Category: Medicare

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

CMS Data

Skilled Nursing News reported industry apologists complaining about data on nursing homes on CMS.gov. Marc Zimmet, president of Zimmet Healthcare Services Group, is a well known industry apologist who defends nursing homes in civil litigation after the neglect and abuse of vulnerable adults caused by unsafe staffing and siphoning of taxpayer funds. He argues that

Cost of Insulin Declines

According to the American Diabetes Association, the inflation-adjusted cost of insulin increased 24% from 2017 to 2022. The expense leads many to ration their medication, which can have disastrous and even fatal consequences. Thanks to 2022’s Inflation Reduction Act, the cost of insulin continues to decline. Biden’s legislation included limiting the cost of insulin for Medicare

Access to Care

Medicare is a popular and successful government program. Improvement is needed based on the report published in Neurology. Nearly 20% of people on Medicare must travel 50 or more miles to see their neurologists. This is too far for many. People with brain cancer, amyotrophic lateral sclerosis (ALS) and multiple sclerosis (MS) travel the long

Ownership Transparency

For-profit corporations own 70% of nursing homes. Most place profit over patients. Oversight of the nation’s 15,000-plus nursing homes is “in crisis,” with facilities long overdue for routine inspections despite increased complaints of abuse and neglect. Last month, the Attorneys General of 18 different states sent a letter in support of a proposed rule that would

Health Care Fraud

A grand jury indicted Kevin Breslin and KBWB Operations, LLC, doing business as Atrium Health and Senior Living (Atrium) with a scheme to defraud Medicare and Medicaid. The indictment alleges that the scheme operated from January 2015 to September 2018. The indictment charges the defendants with health care fraud, wire fraud, mail fraud, tax fraud,

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