Assisted living owner, three managers charged with defrauding Medicaid of more than $1 million
By
Lois A. Bowers
Mar 12, 2017
The owner and three managers of an Alaska assisted living home have been indicted after the home allegedly billed the state for more than $1 million in home- and community-based services that were not...
More news for Friday, March 10
Mar 09, 2017
Senate advances Trump’s Medicaid, Medicare pick … Opinion: How the Republicans’ Obamacare replacement puts Medicaid in jeopardy … American Health Care Act passes through another...
More news for Thursday, March 9
Mar 08, 2017
Medicaid exec voices opposition to GOP’s healthcare plan … After Legionnaires’ case, senior living community gets clean bill of health … Study: Waterfall sounds enhance deep sleep,...
ACA replacement would harm providers, caregivers, elderly, groups say
By
Lois A. Bowers
Mar 07, 2017
Long-term services and supports providers, Medicaid beneficiaries and professional caregivers would suffer if the bill that Republicans in the House of Representatives proposed Monday to replace the Affordable...
Government expects to recover $1.9 billion for 2016 Medicaid fraud cases
By
Lois A. Bowers
Mar 06, 2017
The federal government expects to recover almost $1.9 billion from Medicaid fraud, abuse and neglect cases that were settled or for which judgments were issued in 2016, according to new data released Monday.
Proposed changes would put Medicaid recipients, providers at risk, advocates say
By
Lois A. Bowers
Mar 05, 2017
Congress should reject proposed “radical structural changes” to Medicaid funding that would lead to reduced services for beneficiaries and payments for providers, 100 advocacy organizations,...
GAO: CMS needs better data to prevent HCBS overpayments, fraud
By
Lois A. Bowers
Feb 13, 2017
The Medicaid program needs better data to be able to ensure that it does not overpay for personal care services and to reduce the risk of fraud occurring, the Government Accountability Office said in a...
GAO recommends increased CMS oversight of Medicaid LTSS payment rates
By
Lois A. Bowers
Feb 08, 2017
In the wake of findings detailed in a new report from the Government Accountability Office made public on Wednesday, the Centers for Medicare & Medicaid Services will take steps to ensure that states have...
Data issues complicate Medicaid oversight, GAO says
By
Lois A. Bowers
Feb 06, 2017
The incomplete, inaccurate and late reporting of Medicaid expenditure and utilization data makes it difficult for the Centers for Medicare & Medicaid Services to ensure that payments are proper and that...
Pretending to revamp Medicaid
By
John O'Connor
Feb 02, 2017
It appears some significant changes may be coming Medicaid’s way. And the early betting is that these adjustments are not going to be of the payment-enhancement variety.