Medicare

There’s a key question more providers need to know the answer to: What is a contract exclusion? A contract exclusion details the medications and treatments that are not included in the levels of a managed...

A new US Government Accountability Office (GAO) report found that the use of cognitive assessment and care plan services tripled in traditional fee-for-service Medicare between 2018 and 2022. However,...

A Congressional advisory group appears ready to recommend a 3% Medicare pay cut for nursing homes in 2025.

A federal judge rejected a skilled nursing executive’s appeal to overturn his 15-year exclusion from Medicare, ruling that his staffing decisions were a “straightforward” obstacle to routine checks...

The Medicare Payment Advisory Commission will delve into the adequacy of skilled nursing facility payment levels at the panel’s annual December meeting next Friday morning.

Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell.  Those ads must work.  For the first time 2024 will see most Medicare...

Some solutions, but Congress once again kicks healthcare funding can down the road as policy, finance issues mount … Labor board extends start date for new joint-employer rule … Application period...

Study links military service with Alzheimer’s disease … Drug could “switch” memory protein in brain …Gene therapy for osteoarthritis looks good in trial … Nurses still need better support,...

OIG pledges fresh audit of nursing home payroll-based staffing data … Senate hearing explores making Medicare telehealth benefits permanent … Ziegler pinpoints 900 not-for-profit sales/mergers since...

Jerry Gurwitz was one of the first doctors to receive the designation as a geriatrician. He’s now the chief of geriatric medicine at the University of Massachusetts Chan Medical School. Recently, he...