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 5-claim audits so far a ‘debacle’
By
Jessica R. Towhey
Aug 22, 2023
A new federal review process designed to lower the rate of improper government payments is sending provider staffs scurrying to justify their coding.
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....
White House to extend PHE designation through April, reports say
By
James M. Berklan
Nov 14, 2022
The federal government will extend the COVID-19 public health emergency declaration until at least April, according to published reports.
CMS survey: Many beneficiaries with chronic pain delaying care
By
Alicia Lasek
Jun 22, 2023
A large subset of senior Medicare beneficiaries with debilitating chronic pain have trouble accessing care, or are delaying care, according to CMS survey results released Wednesday.
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.
Solutions and hope may be offered at today’s House nursing home COVID-19 hearing
By
Joe Bush
Sep 21, 2022
Nursing home advocates and researchers hope today’s House subcommittee hearing will spur legislative action to help the sector recover from the ravages it’s still feeling from COVID-19.
Results of CMS initiative support on-site acute care in nursing homes
By
Alicia Lasek
Jun 09, 2023
On-site acute care in the nursing home did not result in any harm and appeared to benefit long-stay residents, outcomes from a multi-state initiative revealed. Investigators are urging medical directors...
States push CMS to repeal COVID-19 vaccine mandate
By
Kimberly Marselas
Lois A. Bowers
Nov 18, 2022
A coalition of 22 states is taking a new angle in its attempts to overturn a national mandate requiring that healthcare workers be vaccinated against COVID-19: They’re simply asking federal regulators...
States need to step up with nurse aide waiver clearer, providers say
By
Kimberly Marselas
Aug 31, 2022
The formal extension of a waiver program that relaxes certification requirements for some nurse aides was widely embraced by providers a day after the Centers for Medicare & Medicaid Services announced...