Category: Medicare

Waste and fraud in fee-for-service healthcare model

A recent study highlighted in McKnight’s Long-Term Care News reveals that Medicare spends approximately $4.4 billion each year on 47 different low-value medical services—procedures that provide little to no clinical benefit to patients. Imaging services, including unnecessary CT scans and X-rays, account for about 95% of this spending. These findings align with broader research from

Medicaid Cuts Close Hospitals

Medicaid is the single most extensive health insurance program in the U.S. This public program covers 71 million low-income, disabled, and elderly U.S residents, pays for half of all U.S births, and provides care for 6 in 10 nursing home residents. According to the American Hospital Association, Medicaid is one of the most cost-efficient health

Industry Fears Medicaid Cuts

Republicans passed the reconciliation bill which included a 10-year delay on the federal staffing mandate, no change in nursing home provider taxes, and sweeping spending cuts that will indirectly affect skilled nursing facilities (SNFs). This bill cuts $1 trillion in health care and food assistance spending but will increase the national deficit by $3.4 trillion

Medicaid Cuts

Trump intends to cut Medicaid by more than $800 billion over the next decade. McKnight’s reported on a recent study conducted by Vincent Mor, PhD, a noted long-term care researcher in Brown’s Department of Health Services, Policy & Practice. He notes that 579 nursing homes are named in a new report as being at “elevated risk”

How cutting Medicaid could upend long-term care for many older Americans.

The Republican Senate passed a big spending bill that will increase deficits for decades. Two things are admitted by Republicans who voted for the bill. First, it would cut taxes in a way that would only benefit the wealthiest Americans. Second, to recoup some of that lost revenue, it would cut health care programs, particularly

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