Elevated Medicaid use no threat to health insurers in the long term: Fitch
By
Kathleen Steele Gaivin
Jun 27, 2024
Headwinds from an increase in the use of Medicaid are unlikely to have a long-term negative effect on health insurers, according to a new brief from Fitch Ratings. Insurers may experience short-term margin...
Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 28, 2024
The Centers for Medicare & Medicaid Services should consider banning artificial intelligence from being used to deny Medicare Advantage coverage pending a “systematic review,” a group of 49 congressional...
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.
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...
Empowering ‘deeply undervalued’ caregivers would improve ‘lifeline for older adults’
By
Kimberly Bonvissuto
Jun 28, 2024
Direct care workers and family caregivers remain “deeply undervalued” and often overlooked despite calls for investment in the care economy, according to the authors of a new report.
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...
More news for Friday, June 21, 2024
By
Kimberly Bonvissuto
Jun 21, 2024
KFF survey highlights states’ Medicaid eligibility, enrollment policies during unwinding … Amber Lights earns CARF re-accreditation … 2017 to 2022 saw rise in cannabis-related disorder encounters...
SCOTUS places ‘tombstone’ on Chevron doctrine, upending operation of federal agencies
By
Kimberly Bonvissuto
Jul 01, 2024
A Supreme Court decision handed down Friday morning could transform the way federal agencies operate, providing the basis for senior living operators and other companies to challenge agency decisions.
Report adds to research showing health benefits for senior living residents
By
Kimberly Bonvissuto
Jun 21, 2024
Senior living residents — particularly residents of continuing care retirement / life plan communities — experience the same or better health outcomes compared with their peers living in the greater...