Duals Act of 2024 would create ‘integrated health plan’ for those eligible for Medicare and Medicaid … Nursing facilities rank high for total Medicaid Fraud Control convictions in 2023 … CMS issues...
NY nursing home to pay up to $8.6M, make major reforms to resolve criminal fraud charges
By
Josh Henreckson
Mar 05, 2024
A settlement with the New York Attorney General’s office will require a Long Island nursing home to pay up to $8.6 million in Medicare and Medicaid restitution and funding for state-mandated changes...
Healthcare fraud rampant, but OIG refines its focus on nursing homes
By
Neville M. Bilimoria
Feb 19, 2024
For 2024, healthcare fraud has already been rampant, according to the U.S. Department of Health and Human Services Office of Inspector General. But on Jan. 19, the OIG took a specific stance with...
Study: Older adults lean on trust to make choices — which could make them more prone to scams
By
Kristen Fischer
Feb 14, 2024
A new study sheds light on why older adults tend to fall for financial scams — they depend more on trust when making choices, according to a report published last month in Scientific Reports.
Updated: Philip Esformes reaches plea deal on remaining charges in $1.3B fraud case
By
Lois A. Bowers
Feb 02, 2024
Philip Esformes, the disgraced nursing home and assisted living community owner charged in a record $1.3 billion healthcare fraud case in 2016, has reached a plea deal with prosecutors on outstanding charges...
Supreme Court declines to hear appeal from former nursing home mogul Esformes
By
Josh Henreckson
Dec 12, 2023
The US Supreme court has rejected the appeal of Phillip Esformes, clearing the path for his continued prosecution on six counts related to a massive nursing home fraud scheme.
State staffing minimums provided motive to falsify nursing home records, witness testifies in ‘ghost...
By
Josh Henreckson
Nov 28, 2023
A surveyor’s testimony took the spotlight recently in a criminal fraud trial involving leaders of two nursing homes.
Criminal trial starts for PA nursing home owner, staff accused of falsifying staffing records
By
Kimberly Marselas
Nov 17, 2023
A co-owner of two Western Pennsylvania nursing homes and several of his former building leaders are on trial this week, defending themselves against extensive federal charges related to Medicaid and Medicare...
Also in the News for Wednesday, Oct. 25
By
Kimberly Marselas
Oct 25, 2023
Rise in nursing home costs ‘drastically’ affects middle class, but private pay remains strong in some markets … More than 7 million Americans unaware they have mild cognitive impairment … Shuttered...
Picketing workers seek receiver for troubled nursing home
By
Kimberly Marselas
Aug 11, 2023
A union representing workers at a nursing home already under investigation for fraud are calling on the state to place the facility in receivership, alleging that the owners are revoking workers’ healthcare...