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So WHO is cutting MEDICARE again?? Biden Moves to Slash Medicare Payments
So WHO is cutting MEDICARE again?? Biden Moves to Slash Medicare Payments
By Beekeeper
2 Jul 2023 6:33 am in No Holds Barred Political Forum
2 Jul 2023 6:33 am
Yeah, as ALWAYS, the LWNJs do all they can to HIDE AND DEFLECT from their OWN CUTTING AND GUTTING OF MEDICARE of which NO REPUBLICAN HAS SUGGESTED OR DONE!!
President Joe Biden’s administration moved to slash Medicare payments for home health agencies on Friday, a move opposed by both Republicans and Democrats.
The Centers for Medicare and Medicaid Services (CMS) proposed a rule that would reduce Medicare payments by 2.2 percent, or $375 million in 2024. The proposed cut means that home health agencies would have to take a 5.1 decrease of $870 million based on the assumption that the agencies altered their billing and coding activity to “maximize reimbursements in 2020 and 2021.”
Bloomberg noted that home health agencies provide care for patients in the care and convenience of the client’s home, especially for America’s seniors. Seniors usually prefer home health agencies over nursing home care.
In 2021, traditional Medicare spent $16.9 billion for home health services on behalf of about three million beneficiaries, the Medicare Payment Advisory Commission reported. Nearly 11,500 home health agencies participated in the Medicare program that year.
The Partnership for Quality Home Healthcare said that the cuts would exceed $18 billion over the next ten years and comes at a time when the industry faces rising costs and a lack of skilled nurses and patients.
CMS has made these cuts assuming it had made $2.1 billion in alleged overpayments. However, the Partnership said that CMS is using a flawed methodology to assess past overpayments.
Joanne Cunningham, the CEO of the Partnership, said in a statement:
President Joe Biden’s administration moved to slash Medicare payments for home health agencies on Friday, a move opposed by both Republicans and Democrats.
The Centers for Medicare and Medicaid Services (CMS) proposed a rule that would reduce Medicare payments by 2.2 percent, or $375 million in 2024. The proposed cut means that home health agencies would have to take a 5.1 decrease of $870 million based on the assumption that the agencies altered their billing and coding activity to “maximize reimbursements in 2020 and 2021.”
Bloomberg noted that home health agencies provide care for patients in the care and convenience of the client’s home, especially for America’s seniors. Seniors usually prefer home health agencies over nursing home care.
In 2021, traditional Medicare spent $16.9 billion for home health services on behalf of about three million beneficiaries, the Medicare Payment Advisory Commission reported. Nearly 11,500 home health agencies participated in the Medicare program that year.
The Partnership for Quality Home Healthcare said that the cuts would exceed $18 billion over the next ten years and comes at a time when the industry faces rising costs and a lack of skilled nurses and patients.
CMS has made these cuts assuming it had made $2.1 billion in alleged overpayments. However, the Partnership said that CMS is using a flawed methodology to assess past overpayments.
Joanne Cunningham, the CEO of the Partnership, said in a statement:
William Dombi, president of the National Association for Home Care & Hospice, said in a statement, “We now turn to Congress to correct what CMS has done and prevent the impending harm to the millions of highly vulnerable home health patients that depend and will depend in the future on this essential Medicare benefit.”The Partnership has repeatedly expressed concerns with CMS’ actions aimed at cutting Medicare home health reimbursement, primarily because of the serious impacts on access to the home-based care that patients and families overwhelmingly prefer. The home health provider community is gravely concerned that CMS’s proposed actions for 2024 will only continue to degrade beneficiary access to home healthcare services.
in other words, businesses were ripping off the taxpayers with MEDICARE FRAUD.Beekeeper » 02 Jul 2023, 6:33 am » wrote: ↑ Yeah, as ALWAYS, the LWNJs do all they can to HIDE AND DEFLECT from their OWN CUTTING AND GUTTING OF MEDICARE of which NO REPUBLICAN HAS SUGGESTED OR DONE!!
President Joe Biden’s administration moved to slash Medicare payments for home health agencies on Friday, a move opposed by both Republicans and Democrats.
The Centers for Medicare and Medicaid Services (CMS) proposed a rule that would reduce Medicare payments by 2.2 percent, or $375 million in 2024. The proposed cut means that home health agencies would have to take a 5.1 decrease of $870 million based on the assumption that the agencies altered their billing and coding activity to “maximize reimbursements in 2020 and 2021.”
Bloomberg noted that home health agencies provide care for patients in the care and convenience of the client’s home, especially for America’s seniors. Seniors usually prefer home health agencies over nursing home care.
