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...
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...
Business briefs, June 17
By
Kathleen Steele Gaivin
Jun 17, 2024
Provider groups praise bill streamlining Medicare Advantage prior authorization process … Consumer, industry advocates make recommendations for states to help combat rise in elder real estate fraud,...
Medicare among top voting issues for Gen Xers, millennials, report finds
By
Kathleen Steele Gaivin
Jun 10, 2024
Will Medicare still be solvent for Gen Xers (born between 1965 and 1980) and millennials (born between 1981 and 1996)? That’s a big question for many in these generations, according to a report from...
New group will advocate for dually eligible nursing home residents, other beneficiaries
By
Kathleen Steele Gaivin
Feb 22, 2024
A newly formed alliance of healthcare and consumer organizations has formed to advance the integration of Medicare and Medicaid for dually eligible nursing home residents and other older adults.
Paper analyzes government policy’s role in creating LTC problems
By
Kathleen Steele Gaivin
Oct 11, 2022
The Medicaid program is largely responsible for problems in long-term care, according to a paper recently published by the Paragon Institute.
Medicare spending expected to top $1 trillion this year, CMS says
By
Kathleen Steele Gaivin
Jun 15, 2023
says
Medicare expenditures are expected to exceed $1 trillion despite the end of the COVID-19 public health emergency this year, the associated expirations of the skilled nursing facility three-day stay...
Healthcare-related False Claims Act settlements, judgments top $5 billion
By
Kathleen Steele Gaivin
Feb 03, 2022
Healthcare industry-related settlements and judgments from civil cases involving fraud and false claims uncovered by the Department of Justice in the fiscal year ending Sept. 30, 2021, topped $5 billion,...
CMS: Health spending grew by a slower 2.7% in 2021 as pandemic influenced trends
By
Kathleen Steele Gaivin
Dec 15, 2022
National healthcare spending rose 2.7% in 2021 to $4.3 trillion, according to new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services released Tuesday.
Business briefs, Sept. 7
By
Kathleen Steele Gaivin
Sep 07, 2022
CVS’ $8B acquisition of Signify could redefine home healthcare, observers say … Senators urge consumer protections for seniors who use peer-to-per payment applications … Social Security recipients...