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.
Hospitals as business partners? It’s not such a far-fetched notion
By
John O'Connor
Jan 28, 2016
Some will argue that senior living can never replace skilled care when it comes to post-acute care. You’ll be able to recognize them by the strength of their convictions and the shortness of their...
A very troubling $56 billion question
By
John O'Connor
Jul 08, 2021
Considering some of the alternatives, I’m far from convinced that bankrupting Medicare for the sake of Aduhelm would be money well spent.
Need more funds? Here’s how to make a killing
By
John O'Connor
Apr 14, 2022
These days, senior living operators in just about every state are tapping into Medicaid payments. And more than a few players are not content to stop there.
AHCA/NCAL: CMS Accelerated Payment program providing quick support
By
Amy Novotney
Apr 16, 2020
The surest bet for quick financial help for long-term care operators right now appears to be through the Centers for Medicare & Medicaid Services’ Accelerated Payment Program, Consolidated Billing Services...
Medicare could negotiate drug prices under Democrat proposal
Nov 03, 2021
For the first time, the measure would enable the federal government to negotiate prices for medications covered by Medicare.
Congress likely to scale back HCBS funding as part of budget compromise
By
Diane Eastabrook
Sep 29, 2021
Home- and community-based services are in the crosshairs as top Democrats look to pare down their ambitious healthcare proposals in the massive $3.5 trillion proposed budget.
Genesis and Ensign Group see shares drop amidst House COVID-19 nursing home investigation
By
Amy Novotney
Jun 22, 2020
Last week, a House of Representatives committee launched an investigation into how five large nursing home companies have handled COVID-19. Among the nursing homes under investigation are publicly traded...
Congress and agencies to tackle transparency in healthcare AI, despite mixed industry reactions
By
Aaron Dorman
Oct 06, 2023
Federal agencies and Congress are both taking further steps to regulate AI and curb issues that have already started to emerge.
SNFs see increase in Medicaid, Medicare payer mix; other payer mixes decrease
By
Kathleen Steele Gaivin
Dec 21, 2022
Skilled nursing facilities across the United States have experienced increases in both Medicaid and Medicare payer mix while other payer mixes have decreased in recent years, according to a three-year...