CMS has made these cuts assuming it had made $2.1 billion in alleged overpayments. However, the Partnership said that CMS is using a flawed methodology to assess past overpayments.
Joanne Cunningham, the CEO of the Partnership, said in a statement:
William Dombi, president of the National Association for Home Care & Hospice, said in a statement, “We now turn to Congress to correct what CMS has done and prevent the impending harm to the millions of highly vulnerable home health patients that depend and will depend in the future on this essential Medicare benefit.”
Thank you, Beekeeper, for bringing it to my attention that the Biden administration is working to prevent companies from defrauding the U.S. taxpayer.
No, cupcake, Biden is making ASSUMPTIONS without any EVIDENCE that anyone is "ripping Medicare off". He is saying that INFLATION ISN'T REAL in Medicare, so he is CUTTING PAYMENTS that VULNERABLE SENIORS NEED TO SURVIVE!!OdeToJoy » 02 Jul 2023, 7:08 am » wrote: ↑ in other words, businesses were ripping off the taxpayers with MEDICARE FRAUD.
Thank you, Beekeeper, for bringing it to my attention that the Biden administration is working to prevent companies from defrauding the U.S. taxpayer.
Which goes hand in hand with EVERYTHING you LWNJ's believe- KILL GRANNY then blame it on REPUBLICANS!!
Nope. A representative for a for profit Hospice company came over to talk at my senior apartment building about hospice. She said that Medicare required that Hospice was only for people whose doctors had determined that they would die in about a month. But she said we didn't need to worry about that because some of these people were still alive, and on hospice care, after 18 months.Beekeeper » 02 Jul 2023, 7:12 am » wrote: ↑ No, cupcake, Biden is making ASSUMPTIONS without any EVIDENCE that anyone is "ripping Medicare off". He is saying that INFLATION ISN'T REAL in Medicare, so he is CUTTING PAYMENTS that VULNERABLE SENIORS NEED TO SURVIVE!!
Which goes hand in hand with EVERYTHING you LWNJ's believe- KILL GRANNY then blame it on REPUBLICANS!!
They had just converted basic homecare to the way more expensive hospice care.
There are a lot of videos on YouTube about the level of fraud in Hospice care.
https://youtu.be/D1tEjywL9ME
https://youtu.be/HVV8yib3MSE
https://youtu.be/zZ8ZCpC95hw
The Progressive Democrat / Rino Ruling Elite see old people, sick people, mentally ill people, disabled people and people who won't conform to an Authoritarian State. as being in the broken human category.
"Broken Humans" are an expense and a problem that the Progressive Elite do not want or need.....BUT!... Right now they need those "broken humans" for propaganda purposes as well as support.
Once their power is unchallengeable they will look for a "Final Solution" to the costly "Broken Human" problem.
The National Socialists of Germany used the American Progressive Movement as a guide in building what would become the Nazis of WWII fame. Why would anyone expect anything different from today's Progressive / Rino...they are cut from the same cloth as the Nazi were
"Broken Humans" are an expense and a problem that the Progressive Elite do not want or need.....BUT!... Right now they need those "broken humans" for propaganda purposes as well as support.
Once their power is unchallengeable they will look for a "Final Solution" to the costly "Broken Human" problem.
The National Socialists of Germany used the American Progressive Movement as a guide in building what would become the Nazis of WWII fame. Why would anyone expect anything different from today's Progressive / Rino...they are cut from the same cloth as the Nazi were
Medicare signals crackdown on hospice fraud
https://www.axios.com/2023/04/03/medica ... pice-fraud
Medicare administrators are cracking down on hospice fraud, releasing a proposal to require physicians who order hospice services to be enrolled in or validly opted out of Medicare in order to get paid.
Why it matters: Lawmakers are concerned about hospice fraud and want to see CMS step up to curb it.
https://www.axios.com/2023/04/03/medica ... pice-fraud
Medicare administrators are cracking down on hospice fraud, releasing a proposal to require physicians who order hospice services to be enrolled in or validly opted out of Medicare in order to get paid.
Why it matters: Lawmakers are concerned about hospice fraud and want to see CMS step up to curb it.
- Reps. Beth Van Duyne (R-Texas) and Earl Blumenauer (D-Ore.) wrote to CMS in February asking for a briefing on the agency’s oversight of the hospice program and any gaps in its oversight tools.
- "CMS is looking closely at the hospice industry, as we have increasing concerns about fraud, waste and abuse in this space," the agency said in a fact sheet accompanying the proposal.
- CMS cites reports from the Office of Inspector General that some physicians have falsely certified beneficiaries as terminally ill in order to get them into hospice care.
