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...
Public/private coordination could improve care delivery for affordable senior housing residents in MA...
By
Kimberly Bonvissuto
Jun 25, 2024
With more than half of all affordable senior housing residents now enrolled in private Medicare Advantage plans, a new report from the federal government says that coordinated service and healthcare delivery...
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...
46 assisted living communities named in $4.5 million home health kickback settlement
By
Kimberly Bonvissuto
Jul 03, 2024
Forty-six assisted living communities have been named as recipients of alleged illegal kickbacks that were the focus of a $4.5 million settlement reached between the federal government and a group of home...
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...
Substituting lower-wage staff for registered nurses tied to worse outcomes
Jun 25, 2024
Harms include avoidable patient deaths, readmissions, longer lengths of stay, excess Medicare costs and forgone cost savings.
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,...
Dual proposals aim to redesign ‘patchwork’ of LTSS delivery for dual-eligible recipients
By
Kimberly Bonvissuto
May 29, 2024
Redesigning the nation’s patchwork approach to delivering long-term services and supports to dually eligible individuals is the goal behind two proposals.
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.