A federal jury has found CVS Health (NYSE: CVS) subsidiary and long-term care pharmacy Omnicare liable for improperly billing the federal government, resulting in more than $135 million in damages. Omnicare is the largest pharmacy serving the nursing home sector. A jury found Omnicare billed Medicare, Medicaid and TRICARE for over 3 million false claims […]
CVS
Medicare Advantage’s prior authorization process has resulted in higher denial rates among three of the largest health insurance providers, whose use of predictive AI tools raises serious concerns about patient care, according to a new report issued by a Senate subcommittee on Thursday. “[F]or beneficiaries of Medicare Advantage [prior authorization] has become not just a […]
After receiving a thumbs up from both the Food and Drug Administration and Centers for Disease Control and Prevention earlier this month, the work now begins for long-term care pharmacies to administer COVID-19 booster shots for nursing home residents and staff. Others eligible for a third Pfizer shot include those ages 50 to 64 who […]
Skilled nursing facilities were given clear vaccine opportunities through the federal Pharmacy Partnership for Long-Term Care program, which provided three on-site clinics at facilities across the country — with the goal of providing the two-dose inoculations to as many residents and staff as possible. Now that the third vaccination clinics are wrapping up in most […]
The recent megadeals involving popular consumer brands and health care giants haven’t touched skilled nursing yet, but the moves are sending ripple effects through the industry as a whole — and SNF providers would be wise to listen up. When CVS acquired insurance giant Aetna and Amazon teamed up to form a health care company with […]
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