Bipartisan group pushes for more investment, permanent telehealth for Medicare providers
By
Josh Henreckson
Jul 15, 2024
With a deadline to extend current telehealth reimbursement policies fast approaching, a bipartisan group of policy advocates is calling on legislators to make telehealth a permanent fixture of US healthcare...
Health lawyers, bioethicist call for tighter regulation of AI in prior authorizations
By
Josh Henreckson
Jul 11, 2024
While artificial intelligence promises exciting efficiency benefits, its usage in insurance prior authorizations demands wider and more holistic oversight from state and federal bodies, a trio of experts...
Cigna fights nursing homes’ pending sale, citing potential for broken agreements
By
Josh Henreckson
Jun 27, 2024
Cigna has filed a legal motion objecting to the sale of a group of nursing homes as part of Chapter 11 bankruptcy proceedings. The major insurer claims the sale would give the providers “carte blanche”...
Proposal to make NHSN reporting permanent bypasses provider concerns
By
Josh Henreckson
Jul 01, 2024
The Centers for Medicare & Medicaid Services would expand and extend COVID-era respiratory illness reporting requirements under a provision of the recently proposed Home Health Prospective Payment System...
State pushed for $103 million for nursing homes, greater resident funding
By
Josh Henreckson
Jun 25, 2024
Advocates for long-term care providers in New Jersey and their residents are taking competing annual funding pleas to government leaders to the wire.
Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 26, 2024
The Centers for Medicare & Medicaid Services should consider banning artificial intelligence from being used to deny Medicare Advantage coverage pending a “systematic review,” a group of 49 congressional...
State basking in lowering its nursing home survey backlog, advances bill to speed up inspection cadence
By
Josh Henreckson
Jun 17, 2024
A bill passed last week in Delaware’s state Senate further advances its aggressive push to clear its nursing home survey backlogs and ensure they stay up-to-date in the future.
DOJ hits telehealth firm for $4.6M in false claims settlement involving nursing homes
By
Josh Henreckson
Jun 14, 2024
A company that provides mental telehealth services to skilled nursing residents has agreed to pay the federal government $4.6 million to resolve false claims allegations.
Pittsburgh nursing homes under fire may close if bankruptcy sale is blocked
By
Josh Henreckson
Jun 12, 2024
A group of four nursing homes could face permanent closure if approval for a pending sale is denied. The facilities’ owners have already found a buyer as part of a Chapter 11 bankruptcy reorganization,...
Nursing home company settles ‘largest ever’ case with state AG’s office for $4 million
By
Josh Henreckson
Jun 10, 2024
An operator of 16 long-term care facilities has settled a staffing case with the Massachusetts Attorney General’s office for a total of $4 million. The agreement is the most expensive ever reached with...