Category: Medicare

Dr. Oz is a quack

President-elect Donald Trump will nominate TV personality and unsuccessful Senate candidate Mehmet Oz, MD, as the next administrator of the Centers for Medicare & Medicaid Services. Before being endorsed by Trump, Oz praised the Affordable Care Act, or Obamacare, saying that everyone should have insurance, or have it provided for them. He has publicly admired

Medicare at Home

In a new plan called “Medicare at Home,” Vice President Harris proposed expanding Medicare to cover in-home senior care — aiming to help the “sandwich generation” of adults caring for aging parents while raising their children at the same time. Harris wants Medicare to cover long-term care, including in-home aides. “Medicare will cover home care for the first time

Absence of Medical Direction

According to a study published by the Journal of the American Geriatrics Society on September 2nd, more than one-third of nursing home facilities in the U.S. had no medical director present in the first quarter of 2023. That is ridiculous. Nursing homes need medical directors.  “§483.70(g)(1) The facility must designate a physician to serve as

Hospice Services in Nursing Homes

Are hospice services underutilized because of fear and stigma? Many patients in nursing homes qualify for hospice care yet never receive it.  Why? Vincent Mor, phD, a professor of health services, policy and practice at Brown University, noted that despite Medicare and Medicaid coverage, in-facility hospices remain rare in skilled nursing settings. Mor has researched hospice

MDS Data

McKnights reported on CMS’ announcement that all information regarding ownership, aggregated MDS data for consumers will be posted on the Nursing Home Compare website. According to a CMS policy memo, all changes stated above became effective July 31. This is good news for consumers and academics.  To create more transparency, officials are posting more information

Fraudulent claims

A 2021 LAist investigation for a nursing home chain has finally reached a settlement of $7 million over allegations of falsely billing the government for Medicare during a COVID waiver program. To free up some hospital beds during the pandemic, the federal government waived the requirement for nursing home residents to have been hospitalized for

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$1.05 Million Largest Nursing Home Jury Award in Spartanburg History

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$15 Million Awarded in Highway Collision

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