Category: Medicare

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

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

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$15 Million Awarded in Highway Collision

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