Medicare

Assisted living, post-acute providers have 'room for progress' in four key areas, HHS secretary says

Assisted living, post-acute providers have 'room for progress' in four key areas, HHS secretary says

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Assisted living and post-acute care providers "will play a key role in the healthcare system over the next several decades," HHS Secretary Alex M. Azar II said Tuesday. Both industries, however, have "a great deal of room for progress" in four areas, he said.

CMS needs to improve handling of beneficiary data, GAO says

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The Centers for Medicare & Medicaid Services needs to improve how it handles shared beneficiary data, according to the Government Accountability Office.

Proposal creating Medicare LTSS benefit gains senior living industry support

Proposal creating Medicare LTSS benefit gains senior living industry support

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Proposed legislation to create a federal program within Medicare to support those with substantial long-term care costs when they need care is drawing support from senior living industry groups.

Providers tell CMS to explore telehealth, care coordination, long-term care financing

Providers tell CMS to explore telehealth, care coordination, long-term care financing

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Chronic care management via telehealth and remote monitoring, service coordination in affordable housing, and long-term care financing are some of the new directions that the Centers for Medicare & Medicaid Services should explore through its Center for Medicare and Medicaid Innovation, according to feedback from providers and associations.

Proposed cuts to Medicare, Social Security could follow CBO report, senators say

Proposed cuts to Medicare, Social Security could follow CBO report, senators say

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At least two federal lawmakers are concerned that the 10-year projections on the budget and economy released Monday by the Congressional Budget Office will lead to GOP attempts to make cuts to programs such as Medicare and Social Security.

Caught in a Medicare claims appeals case? You may not have to immediately turn over disputed funds.

Caught in a Medicare claims appeals case? You may not have to immediately turn over disputed funds.

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Senior living firms engaged in a Medicare claims appeal currently are required to return any disputed payments right away. A recent court ruling, however, gives operators a chance to retain disputed amounts until an administrative law judge hears the case.

Insurers likely to add and trim senior living benefits, thanks to relaxed Medicare rule

Insurers likely to add and trim senior living benefits, thanks to relaxed Medicare rule

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Medicare managed care enrollees soon may enjoy enhanced senior living benefits, thanks to a new rule. But existing coverage also may be reduced or eliminated when revamped policies hit the marketplace, according to several analysts.

For some of your senior living residents, fraud may be in the cards

For some of your senior living residents, fraud may be in the cards

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The new Medicare cards represent a huge opportunity for those with larceny in their hearts.

'Big and bold changes' coming? Well, this could get interesting

'Big and bold changes' coming? Well, this could get interesting

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The new boss at Health and Human Services is on a mission.

CMS: Aging population a big driver of annual growth in national healthcare spending

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Enrollment shifts from private health insurance to Medicare as baby boomers continue to age into the program will help drive average annual growth of 5.5% in national health spending and enrollment from 2017 to 2026, according to new estimates released Wednesday by the Centers for Medicare & Medicaid Services. Projections include spending related to nursing care facilities and continuing care retirement communities.

GOP lawmakers say they will seek Medicare, Medicaid changes next year

GOP lawmakers say they will seek Medicare, Medicaid changes next year

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While Republicans in the Senate and House of Representatives work to reconcile their two versions of a tax reform bill that analysts say could add more than $1 trillion to the federal deficit over 10 years, GOP lawmakers are signaling plans for 2018 to reduce spending on Medicare and Medicaid.

Growing pains for hospice care

Growing pains for hospice care

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My impression was that hospice is one of the best things Medicare has to offer. Fast forward to this week.

Helping residents, facilities reap benefits of cost-effective health screenings

Helping residents, facilities reap benefits of cost-effective health screenings

Business intelligence and information technology are making health screenings more convenient for older adults, enabling them as well as their care providers to benefit.

GAO: White House hampering federal efforts to reduce identity theft through Social Security number use

GAO: White House hampering federal efforts to reduce identity theft through Social Security number use

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CMS has announced its plan to remove Social Security numbers from beneficiaries' Medicare cards, but the Government Accountability Office said Thursday that it is still waiting for the White House Office of Management and Budget to take further action to reduce the use of the identifier elsewhere.

Assisted living operator involved in record-breaking $1.3 billion healthcare fraud takedown

Assisted living operator involved in record-breaking $1.3 billion healthcare fraud takedown

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A Florida home health agency paid kickbacks to the owner of three assisted living communities and others in exchange for referrals that resulted in more than $3 million in fraudulent Medicare payments, the federal government alleged Thursday as part of a larger announcement of $1.3 billion in alleged false healthcare billings.

