Bipartisan House Members Want Investigation of Medicare Advantage Vertical Integration
Reps. Lloyd Doggett (D-Texas), Ranking Member of House Ways and Means Health Subcommittee, and Greg Murphy (R-N.C.), also a member of the...
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Bipartisan House Members Want Investigation of Medicare Advantage Vertical Integration
Reps. Lloyd Doggett (D-Texas), Ranking Member of House Ways and Means Health Subcommittee, and Greg Murphy (R-N.C.), also a member of the...
Joe Russell
Apr 231 min read
Blue Cross Blue Shield Loses $421M Fraud Verdict Over Denied Payments
A recent $421 million fraud verdict against Blue Cross and Blue Shield of Louisiana cast a national spotlight on the controversial...
Joe Russell
Apr 231 min read
MA Plans See Slower Growth Rate in 2025
MA enrollment reached 51.5 percent of eligible beneficiaries for 2025, a slight increase from 50.8 percent in 2024. As of March 2025, MA...
Joe Russell
Apr 231 min read
More in GOP looking to rein in MA plans.
As the Republican led Congress continues to look for ways to slash spending, more eye are turning to Medicare Advantage. Our team has...
Joe Russell
Apr 231 min read
Another potential MA plan target?
Last year, Medicare Advantage plans spent $38 billion on services traditional Medicare doesn't pay for, such as gym memberships, meals,...
Joe Russell
Apr 231 min read
Judge Rules Nursing Homes Don't Have to Comply with Staffing Rule
A Federal Judge has ruled that nursing homes will not have to comply with new staffing rules set by the Biden Administration. Judge...
Joe Russell
Apr 231 min read
Joe Russell
Apr 231 min read
Blue Cross Blue Shield Loses $421M Fraud Verdict Over Denied Payments
A recent $421 million fraud verdict against Blue Cross and Blue Shield of Louisiana cast a national spotlight on the controversial...
Joe Russell
Apr 231 min read
MA Plans See Slower Growth Rate in 2025
MA enrollment reached 51.5 percent of eligible beneficiaries for 2025, a slight increase from 50.8 percent in 2024. As of March 2025, MA...
Joe Russell
Apr 231 min read
More in GOP looking to rein in MA plans.
As the Republican led Congress continues to look for ways to slash spending, more eye are turning to Medicare Advantage. Our team has...
Joe Russell
Apr 231 min read
Another potential MA plan target?
Last year, Medicare Advantage plans spent $38 billion on services traditional Medicare doesn't pay for, such as gym memberships, meals,...
Joe Russell
Apr 231 min read
Judge Rules Nursing Homes Don't Have to Comply with Staffing Rule
A Federal Judge has ruled that nursing homes will not have to comply with new staffing rules set by the Biden Administration. Judge...
ILASN
Apr 161 min read
ILASN
Apr 161 min read
Joe Russell
Jan 305 min read
January 2025 News
‘A Band Aid on a Gaping Wound’: CMS’ $20M Incentive for RNs in Nursing Homes Leaves Much to be Desired The Centers for Medicare and...
joformal
Jan 221 min read
General Train to Retrain and Retrain
Presentation Handout
joformal
Jan 221 min read
Falls LCNT Quality Best Practices Buckner Westminster
Presentation Handout
ILASN
Nov 27, 20240 min read
Joe Russell
Nov 27, 20243 min read
Latest News Updates (11/20/24)
CMS bends to health plans' will on call center scoring. Â UnitedHealthcare, Centene and Humana have all sued the government this fall for...
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