- ProPublica and the New Yorker late last year documented how the design of Medicare's hospice benefit and lax payment systems create incentives for hospices to cut corners and target patients who are not actually dying.
- Medicare hospice spending exceeds $22 billion annually, per MedPAC.
Nope. A representative for a for profit Hospice company came over to talk at my senior apartment building about hospice. She said that Medicare required that Hospice was only for people whose doctors had determined that they would die in about a month. But she said we didn't need to worry about that because some of these people were still alive, and on hospice care, after 18 months.OdeToJoy » 02 Jul 2023, 7:25 am » wrote: ↑ Nope. A representative for a for profit Hospice company came over to talk at my senior apartment building about hospice. She said that Medicare required that Hospice was only for people whose doctors had determined that they would die in about a month. But she said we didn't need to worry about that because some of these people were still alive, and on hospice care, after 18 months.
They had just converted basic homecare to the way more expensive hospice care.
There are a lot of videos on YouTube about the level of fraud in Hospice care.
https://youtu.be/D1tEjywL9ME
https://youtu.be/HVV8yib3MSE
https://youtu.be/zZ8ZCpC95hwanec
anecdotal evidence.
now you believe youtube! hahahahaha
And the LA Times, NPR, and all the other news services which confirmed my personal experience with a company admitting Medicare fraud.sunburn » 02 Jul 2023, 7:51 am » wrote: ↑ Nope. A representative for a for profit Hospice company came over to talk at my senior apartment building about hospice. She said that Medicare required that Hospice was only for people whose doctors had determined that they would die in about a month. But she said we didn't need to worry about that because some of these people were still alive, and on hospice care, after 18 months.
anecdotal evidence.
now you believe youtube! hahahahaha
Novus Hospice Doctors Receive 23 Years for Healthcare Fraud
Two physicians and nurse were sentenced for their role in a hospice fraud the included false claims
https://www.dmagazine.com/healthcare-bu ... are-fraud/
A federal judge sentenced two physicians in the Novus Healthcare Services hospice fraud case to 23 years and prison and ordered them to pay more than $44 million in restitution. A nurse who was also part of the $40 million fraud case was sentenced to 33 months in federal prison. The familiar scheme involved illegally admitting patients who were not appropriate for hospice while submitting false claims for services provided.
Novus- a Frisco-based hospice provider, was one of the largest in the state before it closed in 2015. An increasing elderly population and an overburdened federal healthcare system make the industry vulnerable to fraud.
Estimates range that fraud accounts for somewhere between 3 to 10 percent of all healthcare spending. In 2020, the Centers for Medicare and Medicaid found that more than 6 percent, or upwards of $25 billion, were improper healthcare payments made by the federal government. In 2020, the Department of Justice prosecuted more healthcare fraud cases than ever. Of the 900 matters opened by the department, 580 were health fraud, most falling under the false claims act. The DOJ settled a record 256 False Claims Act studies in 2020, more than any other year.
Subjects Sentenced in $150 Million Hospice Fraud Casesunburn » 02 Jul 2023, 7:51 am » wrote: ↑ Nope. A representative for a for profit Hospice company came over to talk at my senior apartment building about hospice. She said that Medicare required that Hospice was only for people whose doctors had determined that they would die in about a month. But she said we didn't need to worry about that because some of these people were still alive, and on hospice care, after 18 months.
anecdotal evidence.
now you believe youtube! hahahahaha
https://www.compliance.com/resources/su ... raud-case/
Recent Hospice Fraud Case
Recently, the operations manager of a hospice and home health care company was sentenced to prison for his role in a $150 million fraud scheme.
The case involved the Merida Group, a chain of hospice and home health agencies with locations throughout Texas. The Department of Justice (DOJ) communicated that three employees participated in a conspiracy to falsely convince thousands of patients that they had less than six months to live in order to enroll them in hospice programs. The patients had long-term, incurable diseases, but were otherwise ineligible for the programs.
The DOJ press release specifies that “physicians were bribed with illegal kickbacks, under the pretense of medical directorships, to falsely certify unqualified patients for services” and that “employees were instructed to falsify medical records, making non-terminal patients appear to be terminally ill and declining.” The defendants were sentenced to 20 years, 15 years, and 27 months in prison, respectively. In addition, one defendant was ordered to pay $4.7 million in restitution.
2 Jul 2023 8:09 am
well, there's a couple of mill out of BILLIONS?????OdeToJoy » 02 Jul 2023, 7:59 am » wrote: ↑ And the LA Times, NPR, and all the other news services which confirmed my personal experience with a company admitting Medicare fraud.
