Medicare Advantage plan denials for prior authorization set record at 3.4 million
By
Kathleen Steele Gaivin
Aug 12, 2024
Medicare Advantage plans denied a record number of requests for prior authorization in 2022, according to a KFF analysis of federal data published Thursday.
Business briefs, July 15
By
Kathleen Steele Gaivin
Jul 15, 2024
Senior living sees overall occupancy increase for 12th quarter in a row … $5M program puts CNAs at center of expanded geriatric care network …Morning Pointe of Hardin Valley earns deficiency-free state...
Record-high False Claims Act settlements recovered in first half of 2024
By
Kathleen Steele Gaivin
Jun 21, 2024
After a record-breaking 2023, settlements under the False Claims Act continue along the same trajectory in the first half of 2024, “with notable healthcare fraud settlements under the FCA, AKS [the Anti-Kickback...
Long-term care providers among 193 criminally charged, $2.75 billion in fraud recoveries so far in 2024
By
Kathleen Steele Gaivin
Jul 01, 2024
The Justice Department has recovered more than $2.75 billion in false claims against healthcare providers and charged 193 defendants so far this year in criminal cases through its 2024 National Health...
Skilled nursing occupancy increases are beginning to slow: NIC report
By
Kathleen Steele Gaivin
Nov 12, 2021
Although skilled nursing occupancy increased for seven consecutive, NIC MAP data reported a slowdown in August in its November skilled nursing monthly report.
SNF occupancy continued slow recovery through December, NIC says
By
Kathleen Steele Gaivin
Mar 08, 2022
Skilled nursing facility occupancy in December 2021 hit its highest level since May 2020, according to data released Thursday by the NIC Skilled Nursing Data Initiative.
Long-term care workers must be vaccinated by Jan. 4 under OSHA, CMS rules
By
Kathleen Steele Gaivin
Nov 05, 2021
Jan. 4 is the COVID-19 vaccination deadline for employees in companies that have 100 or more workers, as well as for employees of long-term care facilities that participate in Medicare and Medicaid, according...
Medicare claims data can aid development decisions: NIC MAP Vision
By
Kathleen Steele Gaivin
Oct 05, 2021
Operators trying to determine which markets are under- or over-served can use Medicare data to make better development decisions, according to Arick Morton, CEO of NIC MAP Vision.
Minimum staffing levels would cost nursing homes $10 billion a year: report
By
Kathleen Steele Gaivin
Jul 20, 2022
The federal government’s proposed minimum staffing requirements for nursing homes could cost the industry $10 billion a year because tens of thousands of additional caregivers would need to be hired,...
Alabama, Michigan, Florida lead nation in Medicare Advantage enrollment rates
By
Kathleen Steele Gaivin
Jun 16, 2022
Medicare Advantage enrollment rates now top more than 50% of Medicare enrollees in 123 congressional districts, according to new Centers for Medicare and Medicaid Services data analyzed by the Better Medicare...