In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on … [Read more...] about Elder Justice “No Harm” Newsletter | Volume 5, Issue 1 Now Available
Archives for March 2023
Report: Limited Federal Oversight of Cost Reports, Inflated Prices Paid in Nursing Home “Related Party Transactions”
In “Where Do the Billions of Dollars Go? A Look at Nursing Home Related Party Transactions,” the National Consumer Voice for Quality Long-Term Care (the national advocacy organization representing residents) reports on the limited federal scrutiny of … [Read more...] about Report: Limited Federal Oversight of Cost Reports, Inflated Prices Paid in Nursing Home “Related Party Transactions”
Medicare Advantage: It’s Not “Over-reach” – It’s Fraud
A Message from the Executive Director The New York Times recently published an article by Reed Abelson and Magot Sanger-Katz discussing the frenzied reaction of private Medicare Advantage plans to the Administration’s proposed changes to … [Read more...] about Medicare Advantage: It’s Not “Over-reach” – It’s Fraud
GAO Issues Report on Improving Infection Prevention And Control Practices In Nursing Facilities
In Nursing Homes: Experts Identified Actions Aimed at Improving Infection Prevention and Control, the Government Accountability Office (GAO) sets out actions that the Department of Health and Human Services could “continue, enhance, or discontinue to … [Read more...] about GAO Issues Report on Improving Infection Prevention And Control Practices In Nursing Facilities
Nursing Homes Operate Managed Care Programs for Their Residents – A Conflict of Interest
Although skilled nursing facility owners and operators complain about Medicare Advantage (MA) plans because they pay lower daily Medicare rates for shorter period of time than the traditional Medicare program,[1] they increasingly see a financial … [Read more...] about Nursing Homes Operate Managed Care Programs for Their Residents – A Conflict of Interest
Medicare Advantage Under Increased Scrutiny Pending Final Payment and Oversight Rules
As documented in a recent series of CMA Alerts, the Centers for Medicare & Medicaid Services (CMS) has proposed long overdue steps to address Medicare Advantage (MA) overpayments and oversight, including restrictive prior authorization and … [Read more...] about Medicare Advantage Under Increased Scrutiny Pending Final Payment and Oversight Rules
US House Effort To Support Nurse Staffing Ratios For Nursing Facilities
Led by Representatives Lloyd Doggett (D, TX) and Jan Schakowsky (D, IL), 113 Members of Congress urge the Centers for Medicare & Medicaid Services (CMS) to enact robust nurse staffing ratios for nursing facilities this year. In a March 13, 2023 … [Read more...] about US House Effort To Support Nurse Staffing Ratios For Nursing Facilities
Barriers to Care for Medicare Advantage Enrollees Highlighted even as Insurance Industry Continues Effort to Retain Their Overpayments
As the Center for Medicare Advocacy has outlined in recent CMA Alerts (including here, here and here), the Centers for Medicare & Medicaid Services (CMS) has recently taken long overdue steps to address Medicare Advantage (MA) overpayments and … [Read more...] about Barriers to Care for Medicare Advantage Enrollees Highlighted even as Insurance Industry Continues Effort to Retain Their Overpayments
In Memoriam: Mike Klug
It is with deep sadness that the Center – and the entire Medicare advocacy community – mourns the loss of Michael John Klug, who passed away earlier this week. Mike’s obituary is available in the Cedar Rapids Gazette. A long-time Medicare … [Read more...] about In Memoriam: Mike Klug
New Campaign: Finalize Proposed MA Payment Changes & Crack Down on Waste and Abuse
This week, Action Network Initiative (ANI), a non-partisan advocacy network that supports the mission of Arnold Ventures to maximize opportunity and minimize injustice through evidence-based policy reform, will kick off an integrated campaign to … [Read more...] about New Campaign: Finalize Proposed MA Payment Changes & Crack Down on Waste and Abuse