Nearly one-third of Medicaid fraud criminal convictions the federal government obtained last year involved home health aides, a government report finds. Thirty percent of the 2014 cases involved home health aides, while certified nursing aides were culprits in 9% of convictions.
A 78-year-old retired lawmaker on Wednesday was found not guilty of sexually abuse of his Alzheimer's-afflicted wife. The Iowa case attracted nationwide attention and has been watched closely by many long-term care professionals.
A special one-hour, web-based open door forum will be held May 7 to explain to providers the new set of star ratings for the Home Health Compare website, the Center for Medicare & Medicaid Services announced.
Convicted nursing home killer says evidence destroyed .... Rhode Island zeroing in on Medicaid reimbursements ... AHCA lends support for Veterans Access bill ... Assisted living caregiver charged with raping resident
The nation's largest pharmacy services provider for nursing homes is believed to be looking for a buyer.
Much of last week's historic bill that created new payment rates for Medicare doctors was left unfunded by lawmakers, and now GOP budget hawks are presenting ideas that provoke anxiety in the sector.
Managed care is not being warmly embraced by long-term care providers everywhere. Nearly 40 states are in various completion phases of transitioning to privatized Medicaid managed care systems, but Louisiana's nursing homes are defiantly resisting efforts there to have them join the party.
Medical researchers say a new treatment could effectively combat the biggest obstacle in managing Parkinson's Disease - the difficulty in absorbing medications because of erratic muscles that control digestion.
Husband in Alzheimer's-sex case acquitted ... LTC Community Coalition releases state survey report ... Families for Better Care criticizes Florida assisted living proposal ... Medicaid applications lagging in NJ
HCR ManorCare said Tuesday it will "vigorously defend" itself in three separate "whistleblower" lawsuits that allege it submitted false claims to Medicare and Tricare.
Information security at nine selected Medicare administrative contractors, at least as of two years ago, was improving, according to a recent report by the Department of Health & Human Services Office of the Inspector General.
Police said Monday that the death of a 93-year-old woman in a Winston-Salem, NC, assisted living facility is now being investigated as a homicide.
AHCA joins AHA and other groups in letter opposing sequestration extension ... Minnesota nursing home bill would link quality to payments ... Georgia Medicaid program owes $100 million in overpayments, feds say
House and Senate Republican lawmakers began working on a budget this week that could propose slashing Medicare and Medicaid in an effort to work toward a balanced budget without fiddling with tax rates, according to published reports.
After more than 10 years of warnings by government investigators, the Centers for Medicare & Medicaid Services now has a mandate to remove Social Security numbers from enrollees' cards — a practice identified as one of the top personal financial threats seniors face today.
There's a lot that's unclear in an attempt to cook peppers in Everclear in an assisted living residence last week.
Maintenance worker accused of stealing $17,000 from assisted living resident ... Medicare beneficiaries should sign end-of-life directives, Jeb Bush says ... Tylenol may hamper emotions, study finds
New AARP research reveals that the use of hospital "observation" status is having a substantial impact on out-of-pocket healthcare costs and follow-up care decisions for many Medicare beneficiaries.
Long-term care providers would do well to know the lesson from one Pennsylvania continuing care facility, which averted costly litigation when it discovered and later reported irregularities of more than $1 million in Medicare claims.
The long-time head of Georgia's most powerful nursing home lobby resigned last week, revealing a rift that had grown among providers. The exec had spoken out in favor of lesser funding from the state and spreading it to more than just a small group of providers.
Former assisted living worker sues employer over alleged defamation of character ... Nursing home workers protest for higher wages ... More people are doing end-of-life planning, study finds
A top nursing home advocate on Thursday urged killing a bill calling for the bundling of Medicare payments for post-acute care services.
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
The historic repeal of the "doc fix" this week left about equal numbers of stakeholders relieved and disappointed. Among the most crestfallen: Therapy providers who were hoping for Congress to finally repeal Medicare Part B outpatient therapy caps.
