False Claims suit against Omnicare, CVS Health dismissed in appeals court
By
Danielle Brown
Aug 20, 2020
Omnicare and parent company CVS Health earned a court victory this week after a federal appeals court agreed to dismiss a whistleblower’s False Claims Act lawsuit for an alleged kickback scheme.
Medicaid chief announces new ‘vision’ for program — and policies to reduce regulatory burden
By
Nov 08, 2017
The future of Medicaid will include a stronger focus on the relationship between the federal and state governments, as well fewer barriers to innovation within the program, the head of the program shared...
Beneficiaries again challenge slow Medicaid application process
By
Elizabeth Newman
Jul 10, 2018
Connecticut has failed to process Medicaid applications in an agreed-upon time frame, including for long-term care beneficiaries, and a court should hold it in contempt, a new filing alleges. But the state...
SNFs should focus on partnerships, quality, to weather uncertain future, experts say
Jan 16, 2012
In order to survive an uncertain financial and regulatory environment, skilled nursing operators need to look at partnering with other healthcare systems and improving the quality of care, analysts say.
Swelling Medicaid rolls have states, providers worried
By
John Hall
Feb 18, 2015
California’s Medicaid-eligible rolls are swelling as part of a nationwide expansion of the program under the Affordable Care Act, a finding that should give other states’ Medicaid agencies...
Expanded meal deliveries could reduce nursing home admissions, but cost benefits vary by state, researchers...
By
Tim Mullaney
Oct 09, 2013
Modest expansions of meal delivery programs could reduce the number of Medicaid beneficiaries in nursing homes, but such a plan would not be cost-effective in every state, according to newly published...
A key Medicaid advisory body appears ready to recommend new appeal opportunities for millions of Managed Medicaid beneficiaries and to add more oversight to better ensure plans cover medically necessary...
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.
Obtaining critical claims data may soon get easier
By
John O'Connor
Jun 05, 2015
The government plans to make new claims data and other resident-care information available to providers and entrepreneurs as never before. Is it too good to be true?
Nursing home that took in dozens after local closure now fears for its own health
By
Josh Henreckson
Jan 26, 2024
The high cost of caring for skilled nursing patients is squeezing finances at Upstate New York’s Heritage Ministries after it took in a majority of residents from the closing Lutheran Home and Rehabilitation...