Novus Hospice Doctors Receive 23 Years for Healthcare Fraud
Two physicians and nurse were sentenced for their role in a hospice fraud the included false claims
https://www.dmagazine.com/healthcare-bu ... are-fraud/
A federal judge sentenced two physicians in the Novus Healthcare Services hospice fraud case to 23 years and prison and ordered them to pay more than $44 million in restitution. A nurse who was also part of the $40 million fraud case was sentenced to 33 months in federal prison. The familiar scheme involved illegally admitting patients who were not appropriate for hospice while submitting false claims for services provided.
Novus- a Frisco-based hospice provider, was one of the largest in the state before it closed in 2015. An increasing elderly population and an overburdened federal healthcare system make the industry vulnerable to fraud.
Estimates range that fraud accounts for somewhere between 3 to 10 percent of all healthcare spending. In 2020, the Centers for Medicare and Medicaid found that more than 6 percent, or upwards of $25 billion, were improper healthcare payments made by the federal government. In 2020, the Department of Justice prosecuted more healthcare fraud cases than ever. Of the 900 matters opened by the department, 580 were health fraud, most falling under the false claims act. The DOJ settled a record 256 False Claims Act studies in 2020, more than any other year.
1/10 OF 1 %
And you probably want insurance for all! imagine the fraud in that.
2 Jul 2023 8:15 am
HHS Inspector General's Report Finds Flaws And Fraud In U.S. Hospice Caresunburn » 02 Jul 2023, 7:51 am » wrote: ↑ Nope. A representative for a for profit Hospice company came over to talk at my senior apartment building about hospice. She said that Medicare required that Hospice was only for people whose doctors had determined that they would die in about a month. But she said we didn't need to worry about that because some of these people were still alive, and on hospice care, after 18 months.
anecdotal evidence.
now you believe youtube! hahahahaha
https://www.npr.org/sections/health-sho ... spice-care
There were other forms of neglect noted in the report. For example, one hospice billed Medicare for more than two weeks of high-level care without ever visiting the patient. They'd just call his family and ask how he was doing.
The federal reviewers also discovered that some hospice providers would seek out patients who live in nursing homes or assisted living. Those settings allowed them to bill Medicare for a level of service that some patients didn't need, but that cost the government almost 4 times as much as basic, in-home care.
As a result, in 2012 alone, Medicare paid $268 million for expensive, inpatient hospice care for patients who didn't need it.The report also highlights how some hospice companies make money by outright fraud. Derrick Jackson, a longtime HHS investigator, recalls a 2014 case where a Mississippi hospice owner signed up clients who were not terminally ill and therefore didn't qualify for hospice. The owner was sentenced to nearly six years in prison and had to pay back almost $8 million.
Jackson says the patients in this case didn't even know they had enrolled in hospice. "Often these hospice owners will market themselves as 'we will clean your house for free' — in other words, a housecleaning service. Other times, he says, the new clients were elderly, isolated people who just wanted "someone to come over and sit down and talk with them."The consequences of enrolling in hospice when you don't need it are serious, says Harrison.
"When a patient does elect hospice care, they are waiving their right for Medicare payment for curative treatment," she says. "So, in effect, they're giving up curative care. And if they don't know they're doing that, they could be making not the best choice for their future."
2 Jul 2023 8:21 am
sunburn » 02 Jul 2023, 8:09 am » wrote: ↑ well, there's a couple of mill out of BILLIONS?????
1/10 OF 1 %
And you probably want insurance for all! imagine the fraud in that.
That is just one case. There is Medicare fraud through the entire hospice industry.
You can Google Medicare hospice fraud, and pages of articles about DOJ convictions pops up.
Kudos to the Dems for cracking down on Medicare fraud!!!
2 Jul 2023 8:23 am
you can find all the "fraud" you want, but the only people it'll hurt are those that need it.OdeToJoy » 02 Jul 2023, 8:05 am » wrote: ↑ Subjects Sentenced in $150 Million Hospice Fraud Case
https://www.compliance.com/resources/su ... raud-case/
Recent Hospice Fraud Case
Recently, the operations manager of a hospice and home health care company was sentenced to prison for his role in a $150 million fraud scheme.
The case involved the Merida Group, a chain of hospice and home health agencies with locations throughout Texas. The Department of Justice (DOJ) communicated that three employees participated in a conspiracy to falsely convince thousands of patients that they had less than six months to live in order to enroll them in hospice programs. The patients had long-term, incurable diseases, but were otherwise ineligible for the programs.