CMS releases Hospital Compare Fact Sheet ... Nurse empowerment is needed to improve outcomes in long-term care, researchers say ... Florida lawmakers headed for overtime session over Medicaid fight
Long-term care providers are struggling to satisfy new mandates over electronic reporting and medical records, and can expect more in the near future. But nothing can compare to the kind of information technology nightmares some state Medicaid departments are currently reeling from.
If rising discontent with wages hasn't raised eyebrows in your nursing home, there's a decent chance it could in the upcoming campaign season.
Few things signal the fresh start of a presidential campaign season better than stump speeches calling for Medicare and Social Security cuts. And 2015 is no exception.
Medicare would increase skilled nursing facility reimbursements by 1.4%, or $500 million, in 2016 under an updated payment rate proposed Wednesday.
LeadingAge's Barbara Gay lays out how 'doc fix' bill impacts providers ... Diabetes, depression create even higher risk for dementia than previously thought ... Connecticut nursing home strike postponed ... Feds say Missouri Medicaid program failed to bill for $50 million in rebates
The Senate overwhelmingly voted to pass H.R. 2 Tuesday night, paving the way for repeal of the Medicare Sustainable Growth Rate and drawing the praise of the largest nursing home association in the country.
The government has posted technical specifications showing long-term care facilities how to electronically submit staffing information based on payroll data under a new system that becomes mandatory in July 2016
A federal judge has told the plaintiff suing a Kentucky nursing home that he could not proceed with his negligence per se claims based on violations of standards set by federal law or state licensing regulations.
Nursing homes chase Medicare patients: NYT ... Nursing home dog makes rounds via elevator ... Kentucky looks at new Medicaid managed care contracts
Johns Hopkins researchers say meaningful organized social activities could stop, and in males actually reverse, declines in volume in regions of the brain vulnerable to dementia.
The American Health Care Association and National Center for Assisted Living are urging the U.S. Senate to act quickly on a potentially historic bill for establishing Medicare rates for doctors.
A U.S. District Court judge recently sent a lawsuit between a Mississippi law firm and an Ohio nursing home back to state court after determining the law firm failed to show sufficient evidence that the amount of alleged damages warranted the matter being in federal court.
Canadian scientists say their research shows that dancing the Argentine tango can improve balance and provide "modest" benefits on cognition and fatigue in patients with Parkinson's disease.
Former RehabCare CEO killed in plane crash ... Texas Medical Board votes to restrict telemedicine ... VA Senator pushes for long-term care legislation, discusses mother's Alzheimer's ... Montana legislators vote for Medicaid expansion
A nursing home and a rehab therapy provider recently beat a federal whistleblower lawsuit because the government's expert witnesses relied on the wrong standard to show why certain therapy services were "medically unnecessary."
Swedish researchers say they have produced the first "statistically significant" proof that impact-absorbing flooring can provide measurable benefit in preventing injuries from falls inside nursing homes.
Feds say health IT vendors hindering reform efforts ... Mental practice and physical therapy effective for stroke survivors ... New guidance on contact precautions for facility visitors ... Middle-aged, underweight brings one-third greater dementia likelihood.
Long-term care leaders who have widely endorsed a House proposal to permanently "fix" the Sustainable Growth Rate formula, might be suffering buyer's remorse after learning Friday that the bill might not provide the lasting relief it promises. But they're still hopeful as the Senate reconvenes Monday.
Chicago-based Ventas' announcement that it will be spinning off its skilled nursing facilities could have a snowball effect among other long-term care healthcare investors, analysts believe.
Procedures for petitioning for union representation are changing April 14, when a final rule proposed the National Labor Relations Board (NLRB) go into effect.
More than 1,300 low-wage workers in northern California will get about $6.8 million in back pay from nursing homes and other long-term care facilities as a result of an ongoing U.S. Department of Labor probe.
Genworth: Private SNF room charges now $91,000 ... Seniors housing occupancy declines in 1Q ... Lower extremity revascularization mainly palliative ... Modifications to Medicare Advantage star ratings withdrawn.
