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$125 million SNF settlement contributes to $1 billion bump in fraud recoveries

$125 million SNF settlement contributes to $1 billion bump in fraud recoveries

The $125 million settlement by Kindred Healthcare Inc. and a $30 million settlement with North American Health Care over therapy claims are counted among recoupments by the federal government that totaled $3.3 billion in fiscal year 2016.

Price confirmation hearing focuses on ACA replacement, investments

Democratic senators used the first confirmation hearing for Department of Health and Human Services nominee Rep. Tom Price (R-GA) to grill the surgeon-turned-lawmaker on how the administration plans to handle its promised repeal of the Affordable Care Act.

Outgoing CMS admin embarks on Twitter tongue-lashing

Taking a cue from the incoming president, Centers for Medicare & Medicaid Services Acting Administrator Andy Slavitt is using Twitter to let the public know that while his tenure with the agency is ending, his defense of the Affordable Care Act isn't.

Also in the News for Friday, Jan. 20

Nearly 400,000 providers to join alternative payment models in 2017 ... California may end dual-eligible care coordination program for LTSS ... Researchers find way to use patients' heartbeats as password to EHR

CMS reports 'sharp' drop in avoidable hospitalizations among long-term care residents

CMS reports 'sharp' drop in avoidable hospitalizations among long-term care residents

The rate of potentially avoidable hospitalizations among dual-eligible long-term care residents fell by nearly a third in recent years, the Centers for Medicare & Medicaid Services reported on Tuesday.

Resident's family won't be forced to arbitrate claims, court rules

The family of a deceased Kentucky nursing home resident will not have to arbitrate a dispute with the facility following a federal court's ruling. The decision arrived last week, just over a month before the Supreme Court is scheduled to hear arguments in a case debating the validity of arbitration agreements.

Provider gets court's OK for new developments after competitors stage legal battle

An Illinois-based rehabilitation provider can start building two new facilities after fighting other long-term care facilities in court over the development.

Also in the News for Thursday, Jan. 19

McKesson to pay $150 million in record settlement over 'suspicious' drug orders ... GAO targets improper Medicare, Medicaid payments ... American Geriatrics Society calls on Trump to focus on healthcare workforce shortage

CMS stresses disaster preparedness in cyber security advisory

CMS stresses disaster preparedness in cyber security advisory

Long-term care providers should consider cyber security when developing and reviewing their emergency-preparedness plans, the Centers for Medicare & Medicaid Services advised in a memo sent Friday.

Advance directives sloppy, providers lagging, study finds

Many nursing home providers are missing out on opportunities to reduce unnecessary care and cut healthcare costs by not having residents' advance directives on file, according to recent research.

LTC providers 'win' with new regs on drug repackaging, group says

Guidance on medication repackaging recently published by the U.S. Food and Drug Administration is earning praise from one long-term care pharmacy group, which says the final guidelines help reduce drug-related risks for residents.

Also in the News for Wednesday, Jan. 18

LTC resident gets life sentence for beating fellow resident to death ... Report: HHS nominee Price received campaign donations for introducing bill to delay bundled payments ... CMS finalizes Medicaid rule with controversial limits on pass-through payments

MedPAC sending recommendation to revise skilled nursing PPS to Congress

MedPAC sending recommendation to revise skilled nursing PPS to Congress

The Medicare Payment Advisory Commission finalized its recommendations for the skilled nursing industry on Thursday, keeping with an earlier proposal that would stick the industry with market basket cuts and a revised prospective payment system.

Lawmakers introduce bill to add dental, vision services to Medicare

Calls from senior advocates to add dental coverage to the Medicare program are answered under a House bill proposed on Thursday.

HHS finalizes rule to clean up Medicare claim appeals process

The U.S. Department of Health and Human Services will take aim at its massive Medicare claim appeals backlog with a rule finalized on Friday.

Also in the News for Tuesday, Jan. 17

Providers need to take common viruses in LTC as seriously as flu, researchers warn ... Official: Interoperability, incentives should still be top priority under Trump administration ... Wearable sensors may help detect infections, diabetes

Value-based 'train has already left station,' unlikely to be affected by ACA repeal, experts say

Value-based 'train has already left station,' unlikely to be affected by ACA repeal, experts say

A focus on post-acute care partnerships and value-based purchasing is likely to persist across the healthcare industry in 2017, despite uncertainty surrounding the future of the Affordable Care Act.

Court blocks resident's estate from appealing SNF arbitration ruling

The estate of a deceased nursing home resident can't appeal a previous court's decision that required them to arbitrate their dispute with the nursing home where she died, a federal appeals court ruled on Wednesday.

Police looking into possibility of more victims in case of nurse charged with murdering 8 residents

Canadian authorities are investigating the possibility that a former long-term care nurse who allegedly murdered eight residents may have harmed or killed other patients as well.

Also in the News for Friday, Jan. 13

CMS seeking participants for new post-acute quality measures pilot study ... Medicare Advantage enrollees get less intense PAC with better outcomes, study says ... Price may not be confirmed as HHS secretary until mid-February, insiders say