Justice Department investigating Humana billing practices
By
John Hall
Feb 24, 2015
Humana Inc. reports that it is cooperating with a Department of Justice inquiry into whether it exaggerated the severity of elderly patients’ illnesses to generate higher Medicare reimbursements.
CMS announces new ‘innovations’ to Medicare Advantage plans
By
Marty Stempniak
Jan 22, 2019
The federal government announced a broad array of changes to Medicare Advantage plans last week in hopes it will further pressure providers to up their game in caring for seniors.
Medicare Advantage overwhelming for those with impaired cognition, study says
Aug 19, 2011
Seniors with cognitive impairments are overwhelmed by options in Medicare Advantage, a new study suggests.
Understanding consumer choice
By
Betsy Rust
Betsy Rust
Feb 13, 2015
If you operate a senior living facility, here is something to put at the very top of your to-do list: Survey your residents to understand the choices they have made in the Medicare open enrollment period,...
Demand for I-SNP coverage drives Longevity’s growth
By
Kimberly Marselas
Jan 17, 2022
Explosive growth for Longevity Health Plan’s I-SNPs underscores skilled nursing providers’ increasing willingness to partner for patient care, especially if partners add clinical capabilities and...
CCRCs need to check residents’ health insurance plans twice a year, expert urges
By
Tim Mullaney
May 01, 2014
Continuing care retirement communities should ask residents about their health plans twice a year, to keep tabs on the increasing number of seniors being shifted into Medicare Advantage, an expert told...
Operators treating Medicare Advantage enrollees for depression, dementia and frailty are unfairly penalized:...
By
Danielle Brown
Feb 11, 2020
Operators who serve a disproportionate share of beneficiaries with these conditions are penalized twice, argue researchers.
Reports forecast Medicare funding boost, dim overall outlook
By
McKnight's Staff
Apr 23, 2012
The Affordable Care Act will help Medicare save over $200 billion through 2016, according to government actuaries. But questions as to Medicare’s long-term solvency remain, another report from Social...
Troubling steps ahead for Nursing Home Compare?
By
John O'Connor
Apr 13, 2012
A newly announced plan to mine data from Medicare Advantage plans might give many operators an unexpected spine shiver.
Providers demand fixes after feds find MA plans wrongly delay or deny SNF services too often
By
Danielle Brown
May 02, 2022
Skilled nursing providers are demanding changes after a new federal report found that Medicare Advantage organizations (MAOs) have improperly denied or delayed services to beneficiaries to increase profits.