Company to pay $300,500 for billing Medicare for unnecessary COVID tests for senior living residents
By
Lois A. Bowers
Jun 21, 2023
A Maryland-based company that handles billing for diagnostic laboratories and other healthcare providers has agreed to pay $300,479.58 to resolve False Claims Act allegations that it submitted false claims...
CMS announces Alzheimer’s drug coverage policy, but ‘the devil is in the details,’ experts say
By
Kimberly Bonvissuto
Jun 01, 2023
A Thursday announcement by the Centers for Medicare & Medicaid Services regarding coverage of Alzheimer’s drugs is being met with skepticism by some industry advocates who say that “the devil is in...
Peritoneal dialysis less costly for Medicare than hemodialysis
Aug 24, 2022
A convergence in the costs of intravenous dialysis drugs was seen between peritoneal dialysis and hemodialysis.
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.
Labor, enforcement trends creating operational, financial challenges for senior living
By
Kimberly Bonvissuto
Jul 22, 2022
Labor, behavioral health and the regulatory agenda are among the key 2022 trends that continue causing operational and financial challenges for senior living and other long-term care providers.
DOJ alleges $40 million Medicare fraud scheme tied to assisted living, nursing homes
By
Kimberly Bonvissuto
Apr 05, 2022
A $40 million Medicare fraud scheme involving assisted living communities and nursing homes includes the submission of thousands of false claims across several states over six years, according to the Department...
Mergers and acquisitions receive more scrutiny from buyers, experts say
By
Diane Eastabrook
Sep 02, 2021
It may be a seller’s market in the home care and hospice industry, but buyers are scrutinizing potential deals more closely.
After slow start, M and A activity set to take off for home health: advisory report
By
Diane Eastabrook
Apr 21, 2021
In the first quarter of this year, home healthcare, hospice and home care companies took a break from a buying binge.
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...
Assisted living, post-acute providers have ‘room for progress’ in four key areas, HHS secretary...
By
Lois A. Bowers
Jun 06, 2018
Assisted living and post-acute care providers “will play a key role in the healthcare system over the next several decades,” HHS Secretary Alex M. Azar II said Tuesday. Both industries, however,...