Government would pay seniors to create advanced directives under Senate bill
By
Tim Mullaney
Apr 16, 2014
Medicare beneficiaries would be paid to create advance directives and store them in an easy-access system if a recently proposed Senate bill were to become law.
With managed care poised to ‘explode,’ operators try to grasp control with alternatives
By
Kimberly Marselas
Jan 07, 2022
Providers struggling with everyday expenses and reimbursement rates that have largely failed to keep up with the costs of care plan to pursue a broad range of new revenue streams this year. That’s according...
House committee subpoenas HHS over Medicare Advantage demonstration project
By
McKnight's Staff
Oct 23, 2012
Rep. Darrell Issa (R-CA) and other House Republicans issued a subpoena Monday to gain access to documents related to an Affordable Care Act Medicare Advantage demonstration project.
Centers for Medicare & Medicaid Services Administrator Donald Berwick surprised lawmakers Thursday when he reported better-than-expected Medicare Advantage enrollment numbers. In just his second occasion...
GAO: Medicare spent $48 billion on improper fee-for-service payments
Jul 29, 2011
The federal government spent nearly $48 billion on improper Medicare payments in 2010 according to a new report from the Government Accountability Office. The report was released just prior to a House...
Projected Medicare Advantage growth to bring more provider headaches, more congressional scrutiny
By
Joe Bush
Oct 05, 2022
Several large insurance providers are expanding their Medicare Advantage plans to new states and hundreds more counties, effective in 2023, adding pressure on skilled nursing operators as enrollment booms.
CMS rule changes aim to increase telehealth access for Medicare Advantage beneficiaries
By
Danielle Brown
May 26, 2020
Changes under a recent final rule encourage Medicare Advantage plans to increase their telehealth benefits and plan options for beneficiaries in rural areas.
As Medicare Advantage threats mount, providers seek better partners: 2023 Outlook Survey
By
Kimberly Marselas
Jan 06, 2023
More skilled nursing providers are embracing Institutional Special Needs Plans by joining existing programs or creating their own as enrollment in other Medicare Advantage plans surpass half of all Medicare...
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.