Medicare/Medicaid

An open letter to Congress

Blogger Kathleen Mears writes legislators about how the proposed healthcare legislation would affect her and fellow nursing home residents. Read More »

How the Senate healthcare bill could affect seniors

The Senate’s proposed healthcare bill, the Better Care Reconciliation Act, calls for deep cuts to Medicaid. The program pays for about two-thirds of the 1.4 million seniors who live in nursing homes.  Read More »

CBO releases cost estimate, Senate delays vote on healthcare bill

The Senate’s version of healthcare reform would cut federal deficit, but also would make deep cuts to Medicaid at the federal and state levels. Read More »

Senate GOP bill calls for deep Medicaid cuts

Senate Republicans have finally revealed their bill to repeal and replace the Affordable Care Act. It is similar to the House version but key differences could make it a tough sell among Republicans with a razor-thin margin for passage. Read More »

Louisiana legislators limit long-term care competition

Lawmakers have successfully extended a moratorium to restrict assisted living facilities from entering the market. Read More »

Breaking down the CBO report: How AHCA could affect seniors

How could the proposed AHCA legislation affect older adults? What could happen to Medicaid and the ability to find insurance coverage? We explain the actual CBO report section by section. Read More »

Trump’s budget plan slashes Medicaid

The president’s 2018 budget includes a proposal for more than $610 billion in Medicaid cuts over the next decade.  Read More »

Helping Medicare beneficiaries with chronic conditions

The Senate Finance Committee unanimously approved the CHRONIC Care Act of 2017, which increases care delivery options for chronically ill Medicare beneficiaries. Read More »

CMS Final Rule: Compliance and ethics programs

SNF compliance and ethics programs aren’t optional anymore, and in some cases, may require additional staff roles. Are your programs survey-ready? Read More »

House passes AHCA bill by 4 votes

The promise of $8 billion for high-risk and pre-existing conditions pushed the bill in the GOP's favor. The bill now moves on to the Senate, where the margins for passage are predicted to be tougher. Read More »

CMS: SNF antipsychotic use at lowest level since 2011

The prevalence of antipsychotics in SNFs has dropped consistently since the CMS mandate to reduce unnecessary usage went into effect in 2012. Read More »

CMS funds nursing home for prisoners

A Connecticut nursing home will receive federal funding to help pay for and provide care to the state’s aging inmates.  Read More »

Congress to CMS: bolster oversight audits

Sen. Chuck Grassley asked Centers for Medicare and Medicaid Services Administrator Seema Verma to explain nearly $125 million in potential overcharges for Medicare Advantage plans.  Read More »

Parkinson’s disease awareness month shows unshakeable spirit

The American Parkinson Disease Association kicks off a new campaign to highlight the spirit and stories of those with Parkinson's disease to raise awareness of the illness. Read More »

The ACA and Medicaid

After months of political leverage on repealing the Affordable Care Act, the GOP decided to ditch its new House bill without voting on it. Now what? Read More »

Home care before hospice

Home based palliative care, or pre-hospice, programs aim to improve quality of life by bringing healthcare workers into the home and better care coordination—all while cutting costs for seniors and Medicare. And research shows it’s working. Read More »

GOP withdraws healthcare act bill

Minutes before the House was scheduled to vote on the American Health Care Act, Speaker Paul Ryan was forced to withdraw the bill, citing lack of support. The bill would have made sweeping changes to Medicaid.  Read More »

Veyo to double its transportation market in 2017

The California startup has its wheels in motion to transform non-medical transportation for Medicare and Medicaid beneficiaries. Read More »

Verma confirmed as next CMS Administrator

The Senate approved President Donald Trump's nominee to head the Centers for Medicare and Medicaid Services late Monday. Read More »

The repeal and replace bill: Medicaid’s most dangerous enemy?

The GOP's long-awaited bill to repeal and replace the Affordable Care Act is here--but its vision may be dangerously shortsighted. Read More »

TX hospice indicted for $60M fraud, overmedicating

Sixteen people are mired in a $60 million scheme to rip off Medicare for false hospice services, including giving Schedule II controlled pain medication to patients who didn’t need them. Read More »

Silver linings

Long-term and post-acute care has plenty of challenges for 2017, but trials and tribulations can be good for the industry in the long run. Read More »

New federal rules for home health agencies

Federal regulations, set to go into effect in July, would require the more than 12,000 home health agencies participating in Medicare and Medicaid be more responsive--and responsible--for patients and caregivers.  Read More »

Price confirmed to head HHS

The Senate has approved the president’s nomination of Representative Tom Price as the new secretary of the Department of Health and Human Services. Read More »

Re-examining CMS’ 5-star rating system

A new GAO report highlights why experts say the next addition to the Nursing Home Compare five-star ratings should be customer service. Read More »

Providers, Medicare renew battle over therapy services

Four years after the Jimmo court case, Medicare officials, providers and senior advocates still can't agree on how to handle ongoing therapy services for patients who aren't improving. Read More »

PointRight, Pathway launch 5-star ratings solution

The product will help skilled nursing facilities maximize their 5-star ratings under the CMS's Nursing Home Compare system. Read More »

Fighting superbugs with genetic warfare

As antibiotic resistance grows, scientists are learning how to attack killer bacteria at the genetic level. Read More »

Judge says no to Aetna/Humana merger

The risks to pricing and competition among Medicare plans were key factors in the denial, the court says. Read More »

CMS applauds readmission reduction

The Centers for Medicare & Medicaid Services has seen a substantial decline in hospitalization admissions among Medicare beneficiaries in long-term care.  Read More »