More than 6 years later, GAO still looking for CMS to act on assisted living recommendation
By
Lois A. Bowers
Mar 19, 2024
The Centers for Medicare & Medicaid Services still has not taken action on a recommendation made by the US Government Accountability Office in a January 2018 report on assisted living, the GAO said in...
MFCU efforts result in 20 convictions, $9.41 million in recoveries related to assisted living in FY 2023:...
By
Lois A. Bowers
Mar 18, 2024
Efforts by state Medicaid Fraud Control Units resulted in a total of 20 criminal convictions and $9.41 million in criminal case recoveries related to assisted living in fiscal year 2023, according to a...
Senior living can be a partner in delivering, improving care, CMS official says
By
Lois A. Bowers
Mar 07, 2024
Even though senior living providers, by law, are unable to directly bill the Medicare program for the services they provide to residents, they are able to partner with other organizations focused on value-based...
Legislation aims to increase scrutiny of private equity healthcare acquisitions
By
Lois A. Bowers
Feb 27, 2024
Legislation introduced by California Attorney General Rob Bonta and Assembly Speaker pro Tempore Jim Wood (D-Healdsburg) in the Golden State would give the attorney general oversight of private equity...
False Claims Act settlements, judgments top $2.68 billion, set record for number
By
Lois A. Bowers
Feb 26, 2024
False Claims Act settlements and judgments exceeded $2.68 billion in the fiscal year that ended Sept. 30, with more than $1.8 billion of the total related to matters involving healthcare fraud, including...
Approaching retirement, Parkinson takes trip down memory lane, shares insights into road ahead for assisted...
By
Lois A. Bowers
Feb 21, 2024
Mark Parkinson paused briefly Tuesday to reflect on his tenure at the helm of AHCA/NCAL and share his thoughts on what the future holds for assisted living.
Proposed HCBS rule could diminish service access, hamper provider retention efforts, 11 senators tell...
By
Lois A. Bowers
Feb 20, 2024
A proposed federal rule that would require providers of home- and community-based services to spend at least 80% of the Medicaid payments they receive for personal care, homemaker and home health aide...
Black and Hispanic older adults in ‘Forgotten Middle’ are ‘worst off’
By
Lois A. Bowers
Feb 16, 2024
Trends in home ownership and equity, income, health and other issues indicate that millions of middle-income Black, Hispanic or rural older adults may not have the financial resources they need to pay...
Updated: Philip Esformes reaches plea deal with federal prosecutors on remaining charges in landmark...
By
Lois A. Bowers
Feb 02, 2024
Philip Esformes, the assisted living community and nursing home owner charged in 2016 in a $1.3 billion healthcare fraud case that the federal government at the time called “the largest healthcare fraud...
‘We need to tell our story much better’
By
Lois A. Bowers
Jan 29, 2024
“From our perspective, we need to tell our story much better.” That’s what Julie Simpkins, co-president and chief operating officer of Gardant Management Solutions, told the US Senate Special Committee...