A Covid Test Medicare Scam May Be a Trial Run for Further Fraud

Before the covid-19 public health emergency ended, Medicare advocates around the country noticed a rise in complaints from beneficiaries who received at-home covid tests they never requested. Bad actors may have used seniors’ Medicare information to improperly bill the federal government — and could do it again, say federal investigators.

Estafas a Medicare con pruebas para covid pueden generar otros fraudes

La cobertura de Medicare para las pruebas caseras de covid-19 finalizó hace pocos días, pero las estafas generadas por este beneficio temporal podrían tener consecuencias persistentes para las personas mayores.

As US Life Expectancy Falls, Experts Cite the Health Impacts of Incarceration

In a nation with one of the highest incarceration rates in the world, imprisonment speeds the aging process, research shows. Some experts complain the federal government isn’t collecting or releasing data that could identify disease patterns and prevent deaths.

Being ‘Socially Frail’ Comes With Health Risks for Older Adults

Researchers are identifying new ways to assess older adults’ social circumstances and identify risks that can compromise their health. “It’s a more complete picture of older adults’ circumstances than any one factor alone,” one expert said.

End of Covid Emergency Will Usher in Changes Across the US Health System

The May 11 expiration of the federal government’s pandemic emergency declaration will affect patient care across a broad range of settings, including telemedicine, hospitals, and nursing homes.

After People on Medicaid Die, Some States Aggressively Seek Repayment From Their Estates

States take drastically different approaches to recovering Medicaid money from deceased participants’ estates. Demands for repayment of Medicaid spending can drain the assets a person leaves behind, depending on where they lived.

California’s Massive Medicaid Program Works for Some, but Fails Many Others

Medi-Cal serves more than one-third of the state’s population — offering a dizzying range of care to a diverse population. In the new “Faces of Medi-Cal” series, California Healthline will assess the program’s strengths and weaknesses through the lives and experiences of its enrollees.

Community Workers Fan Out to Persuade Immigrant Seniors to Get Covered

California has enrolled into Medi-Cal more than 300,000 older immigrant adults lacking legal residency since May, but the state doesn’t know how many more might be eligible. Community workers are now searching for them.

Dementia Care Programs Help, If Caregivers Can Find Them

Programs assisting people with dementia — and their caregivers — improve quality of life and care. But millions of unpaid family and friend caregivers may not know where or how to find help.

California Dangles Bonuses for Nursing Homes That Add Staff

Rather than simply reward top-performing facilities, the state’s Medicaid program will hand bonuses to nursing homes — even low-rated ones — for hiring more workers and reducing staff turnover.

Montana Seeks to Insulate Nursing Homes From Future Financial Crises

Lawmakers are considering creating standards to set Medicaid reimbursement rates. But industry observers wonder whether the move would be too little, too late to bolster a beleaguered industry.

Proposed Medicare Advantage Changes Cannot Accurately Be Called ‘Cuts,’ Experts Say

CMS advanced two proposed changes that could affect Medicare Advantage plans. One would allow the government to recover past overpayments. As a result, it could reduce those insurers’ profits, leading them to increase enrollees’ out-of-pocket costs or reduce benefits. But it’s inaccurate to characterize the changes as “cuts.”

A Law Was Meant to Free Sick or Aging Inmates. Instead, Some Are Left to Die in Prison.

The First Step Act was supposed to help free terminally ill and aging federal inmates who pose little or no threat to public safety. But while petitions for compassionate release skyrocketed during the pandemic, judges denied most requests.