There is a much more efficient solution to reducing Medicare spending than the proposed broad cuts to the program budget: Reduce the billions of dollars in incorrect payments each year.
Providers taking part in a Medicare experiment saved money by funneling care away from skilled-nursing facilities and other settings, and toward physician services, according to a new analysis.
Several therapy associations Thursday called on Congress to permanently end Medicare Part B caps on physical, speech and occupational therapy by adding language to a funding measure expected next week.
The Centers for Medicare & Medicaid Services is holding a Special Open Door Forum conference call on new Medicare card numbers at 2 p.m. Eastern on Jan. 23.
Last weekend's Camp David retreat has Republicans rethinking their earlier ambitions to reform safety-net programs, including Medicare and Medicaid, fearing a lack of support heading into midterm election season.
There's nothing like a budding new year to awaken that urge in scribes to warn better-informed readers what to expect. It must be some kind of occupational hazard. So in the spirit of not always being right but never being in doubt, here are three predictions you can take to the bank.
After tax votes, Congress' focus may shift to mandatory spending cuts and Medicare.
The current implementation of Medicare's sliding scale ADR limit policy is preventing the recovery of improper payments and has afforded a significant portion of providers with immunity from billing accuracy review due to the low volume of claims they submit
Some Senate Republicans are skeptical about cutting spending on social programs — Medicare included — in the months leading up to the 2018 elections.
But for those of you who think outrageous political trickery is dead, please let me point you in the direction of Capitol Hill. For we appear to be in the midst of one of the better con jobs to come along in quite some time, and it's threatening your supply of Medicare and Medicaid dollars.
One of the nation's largest senior advocacy groups is warning lawmakers of the "lasting impact" of Medicare cuts that would be potentially included in the GOP's final tax reform bill.
Long-term care providers may be headed for another major Medicaid-funding fight in 2018 if House GOP leaders get their way.
Skilled nursing providers found both good news and bad news Thursday in a House bipartisan agreement statement on a Medicare extender package.
Republican Senators on Tuesday added a provision to their tax overhaul bill that would roll back the individual insurance mandate included in the Affordable Care Act.
Speaking at the same Mandalay Bay complex in Las Vegas from which a "madman" committed the deadliest mass shooting by a single person in U.S. history just two weeks earlier, American Health Care Association CEO Mark Parkinon delivered a bold, unscripted edict.
Fox Rehabilitation received at least $29.9 million in Medicare Part B payments for services that did not meet Medicare requirements, according to an August report by the Office of the Inspector General of the U.S. Department of Health and Human Services.
The House passed a budget proposal on Thursday that would slash roughly $1 trillion from the Medicaid program over the course of 10 years. But representatives aren't planning on seeing those cuts through, according to some observers.
The former CEO of a healthcare company caught billing Medicare for unnecessary podiatry services for nursing home residents was sentenced last week to serve a year in prison and pay $1.8 million in restitution.
One should never forget that some of the most brutal fights occur between brothers or sisters.
I found it stunning when I recently read that more than a half million people had taken advantage of new Medicare coverage that pays for end-of-life discussions with their doctors. And there was hardly a peep about it.
The Centers for Medicare & Medicaid Services has the option of terminating nursing homes from the Medicare and Medicaid programs that it deems harmful. But to say the government has been reluctant to do so would be an extreme understatement.
Federal lawmakers' advisory panel for Medicare made it official in its report to Congress in June: It recommends implementation of a unified post-acute payment system beginning in 2021 — three years earlier than first proposed.
Nursing home operators will receive a $390 million Medicare pay increase in fiscal 2018, the Centers for the Medicare & Medicaid Services announced in a rule proposed in late April.
President Trump just announced a new plan to slash tax rates for long-term care operators and other businesses. But his desire to aid the corporate class has apparently not made its way to the Centers for Medicare & Medicaid Services.
I'd say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.
It would be unwise to assume that Rep. Tom Price (R-GA), the likely new head of Health and Human Services, is always going to align with the values of long-term care providers. But in the midst of a whirlwind of news around cabinet appointments, it is worthwhile for nursing home providers to take a deep breath and read about what Price did — and more importantly, did not — say this week.
As interest in genetic testing rises, one woman faces 10 years in prison for a $1 million Medicare fraud scheme that lured seniors into unnecessary genetic testing.
Medicare spending slowed to a 4.5% growth rate in 2015, even as payments for nursing homes increased, according to a new analysis.
While I never expected long-term care to be a serious part of discussion within the three presidential debates, the wonky part of my heart still jumped for joy when moderator Chris Wallace asked about entitlement programs during the last debate Wednesday night.