GAO chides CMS over delayed nursing home reporting, antipsychotic transparency
By
Kimberly Marselas
Jun 23, 2023
Some Care Compare information on nursing homes is too old and some is too hard to understand, reported a government watchdog.
Nursing homes’ internal investigations must remain private: court
By
Kimberly Marselas
Jun 22, 2023
Nursing homes and other healthcare providers can’t be compelled to turn over internal investigative documents even in cases where substandard or unsafe patient care is alleged, an appeals court has ruled.
NY brings fresh allegations of a for-profit nursing home “pocketing” Medicaid funds
By
Jessica R. Towhey
Jun 13, 2023
New York’s attorney general wants a state court to force the owners of a Syracuse nursing home to answer questions about “pocketing” $37.6 million in government funding.
As Medicaid disenrollments surge, concerns about nursing home residents persist
By
Jessica R. Towhey
Jun 05, 2023
Although hundreds of thousands have been knocked off state Medicaid rolls this spring, worries about dropped coverage for Medicaid-dependent nursing home residents have so far not proven reality in large...
Debt ceiling deal may limit new health agency spending, jumpstart fraud efforts
By
Kimberly Marselas
May 31, 2023
A deal to avert a debt-ceiling crisis and fund the government next year could place new limits on federal health spending while also giving a boost to healthcare fraud and abuse investigations.
Claims audit will affect every nursing home starting June 5
By
Kimberly Marselas
May 30, 2023
Every skilled nursing facility in the US will be subject to a five-claim audit starting the week of June 5 as regulators try to better assess and root out improper payments.
3 nursing homes closing quickly as Ohio leaders plead for Medicaid adjustment
By
Jessica R. Towhey
May 24, 2023
Three nursing homes in Cincinnati, OH, are closing, and sector advocates blame the stress that insufficient Medicaid rates and workforce challenges are putting on facilities.
It was 1983 when Yvonne Eaddy joined VNS Health (then known as The Visiting Nurse Service of New York) as a public health nurse visiting the homes of both the elderly and children in need of a lifeline.
‘Impossible’ Medicare Advantage denials decried during Senate hearing
By
Kimberly Marselas
May 18, 2023
A Senate subcommittee Wednesday sent letters to the nation’s largest Medicare Advantage insurers, demanding they reveal internal documents that illustrate how they make coverage determinations.
Switch to new MDS platform underpins feds’ growing drive for nursing home data
By
Kimberly Marselas
May 18, 2023
Providers should view the change to the iQies system as just the first step in an ongoing process to make it easier for federal regulators to gather and evaluate nursing home statistics.