Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 26, 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...
Skipping tech over price tag an ‘opportunity lost’ for hesitant nursing homes
By
Kimberly Marselas
Jun 24, 2024
While it remains difficult to quantify how investments in technology are paying off, some skilled nursing providers say they are buying into more options because today’s margins don’t afford them missed...
State basking in lowering its nursing home survey backlog, advances bill to speed up inspection cadence
By
Josh Henreckson
Jun 17, 2024
A bill passed last week in Delaware’s state Senate further advances its aggressive push to clear its nursing home survey backlogs and ensure they stay up-to-date in the future.
MedPAC disappoints with lacking skilled nursing commentary, no action on Medicare Advantage prior authorization...
By
Kimberly Marselas
Jun 13, 2024
A Congressional advisory commission on Thursday declined to issue recommendations on improving Medicare Advantage prior authorizations, MA data transparency, or lowering payments to inpatient rehabilitation...
DOJ hits telehealth firm for $4.6M in false claims settlement involving nursing homes
By
Josh Henreckson
Jun 14, 2024
A company that provides mental telehealth services to skilled nursing residents has agreed to pay the federal government $4.6 million to resolve false claims allegations.
Analytics firm takes on EHR giant PointClickCare in ‘life and death’ information sharing lawsuit
By
Kimberly Marselas
Jun 12, 2024
Real Time Medical Systems has asked a federal judge to force the nation’s largest post-acute EHR provider to keep its clients’ data accessible, saying information blocking “will cause needless patient...
Also in the News for Wednesday, June 12, 2024
By
Kimberly Marselas
Jun 11, 2024
10 of 11 Minnesota nursing homes in broad March strike have ratified new contracts … Researchers report ‘encouraging’ findings in quest to use Viagra to prevent dementia … MACPAC issues annual...
Pittsburgh nursing homes under fire may close if bankruptcy sale is blocked
By
Josh Henreckson
Jun 12, 2024
A group of four nursing homes could face permanent closure if approval for a pending sale is denied. The facilities’ owners have already found a buyer as part of a Chapter 11 bankruptcy reorganization,...
Nursing home company settles ‘largest ever’ case with state AG’s office for $4 million
By
Josh Henreckson
Jun 10, 2024
An operator of 16 long-term care facilities has settled a staffing case with the Massachusetts Attorney General’s office for a total of $4 million. The agreement is the most expensive ever reached with...
CMS sends update on $75M nursing home recruitment campaign, but providers’ concerns linger
By
Josh Henreckson
Jun 13, 2024
CMS’ admitted lack of a plan thus far for the $75 million it intends to use to spur development of more nursing home workers is further puncturing providers’ hopes for helpful change.