CMS to conduct ‘focused review’ of Missouri, Texas delays in processing Medicaid applications
By
Kathleen Steele Gaivin
Jun 20, 2024
The Centers for Medicare & Medicaid Services is launching a focused review of how the states of Missouri and Texas process Medicaid applications.
Ongoing lawsuits indicate there’s little advantage to seniors for letting AI determine their MA coverage
By
Aaron Dorman
Apr 04, 2024
A new report calls out the role of AI in validating cost-cutting measures that leave seniors in need without coverage.
NY assisted living providers hopeful for rate bump for Medicaid-funded program
By
Kimberly Bonvissuto
Mar 20, 2024
While New York State nursing homes are hoping to make up Medicaid funding shortfalls 16 years in the making, senior living providers are hopeful that a comparable Medicaid increase for the Medicaid-funded...
MFCU efforts result in 20 convictions, $9.41 million in recoveries related to assisted living in FY 2023:...
By
Lois A. Bowers
Mar 18, 2024
Efforts by state Medicaid Fraud Control Units resulted in a total of 20 criminal convictions and $9.41 million in criminal case recoveries related to assisted living in fiscal year 2023, according to a...
Supreme Court spars over case that could limit power of federal agencies
By
Kimberly Marselas
Jan 18, 2024
Some Supreme Court justices on Wednesday signaled their willingness to give courts more discretion in interpreting “ambiguous” federal statutes rather than leaving that work to the agencies tasked...
Congress and agencies to tackle transparency in healthcare AI, despite mixed industry reactions
By
Aaron Dorman
Oct 06, 2023
Federal agencies and Congress are both taking further steps to regulate AI and curb issues that have already started to emerge.
Med-management software company releases new tool for nursing facilities to meet new need for CMS compliance
By
Aaron Dorman
Sep 20, 2023
To meet new CMS rules for nursing homes, one company is releasing a new service that focuses on ensuring a patient’s medication listings are up-to-date.
Effects of SCOTUS ruling in Talevski case could reach far beyond nursing homes
By
Kimberly Marselas
Jun 09, 2023
Nursing homes under county or state control could see an explosion of lawsuits following a Thursday US Supreme Court ruling maintaining the right of nursing home residents and their survivors to sue in...
CMS-proposed HCBS rules elicit request for extension of comment period from 5 associations
By
Lois A. Bowers
May 22, 2023
The executive directors of five national organizations are asking the Centers for Medicare & Medicaid Services to extend by at least 30 days the comment periods for two proposed rules related to access...
Key to providing healthcare in senior living? ‘Just get started’
By
Kimberly Bonvissuto
Mar 06, 2023
Thinking about tapping into Medicare payment models to deliver healthcare to senior living residents? One expert has some rather stark advice.