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.
NY assisted living providers hopeful for rate bump for Medicaid-funded program
By
Kimberly Bonvissuto
Mar 20, 2024
While New York State nursing homes are hoping to make up Medicaid funding shortfalls 16 years in the making, senior living providers are hopeful that a comparable Medicaid increase for the Medicaid-funded...
CMS proposal would be ‘major financial burden’ for CCRCs, residents, organizations say
By
Lois A. Bowers
Jan 17, 2020
A Centers for Medicare & Medicaid Services regulation effectively proposing new Medicaid taxes could “lead to a major financial burden” for continuing care retirement communities and residents —...
27 members of Congress urge CMS to withdraw proposed Medicaid Fiscal Accountability Regulation
By
Lois A. Bowers
Feb 14, 2020
A bipartisan coalition of 27 members of the House of Representatives is asking the Centers for Medicare and Medicaid Services to withdraw its proposed Medicaid Fiscal Accountability Regulation.
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...
A win for home care: Providers applaud withdrawal of MFAR proposal
By
Danielle Brown
Sep 16, 2020
Providers cheered federal health officials’ decision to withdraw a proposal they warned could cut up to $50 billion nationwide from the Medicaid program annually.
CMS should withdraw Medicaid Fiscal Accountability Regulation, AHCA/NCAL says
By
Lois A. Bowers
Jan 31, 2020
The Centers for Medicare & Medicaid Services should withdraw the proposed Medicaid Fiscal Accountability Regulation because, if finalized, it would jeopardize access to care and “cripple” Medicaid...
CareTrust REIT: Fewer ‘meaningful opportunities’ in senior housing
By
Lois A. Bowers
Feb 24, 2020
“There are plenty of assisted living and memory care deals out there right now, but most don’t fit with our or our operators’ objectives. So meaningful opportunities for us in that asset class...
Effects of SCOTUS ruling in Talevski case could reach far beyond nursing homes
By
Kimberly Marselas
Jun 09, 2023
Nursing homes under county or state control could see an explosion of lawsuits following a Thursday US Supreme Court ruling maintaining the right of nursing home residents and their survivors to sue in...
The wrong policy at the wrong time
By
Niles Godes
Jun 19, 2017
As Congress has developed healthcare legislation to replace the Affordable Care Act, a dangerous proposal has emerged that would dramatically alter Medicaid’s financial structure and shift far more...