A new report produced for the prestigious Robert Wood Johnson Foundation concludes that Medicaid expansion provides a "win-win" for participating states and the government.
A San Diego man will serve 2½ years in custody after being ordered to repay the government nearly $1 million for what prosecutors say were phony Medicare claims for medically unnecessary and unsupervised tests on unsuspecting seniors, the FBI reported.
Researchers say they have uncovered subtle clues of early dementia in Ronald Reagan's presidential speeches from years before he was formally diagnosed in 1994.
ALFA will establish a separate credentialing organization for industry certification ... Missouri researchers create new dysphagia model ... New York makes "unprecedented investment" in Alzheimer's care ... Nursing union alleges surveillance ... NLRB general counsel gives guidance on final union election rule
Significant reductions in adverse drug events, infections, wounds and use of restraints in nursing homes are among the key achievements touted this week by federal regulators.
Leg revascularization does not help nursing home resident outcomes ... Man arrested after being accused of breaking into nursing home and holding resident, nurse hostage ... Florida governor changes mind on Medicaid
The Centers for Medicare & Medicaid Services has announced a proposed rule that would require Medicaid managed care patients to receive the same level of coverage for mental health and addiction treatment as they do for medical and surgical care.
A trial centers on the brief marriage of two people in their 70s, with one going on trial for having sexual relations with his wife after being told she suffered from Alzheimer's disease.
Congress' advisory panel for Medicare payment policy is considering a plan that would stop covering certain "low-value" procedures and tests because their return on investment isn't good enough.
Just a month after spending $2.9 billion to acquire medical office buildings and senior housing assets, Ventas announced Monday it will spin off its skilled nursing facility portfolio following the new acquisition of a 14-hospital chain in the Southwest.
CMS finalizes 2016 payment and policy updates for Medicare Health and Drug Plans ... Assisted living resident accused of stabbing roommate ... Connecticut debates letting spouses of nursing home residents keep more assets
It's not clear yet whether Pennsylvania will become the fifth state to adopt rules or laws prohibiting or allowing private video recording or surveillance in nursing homes. But one Philadelphia nursing home's struggle to deal with the technology created a storm of controversy recently.
The love for dementia residents at the Intermissions Program at Wind Crest in Highlands Ranch, CO, isn't ham-handed. Residents are delighted when two pot-bellied pigs, Boris and Pumba, visit and provide affection.
SNFs have increased their presence in rehab for years, and now many need to replace, restore or otherwise reinvigorate their programs.
A California court case concerning waived breaks could have widespread implications for healthcare workers encouraged to give up meal time during extra-long shifts.
One gets the feeling that federal regulators, no matter how proper the official talk went, took a bit of pleasure in sending a message to providers when recently rebasing their star ratings.
The HIPAA landscape evolves for providers as cloud storage, mobile devices and large-scale cyber attacks present new challenges to security and privacy efforts
All of the bells and whistles in the world won't protect your staff and residents unless you spend the proper time and resources beforehand preparing for a new security system. Transitions from old to new systems can be risky. Experts offer advice on how to do it well.
How is the decision made whether a resident should be resuscitated?
Having primary care nurses promote physical activity could be effective enough to reduce heart disease and Type 2 diabetes risk among seniors, according to a British study.
Conventional wisdom holds that the sweet spot for long-term care residents is around age 85, give or take. But what if that figure were to increase dramatically?
Nursing homes entered a new era of tougher government scrutiny on Feb. 23, when officials released rebased Five Star ratings.
Operators selling properties saw their best year ever in 2014 — and 2015 could be even better.
A comprehensive review of Centers for Medicare & Medicaid Services' quality measurement efforts since 2006 paints a mostly positive picture of quality measurements in nursing homes.
Playing music too loud, or even just in the background too much, could impede seniors' ability to remember simple concepts, including names.
A systematic review of 23 published research studies on the risk of dehydration in people 65 and older left researchers with little conclusive evidence about causes or a solution, investigators reported in the Annals of Long-Term Care.
