that will focus on improving the delivery Medicaid long-term services and supports and making changes to the State Unit on Aging.
Brookdale to pay almost $1 million to settle Emeritus claims
By
Lois A. Bowers
Nov 22, 2016
Brookdale Senior Living will pay $979,000 to settle claims that Emeritus Senior Living, which it purchased in 2014, failed to refund to the U.S. government overpayments it received for Medicaid services.
Increased funding would transform direct-care workforce, PHI policy head asserts
By
Joe Jancsurak
Feb 09, 2021
The Biden administration could transform the direct care workforce with stepped-up funding, according to PHI VP of Policy Robert Espinoza in a Monday op-ed piece.
More news for Tuesday, Nov. 8
Nov 07, 2016
Court grants AHCA’s request for injunction of arbitration ban … Another squirrel attack reported … Feds approve $52.5 billion for Medicaid waiver in Massachusetts
Senior living associations appreciate prioritization of long-term care in Medicaid expansion proposal
By
Kimberly Bonvissuto
Jul 23, 2020
Senior living associations say they appreciate that former Vice President Joe Biden, the presumptive Democratic nominee for president, is prioritizing long-term care in his proposal to create a “21st-century...
Home alone: For many, post-acute care never is delivered
By
John O'Connor
Sep 11, 2020
Home health services are expected to expand as more patients are sent directly home from hospitals. But what if the recommended post-acute care never occurs?
CMS responds to OIG concerns about hospice care in assisted living
By
Lois A. Bowers
Apr 21, 2016
The Centers for Medicare & Medicaid Services indicated that it has not ruled out regulatory reform as it looks to discourage hospice programs from targeting some Medicare beneficiaries who live in assisted...
Second hospice employee pleads guilty in alleged $60 million kickback scheme involving assisted living...
By
Lois A. Bowers
Jun 19, 2018
A second former employee of a now-defunct hospice company has pleaded guilty for her role in an alleged $60 million Medicare fraud scheme that, according to the U.S. Attorney’s Office for the Northern...