Prevalence of homebound 22 percent in national Medicare Advantage plan
Aug 12, 2024
Homebound status linked to increased odds of ED visit, inpatient admission, skilled nursing-facility admission, mortality
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...
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...
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...
Assisted living mental health services fell between 2019 and 2020, study finds
By
Kristen Fischer
Apr 25, 2024
Mental health visits for assisted living residents living with dementia dropped as the pandemic set in, a new study finds.
Ongoing lawsuits indicate there’s little advantage to seniors for letting AI determine their MA coverage
By
Aaron Dorman
Apr 04, 2024
A new report calls out the role of AI in validating cost-cutting measures that leave seniors in need without coverage.
CMS readies providers for Interoperability and Prior Authorization rule
By
Adam Healy
Apr 03, 2024
CMS offered providers resources to help prepare for the newly finalized Interoperability and Prior Authorization final rule.
New federal rule means hospitals need written consent for pelvic, prostate exams
Apr 01, 2024
The HHS also issued a new set of guidelines clarifying a longstanding requirement that hospitals must obtain written informed consent as a condition for being reimbursed by Medicare and Medicaid.
‘Landmark legislation’ aims to streamline, coordinate care for 12 million dually eligible individuals
By
Kimberly Bonvissuto
Mar 21, 2024
A bipartisan bill aiming to streamline and coordinate care for the nation’s more than 12 million dually eligible individuals — people who are enrolled in both Medicare and Medicaid — is being called...
Billion-dollar weather disasters linked to excess ED visits, mortality
Mar 07, 2024
Greater increases in emergency department and mortality rates were seen for US counties with the greatest loss and damage.