Improper federal payments near $100 billion mark, auditors find

Improper federal payments near $100 billion mark, auditors find

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Erroneous government payments to senior living operators and other health-related organizations are approaching $100 billion a year, a new federal report alleges.

More news for Wednesday, May 24

Congress may open door to some Medicare long-term care ... It's time to worry about healthcare in the Senate ... Attitudes and behaviors of current and soon-to-be empty nesters ... Top adult financial regret is not saving enough for retirement

Paying for LTSS via Medicare would improve outcomes, lower costs: report

Paying for LTSS via Medicare would improve outcomes, lower costs: report

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Paying for long-term services and supports through Medicare for some residents of independent and assisted living communities and seniors living at home would improve care and lower costs for the government and individual beneficiaries, maintain the authors of a new report.

'Seniors have a lot to lose' under ACA replacement, congresswoman says

'Seniors have a lot to lose' under ACA replacement, congresswoman says

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Reduced outlays for Medicaid, a shorter lifespan for the Medicare program, higher insurance premiums for those aged 50 to 64 and more uninsured older adults would be some of the effects of the American Health Care Act, according to an analysis by the Congressional Budget Office and the Joint Committee on Taxation. "Seniors have a lot to lose," House Minority Leader Nancy Pelosi says.

Seema Verma confirmed as CMS administrator

Seema Verma confirmed as CMS administrator

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Former health policy consultant Seema Verma was confirmed as administrator of the Centers for Medicare & Medicaid Services on Monday by a 55-43 vote in the Senate.

PharMerica plans to 'get aggressive' about assisted living

PharMerica plans to 'get aggressive' about assisted living

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Long-term care pharmacy company PharMerica Corp. intends to launch a new initiative focused on assisted living to increase its share of that market this year, CEO Greg Weishar said Friday during an earnings call.

More news for Monday, Feb. 13

Older adults are embracing "living apart together" (video) ... Older adults who exercise regularly may lower their chances of severe mobility problems ... Medicare should consider social risk factors, experts say

More news for Tuesday, Feb. 7

Search for Alzheimer's drugs is more urgent than ever ... How would Republican plans for Medicaid block grants actually work? ... Long-term care advocates call on Canadian government to invest in senior care ... Routinely prescribed antibiotic may not be best for treating severe C diff infections ... 106-year-old woman gets engaged to 66-year-old boyfriend

More news for Thursday, Jan. 26

Gene-blocking therapy reverses Alzheimer's-like symptoms ... New bill would increase temp worker protections ... Projected $10 trillion federal debt growth over next decade may affect plans for Medicare, Medicaid, Social Security ... What Medicaid block grants would mean for seniors ... Seniors extol virtues of low-rent housing

Advocates for seniors identify their top issues for Trump administration

Advocates for seniors identify their top issues for Trump administration

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Medicaid, home- and community-based services, long-term services and supports, the elder care workforce and Medicare are among the important areas that President Donald Trump and members of Congress should focus on for older adults, advocacy groups maintain.

GAO targets improper Medicare, Medicaid payments

GAO targets improper Medicare, Medicaid payments

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Reducing improper payments made from the Medicare and Medicaid programs is a big step that the federal government can take to improve the country's long-term fiscal health without legislative action, the Government Accountability Office said in the first of what it expects to be annual reports on the United States' financial future.

$1 million Medicare fraud scheme targeted seniors housing residents, government says

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A New Jersey woman faces up to 15 years in prison and $500,000 in fines after pleading guilty Thursday to her role in a $1 million Medicare fraud scheme through which residents of affordable seniors housing complexes were convinced to submit to unnecessary genetic testing.

Walden picked to lead House Energy and Commerce Committee

Walden picked to lead House Energy and Commerce Committee

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Rep. Greg Walden (R-OR) has been named the next chairman of the House Energy and Commerce Committee, which has jurisdiction over the Department of Health and Human Services and its Centers for Medicare & Medicaid Services as well as the Centers for Disease Control and Prevention.

More news for Monday, Dec. 5

Ventas CEO Debra Cafaro said to be seeking stake in NHL's Penguins ... National health spending: Faster growth In 2015 as coverage expands and utilization increases ... Why eldercare and child-care facilities should be in the same place ... As many as one in seven assisted living caregiver positions unfilled in Wisconsin

Praise for Price might be short-lived

Praise for Price might be short-lived

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Businesses tend to be quite happy when elections put Republicans in charge of Congress and the White House. But senior living operators would be well advised to temper their giddiness this time, for two reasons.

In Focus

July 11

Patriotic parade

Naples, FL 

More than 100 residents and employees of Vi at Bentley Village participated in a golf cart parade to celebrate the Fourth of July.

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