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Medicare/Medicaid

Home health pushes for more thought on CMS pre-claim policy

December 1, 2016  |  Pamela Tabar, Editor-in-Chief
news

A coalition of home health providers is encouraging Congress to give Medicare more time to iron out its home health pre-claim policy before pilots begin.

Medicare crunch time with Trump administration, Part II

December 1, 2016  |  Robert Gatty
article

Contributor Robert Gatty ponders whether sweeping reforms are ahead as President-elect Donald Trump fills out his Cabinet and Republicans retain majority in Congress. 

AHCA ‘excited’ about Trump’s HHS, CMS appointments

November 29, 2016  |  Robert Gatty
news

The American Health Care Association (AHCA) is looking forward to working with President-elect Donald Trump’s nominees and possible changes to the long-term/post-acute care industry, a vice president said in a call with reporters.

Trump names new CMS administrator

November 29, 2016  |  Nicole Stempak, Senior Editor
news

President-elect Donald Trump has nominated Seema Verma, Indiana-based health policy consultant, to serve as Administrator of the Centers for Medicare and Medicaid Services. Verma worked with Vice President-elect Mike Pence on state health care reform.

Health care affected by race/ethnicity

November 29, 2016  |  Nicole Stempak, Senior Editor
news

A report from the Centers for Medicare and Medicaid Services  found Medicare beneficiaries of minority racial/ethnic groups reported receiving worse care than whites. 

Nursing home faces $100,000 fine for heroin overdose

November 17, 2016  |  Nicole Stempak, Senior Editor
news

State and federal health officials seek fines for more than $100,000 at a Chicago nursing home after five residents overdosed on heroin inside the facility. 

Medicare crunch time with Trump administration?

November 10, 2016  |  Robert Gatty
article

The next administration will have to cut back on Medicare spending and fraud. Contributor Robert Gatty speculates whether lawmakers will crack down on avoidable hospital admissions.

CMS finalizes site-neutral payment policies

November 4, 2016  |  Pamela Tabar, Editor-in-Chief
news

The Centers for Medicare and Medicaid Services has finalized a rule that will change the way services are reimbursed in off-campus and on-campus settings.

The CMS final rule: Twist and shout, but we can work it out

November 4, 2016  |  Alan C. Horowitz, Esq., RN
blog

The long-term/post-acute care industry knew some groundbreaking changes were coming in the final rule from the Centers for Medicare and Medicaid Services, and Long-Term Living’s legal expert Alan C. Horowitz explains what all the fuss is about.

Date set for largest-ever healthcare fraud case

November 4, 2016  |  Nicole Stempak, Senior Editor
news

Philip Esformes, co-owner of the Esformes Network of more than 30 skilled nursing homes and assisted living facilities, will have a fall 2017 trial for his alleged $1 billion Medicare and Medicaid fraud scheme. 

AHCA seeks injunction of CMS final rule

October 27, 2016  |  Nicole Stempak, Senior Editor
news

The American Health Care Association filed a complaint that the arbitration provision in CMS’ final Requirements of Participation rule is unlawful. 

CMS releases hospice utilization tool

October 7, 2016  |  Pamela Tabar, Editor-in-Chief
news

The new data set will allow for easier analytics on how—and where—hospice serCMS releases hospice utilization toolvices are being delivered.

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