A federal investigation into UnitedHealth Group’s involvement in nursing home care highlights a dangerous tension that has been building in long term care for years: when financial incentives influence clinical decisions, residents are put at risk. U.S. Senators Ron Wyden and Elizabeth Warren are demanding greater cooperation from UnitedHealth after reporting and whistleblower accounts raised
Too many skilled nursing facility residents are being misled about their rights, and it’s happening for a very simple reason: money. Recent reports show that some SNFs are telling residents they will lose their Medicare coverage if they leave “against medical advice” or before a certain number of days. That claim is false. Residents are
John Oliver satirizes Medicare Advantage and exposes both the systemic shortcomings of this insurance industry-created monstrosity, and its, er, disadvantages for consumers: https://www.youtube.com/watch?v=Ejoi9yfLVCc
McKnight’s reported that the Trump Administration has changed the rules in how nursing homes can charge patients and their family members. CMS, the overseer of Medicare and Medicaid, will protect families from having to pay when vulnerable adults lose coverage or run out of money. In the past, nursing homes were permitted to demand money from family
HR 1, formerly known as the “Big Beautiful Bill” is expected to have a massive impact on the long-term care and hospital sector. Some states, such as Idaho and North Carolina, have already made cuts to Medicaid in anticipation of HR 1. North Carolina plans to cut nursing home funding by 10%, and the state
Skilled Nursing News reported on a new report from the U.S. Department of Health and Human Services Office of Inspector General (OIG) confirms what families, advocates, and nursing home litigators have known for years: many facilities will take federal money meant for care and spend it in ways that do little — if anything —
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