Medicare Advantage

A New York-based provider is settling allegations that it switched resident’s Medicare coverage to maximize its reimbursements for nearly $8 million.

Congressional lawmakers are being urged to address weaknesses in Medicare Advantage plans in response to a federal watchdog report that found that the MA organizations have often improperly denied or delayed...

An influential group of healthcare providers is calling on the Department of Justice to investigate Medicare Advantage organizations that have been found wrongly denying services to beneficiaries. 

In addition to sagging Medicare Advantage payment rates, some skilled nursing providers also find themselves routinely doing battle to get paid for services they’ve already delivered. 

Medicare Advantage plans will be more incentivized to address gaps in care if consumer care assessments include more input from enrollees with dementia, investigators say.

Skilled nursing providers are demanding changes after a new federal report found that Medicare Advantage organizations (MAOs) have improperly denied or delayed services to beneficiaries to increase profits. 

OIG: Medicare Advantage plans denying, delaying services to beneficiaries … FDA approves first drug in its class to treat the heart ailment obstructive HCM … Intranasal insulin may boost function in...

The 8.5% boost in average revenue slated for Medicare Advantage plans in 2023 is proof of the Centers for Medicare & Medicaid Services support of the program and could mean improved payment for post-acute...

Post-acute care discharge instructions rebounded to pre-pandemic levels last year with home health agencies outperforming skilled nursing facilities. 

The Centers for Medicare & Medicaid’s plan to create more options for the Medicare Advantage program through payment changes is being encouraged by the nation’s largest nursing home association.