Nursing homes could lose $67B if Alzheimer’s cure is found soon, researcher says
By
Danielle Brown
Sep 16, 2019
Nursing home and skilled nursing providers could lose a combined $67 billion in annual revenue if a “simple” cure for Alzheimer’s disease is found quickly, one researcher believes.
Federal court clears post-acute provider of two False Claims allegations
By
Danielle Brown
Sep 15, 2019
The U.S. District Court for the Southern District of New York has stopped False Claims Act allegations against a long-term home health care provider accused of defrauding the government.
Medicare Advantage I-SNP members more likely to use skilled nursing services
By
Danielle Brown
Sep 15, 2019
Long-term nursing home residents enrolled in UnitedHealthcare’s Medicare Advantage Institutional Special Needs Plans (I-SNPs) are 112% more likely to use skilled nursing services than those with Medicare...
Esformes sentenced to 20 years for $1B healthcare fraud scheme
By
Danielle Brown
Sep 12, 2019
Convicted long-term care businessman Philip Esformes was sentenced to 20 years in prison Thursday for a record Medicare fraud scheme that he ran through his network of nursing homes.
Feds want 30-year sentence, $207M in restitution for record fraudster Esformes
By
Danielle Brown
Sep 11, 2019
Prosecutors are seeking a sentence of at least 30 years in prison and an order to pay $207.4 million in restitution to Medicare and Medicaid for convicted long-term care business mogul Philip Esformes.
Government seeks $39M forfeiture at Esformes sentencing this week
By
Danielle Brown
Sep 10, 2019
Federal authorities want a $38.7 million forfeiture judgment against Philip Esformes at his sentencing hearing Thursday. He was recently convicted of running a record $1.3 B fraud scheme through his network...
Infection Control: Upgrading from housekeeping to environmental services
Sep 10, 2019
Infection is a significant problem for many long-term care facilities. Exposure to pathogens such as C. diff., MRSA, influenza and others can be life-threatening for seniors whose immune systems may be...
MedPAC proposes post-acute pay system based on quality measures
By
Danielle Brown
Sep 09, 2019
Medicare payments for post-acute care providers would be determined based on a small number of risk-adjusted, claims based quality measures under a recent proposal by the Medicare Payment Advisory Commission.
House committee considering bill to prohibit pre-dispute arbitration agreements
By
Danielle Brown
Sep 09, 2019
Legislation that would prohibit the practice of forced arbitration is now being reviewed by the U.S. House Judiciary Committee, a move providers strongly reject.
Nursing home operator ordered to pay $261K in back wages, penalties
By
Danielle Brown
Sep 08, 2019
Shoddy bookkeeping and pay practices have cost one New York City-based nursing home operator more than a quarter million dollars, the Department of Labor announced last week.