MA plans ‘designed for senior living residents by senior living communities’ roll out in California
By
Kimberly Bonvissuto
Sep 10, 2021
LeadingAge California and Richmond, VA-based care management company AllyAlign Health are partnering to offer Medicare Advantage special needs plans to cover long-term care residents across the continuum...
Number of MA beneficiaries receiving supplemental benefits for the chronically ill triples in one year,...
By
Joe Jancsurak
Feb 09, 2021
The number of Medicare Advantage beneficiaries receiving Special Supplemental Benefits for the Chronically Ill (SSBCI) has skyrocketed — from 1 million in 2020 to 3 million in 2021— according to a...
New Rx instructions tighten use of controversial Alzheimer’s disease drug
Jul 08, 2021
Major changes to prescribing instructions are rare, especially so soon after approval; it change could curb the drug’s use.
Medicare Advantage benefits that help seniors age in place may be underutilized
By
Diane Eastabrook
Apr 28, 2021
While more Medicare Advantage (MA) plans are offering supplemental benefits to help seniors age in place, many beneficiaries aren’t using them.
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...
Denver-based eldercare firm InnovAge goes public on tailwinds of pandemic
By
Diane Eastabrook
Mar 08, 2021
The pandemic turned into a golden opportunity for InnovAge Holdings to launch an initial public offering last week. On Wednesday the Denver, CO-based elder care firm sold 16.7 million shares at $21 each,...
Disparities seen in left ventricular assist device use for heart failure in seniors
Aug 01, 2022
The authors say that disparities in left ventricular assist device use by race and sex likely are driven by clinician decision-making.
Medicaid spent $776 million on HCBS waivers for older adults in 2014, CMS says
By
Lois A. Bowers
Nov 13, 2016
The Medicaid program spent almost $776 million on 1915(c) waivers to cover home- and community-based services for older adults in fiscal year 2014, according to a new report from the Centers for Medicare...
Pilot programs could steer Medicare Advantage business to home healthcare companies
By
Diane Eastabrook
Aug 04, 2021
As Medicare Advantage (MA) plans grow in popularity, home healthcare agencies need to start forming alliances with private payers that offer those plans.
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...