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...
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...
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...
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,...
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...
CMS releases guidance for SNFs on increasing Medicaid reimbursement rates amid pandemic
By
Amy Novotney
Aug 26, 2020
The Centers for Medicare & Medicaid Services released a Medicaid informational bulletin Monday providing guidance to states on how they can help increase Medicaid reimbursement for skilled nursing facilities...
New group will advocate for dually eligible nursing home residents, other beneficiaries
By
Kathleen Steele Gaivin
Feb 22, 2024
A newly formed alliance of healthcare and consumer organizations has formed to advance the integration of Medicare and Medicaid for dually eligible nursing home residents and other older adults.
Paper analyzes government policy’s role in creating LTC problems
By
Kathleen Steele Gaivin
Oct 11, 2022
The Medicaid program is largely responsible for problems in long-term care, according to a paper recently published by the Paragon Institute.