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,...
US healthcare spending for NFs and CCRCs to reach $337.4 billion by 2032, CMS says
By
Lois A. Bowers
Jun 13, 2024
National health expenditures for nursing facilities and continuing care retirement communities are expected to reach $337.4 billion by 2032, according to new estimates released Wednesday by the Office...
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...
Hospice fraudster sentenced to 20 years in prison, ordered to pay $42 million penalty
By
Adam Healy
May 21, 2024
The US Attorney’s Office for the Eastern District of Louisiana sentenced a hospice owner to 240 months in prison and $42 million in penalties for charges related to Medicare fraud.
Social Security, Medicare solvency improves slightly, but ‘significant financing issues’...
By
Lois A. Bowers
May 07, 2024
The Treasury Department — with the departments of Health and Human Services and Labor, the Centers for Medicare & Medicaid Services and the Social Security Administration — released the annual Social...
Business briefs, April 9
By
Kathleen Steele Gaivin
Apr 09, 2024
Medicare Advantage rule finalizes independent appeals process, helping providers ‘stuck in the middle’ … Former CEO gets 2.5 years for failing to pay nursing home employees payroll taxes … Healthcare...
Business briefs, April 2
By
Kathleen Steele Gaivin
Apr 02, 2024
CMS finalizes 3.7% adjustment in MA rates for 2025 … Experts fear ‘bigger, stronger stick’ in new Medicare pay rule … White House designates April as Case Workers Recognition Month … National...
Business briefs, April 1
By
Kathleen Steele Gaivin
Apr 01, 2024
Higher interest rates mean less access to capital for senior living: NIC … CMS proposes 4.1% nursing homes pay boost … Assisted living rates up 0.6 to 3.8% … American Society on Aging, Next50 launch...
Business briefs, March 28
By
Kathleen Steele Gaivin
Mar 28, 2024
How’s Mom, DiningRD partner … Bill would change CBO requirements for reporting financial health of Social Security … Fixing immigration system only 1 solution to workforce crisis: expert …...