Philip Esformes sentenced to 20 years in prison in healthcare fraud case
By
Lois A. Bowers
Sep 12, 2019
Former Florida assisted living and skilled nursing facility owner Philip Esformes has been sentenced to 20 years in prison for his role in a case that the federal government continues to describe as “the...
Affiliations pose risk to Medicaid, Medicare participation under new CMS rule
By
Lois A. Bowers
Sep 06, 2019
Under a final rule issued Thursday, Centers for Medicare & Medicaid Services can deny or revoke Medicaid and Medicare program enrollment from providers and suppliers if an owner or manager is directly...
Providers should be ‘actively involved’ as some Medicare beneficiaries begin receiving nonmedical...
By
Lois A. Bowers
Jul 26, 2019
Two reports issued Thursday focus on ways the Centers for Medicare & Medicaid Services can offer nonmedical supplemental benefits to chronically ill enrollees.
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.
Joining or forming a Medicare Advantage plan? Read these survey results
By
Lois A. Bowers
Jun 21, 2019
With an increasing number of senior living operators joining or forming their own Medicare Advantage plans, or considering doing so, the results of new J.D. Power customer satisfaction research could provide...
Brookdale CEO talks about Medicare Advantage, the middle market and being a ‘talent magnet’
By
Lois A. Bowers
Jun 06, 2019
Brookdale Senior Living President and CEO Lucinda “Cindy” Baier discussed the company’s plans related to Medicare Advantage and serving the middle market, as well as recent successes in recruiting...
23 states, cities, municipalities sue federal government over ‘conscience rule’
By
Lois A. Bowers
May 23, 2019
A coalition of 23 states, cities and municipalities filed a lawsuit Tuesday against the federal government for a final rule that allows individual healthcare workers as well as healthcare organizations...
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...
HHS says new rule allows healthcare workers, organizations to honor religious and moral principles in...
By
Lois A. Bowers
May 03, 2019
Individual healthcare workers as well as healthcare organizations can decline to provide care that conflicts with their religious and moral beliefs or mission under a final rule issued Thursday by the...
Report: CMS should do more to help states implement long-term care background checks
By
Lois A. Bowers
Apr 26, 2019
The Centers for Medicare & Medicaid Services should do more to help states fully implement background checks for long-term care employees, recommends a report released Thursday by the Department of Health...