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...
Provider groups concerned by HHS, HUD cuts in Trump’s $4.8 trillion budget
By
Lois A. Bowers
Feb 11, 2020
The Department of Health and Human Services would see a 10% funding cut, and the Department of Housing and Urban Development would see a 15% funding cut, under the $4.8 trillion budget proposed Monday...
GAO: White House hampering federal efforts to reduce identity theft through Social Security number use
By
Lois A. Bowers
Jul 27, 2017
CMS has announced its plan to remove Social Security numbers from beneficiaries’ Medicare cards, but the Government Accountability Office said Thursday that it is still waiting for the White House...
Long-term care resident Medicare beneficiaries spend $22,384 out of pocket for healthcare annually: study
By
Lois A. Bowers
Nov 06, 2019
Residents of long-term care facilities who have traditional Medicare coverage spent an average of $22,384 out of pocket for healthcare in 2016, the latest data available, according to a new analysis of...
New Medicare Advantage plan could serve 5,500 residents at 10 senior living organizations
By
Lois A. Bowers
Oct 03, 2019
Ten senior living and care organizations in the Minneapolis / St. Paul area will offer a new HMO institutional special needs plan to their residents effective Jan. 1 in what plan collaborators believe...
Medicare LTSS changes may not help two-thirds of beneficiaries
By
Lois A. Bowers
Jan 25, 2019
Two-thirds of Medicare recipients may not benefit from the federal government’s recent policy change allowing Medicare Advantage plans to cover long-term services and supports, according to a new analysis.
Workforce issues loom large as 2019 begins, leaders say
By
Lois A. Bowers
Jan 02, 2019
Workforce issues will continue to be a dominant challenge in the senior living industry in 2019, according to leaders of several organizations representing providers. But they are entering the new year...
Medicare Advantage plans have higher readmission rates than traditional Medicare: study
By
Lois A. Bowers
Jun 25, 2019
Older adults enrolled in Medicare Advantage plans had higher 30-day readmission rates than traditional Medicare enrollees in a study published Monday in the journal Annals of Internal Medicine.
Podiatrist to pay $966,000 for fraudulent assisted living billing
By
Lois A. Bowers
May 22, 2019
An Arizona podiatrist has been sentenced to two years in prison and ordered to pay $965,985 in restitution to the Centers for Medicare & Medicaid Services after he admitted submitting false claims for...
Assisted living owner accused in historic $1 billion healthcare fraud scheme
By
Lois A. Bowers
Jul 24, 2016
The owner of more than 30 Miami-area assisted living and skilled nursing facilities was charged with conspiracy, obstruction, money laundering and healthcare fraud in connection with a $1 billion scheme...