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...
A study that may never be done — but should
By
James M. Berklan
Mar 28, 2013
Government agencies and lobbyists are famous for conducting studies that prove a point — theirs, namely. That’s why I’ll be very interested to see who will have the courage to conduct one...
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.
Court: Medicare hospice provider cap calculated improperly
Mar 04, 2010
The federal Medicare hospice provider cap is calculated in a way that is “arbitrary, capricious, an abuse of discretion, and unlawful,” a federal court recently ruled.
Medicare C-SNP enrollment improves kidney disease outcomes: study
By
Alicia Lasek
Nov 03, 2020
Adults with end-stage renal disease appear to have lower rates of hospitalization and mortality when they enroll in Medicare’s Chronic Condition Special Needs Plans, a new investigation has found.