Seema Verma, President Donald Trump's nominee to lead the Centers for Medicare & Medicaid Services, told lawmakers on Thursday that she'd make targeting healthcare fraud and abuse a "top priority" should she get the job.
A Florida jury sided with a nursing home whistleblower this week regarding allegations over whether her former employer submitted false claims to the Medicare and Medicaid programs.
The effective date for some provisions of two recently announced bundled payment programs will be pushed back to allow the new administration time to review them, according to the Centers for Medicare & Medicaid Services.
Healthcare spending expected to be 20% of GDP by 2025 ... Former SNF aide faces up to 4 years in prison for $3,500 theft from resident ... Man arrested after breaking into SNF resident's room, taking clothes off
An appeals court this week declined to rule on the use of statistical sampling in False Claims Act cases, leading debate over the controversial fraud investigation method to continue.
The average national cost for both private and semi-private skilled nursing facility rooms has jumped again, with the average price of a private room reaching $102,900, according to a new report.
Major reforms to the Medicaid program are on the table this week as Republican lawmakers craft a reconciliation bill that would repeal the Affordable Care Act.
CMS nominee Verma may face conflict of interest over work in Indiana ... Direct Supply, Prime Care Technologies head to court over trade secret allegations ... Remote monitoring system for SNF residents with heart failure cut readmissions 24%
An Illinois skilled nursing facility will have to produce internal documents in a negligence lawsuit filed by the family of a resident, an appeals court ruled last week.
Debate over Medicare beneficiaries' hospital stays being classified as inpatient — a designation crucial to receive skilled nursing coverage — will continue, thanks to a court's order last week.
Rep. Mick Mulvaney (R-SC), President Donald Trump's pick to lead the Office of Management and Budget, has vowed to take "a hard look" at federal regulations if he's confirmed, according to published reports.
CMS releases manual updated with new requirements of participation ... Quality improvement tracking most common barrier to reducing readmissions ... Telehealth program shown to halve hospital admissions
A coalition of healthcare groups is pushing lawmakers and the new head of the Department of Health and Human Services to consider strengthening the Center for Medicare and Medicaid Innovation as they debate changes to federal health programs.
An embattled SNF owner who has been accused of leading a $1 billion Medicare fraud ring also allegedly bribed a state regulator to find out when surveyors would be visiting his facilities, according to the Miami Herald.
A New York company that grows and sells medical marijuana is attempting to tap into the skilled nursing industry to find new customers.
ACO participation cut post-acute spending by 9% ... Alternative payment model could boost palliative care, researchers say ... More seniors taking multiple 'brain-affecting' drugs, raising risk of falls
Rep. Tom Price (R-GA) was confirmed by a 52-47 vote as the new secretary of the Department of Health and Human Services Friday.
Value-based care models, including bundled payments for hip and knee replacements, reduce costs and unnecessary care, according to a new analysis.
Canadian physicians are over-prescribing antipsychotics to Parkinson's disease patients in long-term care facilities, a new study finds.
Nurse aide to serve year in prison for beating resident ... Florida LeadingAge CEO says a new Medicaid plan would "reverse 30 years of progress" ... Footprints in snow lead police to New Hampshire nursing home robber