Providers are seeking legislation to end old therapy cap rates and to see changes in manual medical review process for therapy claims.
Federal regulators recently unveiled a new accountable care organization model they feel will appeal to long-term care operators.
Managed care is being seen as the answer to control our significantly increased healthcare costs. With the magnitude at which managed care is growing and spreading throughout the nation, it is evident managed care is here to stay for quite some time.
Staffing and retention rates are expected to be added to the Nursing Home Compare website in 2016.
A Medicare payment watchdog group saddled with huge case backlogs and heavily criticized for causing delays in resolving reimbursement issues has changed its name and location on the web.
The White House Conference on Aging is collecting comments from long-term care stakeholders through a series of regional forums across the U.S. about their concerns regarding the future of Medicaid funding.
The debate over whether Recovery Audit Contractor audits are an incentive-laced system of provider harassment or a necessary tool to redistribute misspent Medicare funds continues. Neither side appears to be backing down
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
Early identification of diversion and abuse benefits everyone involved. However, don't jump to conclusions before you are sure of the actions that are making you uncomfortable.
An international trial is examining the efficacy of a vaccine for C. difficile, the gut-destroying bacterium that is particularly dangerous to seniors.
Too many blood pressure medicines in patients over 80 could be dangerous if they have low systolic pressure, new European research reveals.
While preparing to open Avanti Senior Living communities, COO Lori Alford needed the right electronic medical records system.
Despite new research suggesting that a majority of U.S. adults - 56% - now embrace using a connected device at home to monitor health and share data with caregivers, telemedicine may not be the savior some forecast it to be, according to a study by Mayo Clinic and Purdue University scientists.
Whenever I pass one of those cinderblock mini-storage places with double-loaded rows of strictly functional corridors, I think the same thing: "That looks like some nursing homes I've been in."
Palliative care is focused on the relief of symptoms with a goal to improve the quality of the individual's life.
The Food and Drug Administration approved its first biosimilar product in March, opening the door for more costly drug alternatives.
Long-term care providers are increasingly turning to technology that can recruit or track new hires, with the latest system coming from OnShift.
It may sound fishy, but a popular dinner in many homes — tilapia — could also help wounds heal faster, according to a study out of Shanghai Jiatong University School of Medicine.
Wheelchair cushions designed to adjust to a person's size and form can help redistribute pressure and provide support for activities of daily living for patients with spinal cord injuries, report scientists at the Instituto Nacional de Rehabilitación (Rehabilitation National Institute) in Mexico City.
When he's not busy working to improve the quality of life of residents at Sunrise Senior Living's more than 300 assisted living communities, Ed McMahon, Ph.D., can often be found perfecting his recipe for mulligatawny soup or planning his next trip overseas with Wade, his husband of 30 years.
After giving the ruling a few days to sink in, several patient advocate groups now say a Supreme Court decision will end up hurting Medicaid beneficiaries more than anyone.
Pennsylvania's probe into alleged staffing problems at several nursing homes are among the latest to call into question certain kinds of arrangements.
New Jersey can kick out non-citizens from Medicaid ... Woman pleads guilty to running illegal assisted living program out of her apartment ... Multidrug-resistant shigellosis hits U.S. ... Preferred Care defends treatment of residents
A federal judge has dismissed a former Brookdale Senior Living employee's False Claims Act suit against the company while leaving the door open for an amended complaint, according to published reports
Plaintiffs in a negligent death lawsuit are asking the Texas Supreme Court to reconsider its recent ruling giving providers more leeway in forcing arbitration over alleged negligent care.
New Mexico has filed suit against one of the nation's largest nursing home operators for providing what it claims were inadequate resources that led to poor care and improper billing. One leading patient advocate called the action a "new and novel approach" to the "chronic and longstanding problem of inadequate nurse staffing in nursing facilities."
Executives from former nursing home resident monitoring firm Samarion Solutions face up to five years in prison and $250,000 fines after pleading guilty to conspiracy to defraud their firm's investors.