Enrolling those dually eligible for Medicare and Medicaid in managed-care plans could save the United States up to $1.62 trillion over the next 25 years, according to health insurance giant UnitedHealth...
Federal court dismisses whistleblower lawsuit over Omnicare, PharMerica withholding generic drugs
By
Tim Mullaney
Aug 18, 2014
A federal court in New York has tossed a whistleblower lawsuit charging that large long-term care pharmacies violated the False Claims Act by failing to dispense requested generic drugs.
Medicare coordinated-care pilot programs fail to live up to expectations, study finds
Feb 12, 2009
Most Medicare test programs designed to cut costs and keep elderly patients with one or more chronic conditions out of the hospital have failed, according to a recently published analysis of such programs.
DOJ forces observation stay showdown
By
James M. Berklan
Sep 01, 2014
Hospitals have been cast in a harsh light by long-term care advocates recently for allegedly over-using “observation stay” status. The practice can ultimately deny some patients subsequent...
McCain, Obama advisers discuss long-term care at symposium
Sep 12, 2008
Surrogates for presidential hopefuls John McCain (R) and Barack Obama (D) spelled out their respective nominees’ views on the future of long-term care in the United States at the third annual Long-Term...
Long-term care reform hearing focuses on dual eligibles, home-based services
Mar 05, 2009
Public and private sector officials convened Wednesday to discuss the important role long-term care reform could play in a grander, overall healthcare reform scheme.
Yes, it was a good year
By
John O'Connor
Dec 22, 2011
If you’re like most operators, you’re probably staggering toward the end-of-year holidays. And your unsteady gait may have nothing to do with spiked eggnog.
Report: New CMS office could better serve dual eligibles
Aug 04, 2009
The Centers for Medicare & Medicaid Services should create an office for dual eligibles, those seniors dually eligible for Medicare and Medicaid, a new report suggests. It would reduce the “silo-effect”...
Federal judge to troubled operator: Exhaust other options before you make a federal case
By
James M. Berklan
Jun 11, 2013
A facility with a history of safety deficiencies must exhaust its administrative options before seeking relief in the courtroom, a district court judge ruled. Moreover, the requested temporary injunction...
Hospice to pay $3 million to settle Medicare fraud whistleblower case
By
Tim Mullaney
Nov 07, 2013
A Florida-based hospice provider has agreed to pay $3 million to settle a whistleblower lawsuit alleging false Medicare claims, the U.S. Department of Justice announced Wednesday.