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...
CMS sends update on $75M nursing home recruitment campaign, but providers’ concerns linger
By
Josh Henreckson
Jun 13, 2024
CMS’ admitted lack of a plan thus far for the $75 million it intends to use to spur development of more nursing home workers is further puncturing providers’ hopes for helpful change.
Consumer groups urge CMS to enforce nurse aide training enforcement initiatives
By
Josh Henreckson
Dec 19, 2023
For all its increased regulatory pressure on nursing homes in recent years, the Centers for Medicare & Medicaid Services hasn’t fully embraced the Biden administration’s full agenda for long-term care....
CMS pledges to use ‘full array’ of tools to enforce 2024 Medicare Advantage rules
By
Josh Henreckson
Jan 12, 2024
Despite early fears, long-term care leaders have some reason to be optimistic that changes to Medicare Advantage rules for 2024 will be enforced.
More than 80% of nursing homes do not meet the updated requirements in the final staffing mandate from the Centers for Medicare & Medicaid Services, according to new analysis from media outlet KFF. Those...
CMS finalizes long-awaited prior authorization rule for Medicare Advantage
By
Josh Henreckson
Jan 18, 2024
A new rule on Medicare Advantage prior authorization finalized by the Centers for Medicare & Medicaid Services Wednesday suggests good news for providers and Medicare recipients.
New nursing home ownership transparency rule draws mixed reaction from providers, owners
By
Josh Henreckson
Nov 16, 2023
A new rule from the Centers for Medicare & Medicaid Service that requires nursing homes to report more details about their owners met with mixed reviews from providers and owners Wednesday.
OIG to audit CMS oversight of state-contracted nursing home surveyors
By
Josh Henreckson
Jan 23, 2024
A top federal watchdog will audit the Centers for Medicare & Medicaid Services’ nursing home survey practices in 2024, according to a new report.
Major data gaps persist as feds tackle nursing home ownership transparency: study
By
Josh Henreckson
Mar 05, 2024
Nursing home ownership data from the Centers for Medicare & Medicaid services currently captures only a small fraction of private equity and real estate investment trust investment in long-term care, according...
CMS finalizes rule streamlining Medicaid enrollment and renewals
By
Josh Henreckson
Mar 28, 2024
Federal officials on Wednesday issued a new final rule that helps seniors better navigate the Medicaid enrollment process, and that’s likely very good news for long-term care providers.