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...
Hospitals as business partners? It’s not such a far-fetched notion
By
John O'Connor
Jan 28, 2016
Some will argue that senior living can never replace skilled care when it comes to post-acute care. You’ll be able to recognize them by the strength of their convictions and the shortness of their...
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...
A very troubling $56 billion question
By
John O'Connor
Jul 08, 2021
Considering some of the alternatives, I’m far from convinced that bankrupting Medicare for the sake of Aduhelm would be money well spent.
Need more funds? Here’s how to make a killing
By
John O'Connor
Apr 14, 2022
These days, senior living operators in just about every state are tapping into Medicaid payments. And more than a few players are not content to stop there.
AHCA/NCAL: CMS Accelerated Payment program providing quick support
By
Amy Novotney
Apr 16, 2020
The surest bet for quick financial help for long-term care operators right now appears to be through the Centers for Medicare & Medicaid Services’ Accelerated Payment Program, Consolidated Billing Services...
Congress likely to scale back HCBS funding as part of budget compromise
By
Diane Eastabrook
Sep 29, 2021
Home- and community-based services are in the crosshairs as top Democrats look to pare down their ambitious healthcare proposals in the massive $3.5 trillion proposed budget.
Genesis and Ensign Group see shares drop amidst House COVID-19 nursing home investigation
By
Amy Novotney
Jun 22, 2020
Last week, a House of Representatives committee launched an investigation into how five large nursing home companies have handled COVID-19. Among the nursing homes under investigation are publicly traded...
Medicare could negotiate drug prices under Democrat proposal
Nov 03, 2021
For the first time, the measure would enable the federal government to negotiate prices for medications covered by Medicare.
Growing pains for hospice care
By
John O'Connor
Oct 26, 2017
My impression was that hospice is one of the best things Medicare has to offer. Fast forward to this week.