ACOs can calm antitrust worries with unique offerings, officials say
By
Dec 09, 2015
Accountable care organizations can quell antitrust worries by providing new services to patients that were previously unavailable in the market, government officials advised this week.
GAO: Medicaid flaws found
By
James M. Berklan
Oct 01, 2012
People seeking Medicaid coverage for long-term care are subjected to differing asset-verification checks among the states, a new report finds.
Report: Correcting Medicare Advantage overpayments could save billions
Jan 27, 2012
Correcting overpayments in the Medicare Advantage program could save the federal government billions of dollars, according to a new Government Accountability Office report.
Regulators: Provider gift cards to nursing home residents won’t draw fines
Jul 09, 2008
A healthcare system that proposes giving gift cards to residents and other customers it disappoints with poor service is on firm legal ground, federal regulators say.
CMS leader cautions drug plans to smooth Part D transitions
By
Haymarket Media
Apr 04, 2006
New Medicare drug benefit enrollees must still be offered a 30-day transition period and newly institutionalized beneficiaries must be given a 90-day transition period, the leader of the Medicare program...
Medicare cuts, individual mandate repeal rolled into GOP tax bill
By
Nov 14, 2017
Republican Senators on Tuesday added a provision to their tax overhaul bill that would roll back the individual insurance mandate included in the Affordable Care Act.
SNF loses Medicare, Medicaid funding after resident leaves through unlocked door
By
Aug 11, 2017
The recent termination of a North Carolina nursing home’s provider agreement was spurred by a resident leaving the facility through an unlocked emergency door, according to local reports.
Providers get seat at the table: House asks input for new Medicare Red Tape Relief Project
By
Jul 26, 2017
House lawmakers on Monday announced the formation of a new initiative that will use healthcare provider input to help reduce regulatory burdens within the Medicare program.
Resident gets 25 year sentence in long-term care rape conviction
By
Oct 11, 2016
A former resident of an Ohio skilled nursing facility pleaded guilty and was sentenced to 25 years in prison last week for raping a fellow resident.
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.