Demographics According to the 2020 U.S Census, people aged 65 and over comprise 16.8% of the country’s population. 70% of people currently age 65 or older will need some kind of long-term care, according to the federal government. However, there are only 1.7 million nursing home beds in 15,600 facilities, according to the Centers for
Whistleblower Settlement The IndyStar reported on a $5.5 million settlement over allegations of false claims and Medicare fraud. American Senior Communities LLC (ASC) is a private company that operates dozens of nursing homes owned by Health & Hospital Corp. of Marion County. The U.S. Attorney’s Office in the Southern District of Indiana announced the settlement.
Every year, tens of thousands of people enrolled in private Medicare Advantage plans are denied necessary care that should be covered under the program. A government watchdog report found private Medicare plans routinely rejected claims that should have been paid. These plans often denied services that were medically necessary. Not only are many seeing managed
Future Funding LeadingAge President and CEO Katie Smith Sloan recently said if Congress fails to pass Biden’s Build Back Better plan, it would be “one of their greatest failures ever” and would have “catastrophic human consequences” for older adults and their families. She believes the bill needs to include an expansion of home- and community-based
Politico reported something strange. Dentists are against providing Medicare recipients dental care! The Biden Administrations wants to expand Medicare to cover dental, vision and hearing care. However, conservative Democrats want to limit the expansion to only the poorest Americans. But Medicare is not just for poor people. We have never limited benefits based on means
Patient Outcomes McKnight’s had a good article on a recent proposal by the Medicare Payment Advisory Commission (MedPAC). This will replace the current value-based purchasing program with a more equitable, value-incentive model. MedPAC delivered its annual report to Congress. The report includes a recommendation to eliminate the current SNF VBP with an alternative incentive model that
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