Medicare Advantage rule finalizes independent appeals process, helping providers ‘stuck in the middle’ … Former CEO gets 2.5 years for failing to pay nursing home employees payroll taxes … Healthcare...
Ongoing lawsuits indicate there’s little advantage to seniors for letting AI determine their MA coverage
By
Aaron Dorman
Apr 04, 2024
A new report calls out the role of AI in validating cost-cutting measures that leave seniors in need without coverage.
CMS readies providers for Interoperability and Prior Authorization rule
By
Adam Healy
Apr 03, 2024
CMS offered providers resources to help prepare for the newly finalized Interoperability and Prior Authorization final rule.
Business briefs, April 2
By
Kathleen Steele Gaivin
Apr 02, 2024
CMS finalizes 3.7% adjustment in MA rates for 2025 … Experts fear ‘bigger, stronger stick’ in new Medicare pay rule … White House designates April as Case Workers Recognition Month … National...
New federal rule means hospitals need written consent for pelvic, prostate exams
Apr 01, 2024
The HHS also issued a new set of guidelines clarifying a longstanding requirement that hospitals must obtain written informed consent as a condition for being reimbursed by Medicare and Medicaid.
Business briefs, April 1
By
Kathleen Steele Gaivin
Apr 01, 2024
Higher interest rates mean less access to capital for senior living: NIC … CMS proposes 4.1% nursing homes pay boost … Assisted living rates up 0.6 to 3.8% … American Society on Aging, Next50 launch...
More news for Friday, March 29
By
Lois A. Bowers
Mar 29, 2024
Lutheran Senior Services / Diakon agreement forms one of largest US nonprofit LTC organizations … CMS releases Medicare, Medicaid enrollment figures … CMS issues new guidance, other resources related...
Business briefs, March 28
By
Kathleen Steele Gaivin
Mar 28, 2024
How’s Mom, DiningRD partner … Bill would change CBO requirements for reporting financial health of Social Security … Fixing immigration system only 1 solution to workforce crisis: expert …...
Medicare to cover Wegovy when patients also have heart disease
Mar 22, 2024
Medicare will now cover the popular weight-loss drug Wegovy if patients using it also have heart disease, US officials announced Thursday.
‘Landmark legislation’ aims to streamline, coordinate care for 12 million dually eligible individuals
By
Kimberly Bonvissuto
Mar 21, 2024
A bipartisan bill aiming to streamline and coordinate care for the nation’s more than 12 million dually eligible individuals — people who are enrolled in both Medicare and Medicaid — is being called...