The DOJ press release specifies that “physicians were bribed with illegal kickbacks, under the pretense of medical directorships, to falsely certify unqualified patients for services” and that “employees were instructed to falsify medical records, making non-terminal patients appear to be terminally ill and declining.” The defendants were sentenced to 20 years, 15 years, and 27 months in prison, respectively. In addition, one defendant was ordered to pay $4.7 million in restitution.
fraudsters will fraud, riggers will rig, etc, etc.
now go campaign for medicare for all!
2 Jul 2023 8:25 am
beating fraud wasn't on ole Joe's mind.OdeToJoy » 02 Jul 2023, 8:21 am » wrote: ↑ That is just one case. There is Medicare fraud through the entire hospice industry.
You can Google Medicare hospice fraud, and pages of articles about DOJ convictions pops up.
Kudos to the Dems for cracking down on Medicare fraud!!!
He be politickin!.
2 Jul 2023 8:26 am
Poor baby. Are you mad because you just got your butt kicked?sunburn » 02 Jul 2023, 8:23 am » wrote: ↑ you can find all the "fraud" you want, but the only people it'll hurt are those that need it.
fraudsters will fraud, riggers will rig, etc, etc.
now go campaign for medicare for all!
2 Jul 2023 8:29 am
By stopping companies from defrauding the taxpayer? I certainly can get behind the Stop Medicare Fraud campaign.sunburn » 02 Jul 2023, 8:25 am » wrote: ↑ beating fraud wasn't on ole Joe's mind.
He be politickin!.
2 Jul 2023 8:39 am
Seems continuing fraud is on his mind and in his brain.sunburn » 02 Jul 2023, 8:25 am » wrote: ↑ beating fraud wasn't on ole Joe's mind.
He be politickin!.
2 Jul 2023 8:42 am
OdeToJoy » 02 Jul 2023, 7:08 am » wrote: ↑ in other words, businesses were ripping off the taxpayers with MEDICARE FRAUD.
Thank you, Beekeeper, for bringing it to my attention that the Biden administration is working to prevent companies from defrauding the U.S. taxpayer.
Biden is the one defrauding taxpayers...and shaking down other countries to enrich his own family.
2 Jul 2023 8:45 am
roadkill » 02 Jul 2023, 8:42 am » wrote: ↑ Biden is the one defrauding taxpayers...and shaking down other countries to enrich his own family.
Distraction. This is about Medicare fraud.
2 Jul 2023 8:48 am
How else could he use Medicare funds to pay for all the FREE healthcare, hospitalization, prescriptions, and other healthcare services that he's giving to the millions of illegals he's invited into the country with the promise of free healthcare, free education, free housing, free smartphones, free hotel rooms, and free food?Beekeeper » 02 Jul 2023, 6:33 am » wrote: ↑ Yeah, as ALWAYS, the LWNJs do all they can to HIDE AND DEFLECT from their OWN CUTTING AND GUTTING OF MEDICARE of which NO REPUBLICAN HAS SUGGESTED OR DONE!!
President Joe Biden’s administration moved to slash Medicare payments for home health agencies on Friday, a move opposed by both Republicans and Democrats.
The Centers for Medicare and Medicaid Services (CMS) proposed a rule that would reduce Medicare payments by 2.2 percent, or $375 million in 2024. The proposed cut means that home health agencies would have to take a 5.1 decrease of $870 million based on the assumption that the agencies altered their billing and coding activity to “maximize reimbursements in 2020 and 2021.”
Bloomberg noted that home health agencies provide care for patients in the care and convenience of the client’s home, especially for America’s seniors. Seniors usually prefer home health agencies over nursing home care.
In 2021, traditional Medicare spent $16.9 billion for home health services on behalf of about three million beneficiaries, the Medicare Payment Advisory Commission reported. Nearly 11,500 home health agencies participated in the Medicare program that year.
The Partnership for Quality Home Healthcare said that the cuts would exceed $18 billion over the next ten years and comes at a time when the industry faces rising costs and a lack of skilled nurses and patients.
CMS has made these cuts assuming it had made $2.1 billion in alleged overpayments. However, the Partnership said that CMS is using a flawed methodology to assess past overpayments.
Joanne Cunningham, the CEO of the Partnership, said in a statement:
William Dombi, president of the National Association for Home Care & Hospice, said in a statement, “We now turn to Congress to correct what CMS has done and prevent the impending harm to the millions of highly vulnerable home health patients that depend and will depend in the future on this essential Medicare benefit.”
And the cost of ALL of his 'generosity' is laid at the feet of the American taxpayer, and we're supposed to be happy about it?
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