Aging committee chair delivers another broadside about nursing home surveys
By
Jessica R. Towhey
Jul 28, 2023
A powerful US senator is bringing added firepower in his quest to fix what he sees as major issues with state surveys of nursing homes. It’s an effort that had one leading advocate channeling Alanis...
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.
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,...
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.
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.
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.
Nursing homes have to fight for pay protections in Medicare Advantage rule: expert
By
Kimberly Marselas
Apr 27, 2023
Providers must play an active role in stopping aggressive Medicare Advantage practices that have for years limited access to skilled nursing care, a top managed care expert warned administrators gathered...
Eli Lilly expects Medicare about-face on Alzheimer’s drugs coverage
By
Alicia Lasek
Apr 23, 2023
New data on Lilly’s experimental drug donanemab may influence CMS’s restrictive stance on coverage of this and other amyloid-busting Alzheimer’s treatments, a company executive says.
Providers call for broader antipsychotic exclusions to help reduce schizophrenia diagnoses
By
Kimberly Marselas
Mar 31, 2023
Providers and quality experts are questioning why the agency hasn’t done more to review its quality measure for antipsychotic drug use.