Watchdog urges Medicaid to bolster overpayment collection efforts
By
Kimberly Marselas
Jun 30, 2023
The Government Accountability Office is urging Medicaid overseers to do a better job of recouping overpayments, citing their allegedly lenient oversight of state auditing efforts.
(Updated) CMS uncovers affiliated nursing homes with new ownership tools
By
Kimberly Marselas
Jun 29, 2023
Providers had a mixed response Wednesday afternoon to a new effort to create more public awareness of nursing home ownership, in particular when facilities share a parent organization.
How often do health insurers say no to patients? No one knows.
By
Robin Fields/ProPublica
Jun 29, 2023
It’s one of the most crucial questions people have when deciding which health plan to choose: If my doctor orders a test or treatment, will my insurer refuse to pay for it?
BREAKING: CMS to make shared nursing home ownership, performance clearer for consumers
By
Kimberly Marselas
Jun 28, 2023
Federal regulators will begin posting nursing home affiliations on Nursing Home Care Compare in an attempt to make it easier for consumers to see related facilities and understand their overall performance,...
Despite no regulatory problems, two nursing homes placed into receivership
By
Jessica R. Towhey
Jun 27, 2023
Two Rhode Island nursing homes have been placed into receivership, but unlike the last facility forced down this path, the receiver said there are no regulatory problems.
Lawmakers pushing CMS to ease Medicare Advantage prior authorizations
By
Kimberly Marselas
Jun 26, 2023
Close to 300 members of Congress are urging federal regulators to do more to reduce burdensome Medicare Advantage requirements that can slow delivery of care to nursing home and other patients.
Clinical briefs for Monday, June 26
By
Alicia Lasek
Jun 26, 2023
GAO chides CMS over delayed nursing home reporting, antipsychotic transparency … Over 1.3 billion globally will have diabetes by 2050, study finds … Moderna requests FDA authorization for updated COVID...
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.
Can you hear me now? Audiologists and new rules for diagnostic testing
By
Renee Kinder
Jun 22, 2023
If you weren’t paying close attention, you might have missed some big “noise” last week about coverage for hearing care. A June 15 Centers for Medicare & Medicaid Services transmittal titled “Allowing...
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.