Author: Charles Adams

PharMerica on the Hook for Alleged SNF “Swapping” Scheme PharMerica, a major pharmacy provider for long-term care facilities (SNFs), is shelling out a hefty $100 million to settle a decade-old lawsuit. The accusations? Engaging in a kickback scheme that allegedly gave them an unfair advantage in the lucrative SNF pharmacy market. The whistleblower, Marc Silver, a former SNF owner himself, claimed PharMerica was manipulating the system by undercharging facilities for Medicare Part A medications. But there’s a twist: according to Silver’s lawyers, this wasn’t philanthropy. They allege PharMerica used these artificially low prices as a “loss leader” tactic to secure…

Editor’s Note: This update is provided to clarify a potential factual inaccuracy. Mercy Care remains committed to the Arizona Medicaid market and continues to serve its members. The recent developments, including the state’s decision to pause member transition activities, are specific to the ALTCS E/PD procurement and do not impact Mercy Care’s other vital services in the state. Phoenix, AZ- A cloud of uncertainty hangs over Arizona’s long-term care landscape. Mercy Care, a major health provider serving over 850,000 Arizonans, including a significant portion of the state’s senior population, is locked in a battle with the Arizona Health Care Cost…

The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) has appointed Clifton Porter II, its current Senior Vice President of Government Relations, as its next president and CEO. This historic selection, announced on July 16, 2024, marks a significant step towards greater diversity, equity, and inclusion (DEI) within the long-term care leadership landscape. Porter becomes the first African American to lead the organization in its 75-year history. From Hands-On Care to Championing Equity Porter’s career trajectory embodies the importance of lived experience in leadership. His 35-year journey began with direct care roles as a volunteer, nurse aide, and administrator…

Editor’s Note: This update is provided to clarify a potential factual inaccuracy. Mercy Care remains committed to the Arizona Medicaid market and continues to serve its members. The recent developments, including the state’s decision to pause member transition activities, are specific to the ALTCS E/PD procurement and do not impact Mercy Care’s other vital services in the state. Arizona’s healthcare landscape for low-income residents and seniors is facing a major upheaval, and the potential consequences are raising red flags. Banner Health and Mercy Care, two major insurers who have served millions of Arizonans through the state’s Medicaid program, the Arizona…

New Jersey’s long-term care sector is pushing for crucial investments in the upcoming budget. Industry leaders at the Health Care Association of New Jersey (HCANJ) and LeadingAge NJ & DE are championing a $103 million funding boost to address staffing challenges and elevate the quality of care for residents. This strategic proposal leverages federal matching opportunities, maximizing the impact of each state dollar invested. It aims to close the $62.8 million gap projected in the current budget, ensuring continued high standards of care for New Jersey’s most vulnerable seniors. The state Long-Term Care Ombudsman echoes this call for investment, advocating…

The Perfect Storm At The Worst Time Pennsylvania’s senior care system is weathering a perfect storm, with a wave of bankruptcies leaving residents, families, and caregivers scrambling for answers. In a mere month, 21 skilled nursing and personal care homes, representing a staggering 2,600 beds, have filed for Chapter 11 protection. While these for-profit, investor-owned facilities remain operational for now, the filings paint a grim picture of an industry on the verge of collapse. Industry Insiders Sound the Alarm: The Tip of the Iceberg Industry veterans are calling these bankruptcies the “tip of the iceberg.” They point to a confluence…

For many seniors, driving is more than just getting around. It’s the cornerstone of independence, the ability to maintain a social life, and a sense of control. It’s the freedom to visit grandchildren across town, grab groceries without relying on others, and attend doctor’s appointments without logistical hurdles. But what happens when age-related limitations necessitate giving up a driver’s license? While the safety concerns of elderly drivers are a valid discussion, the reality is that driving without a license can be just as dangerous. The Allure of Unlicensed Mobility: A Recipe for Risk The National Highway Traffic Safety Administration (NHTSA)…

For many residents in skilled nursing facilities, loneliness and a sense of isolation can be major challenges. Pet therapy, however, is emerging as a powerful tool to combat these issues and improve overall well-being. By incorporating trained animals into a resident’s care plan, facilities are witnessing a range of positive effects, both physical and emotional. Emotional Benefits: Combating Loneliness and Boosting Mood One of the most significant benefits of pet therapy is its ability to combat loneliness, a common issue among seniors. Studies have shown that interacting with animals can trigger the release of oxytocin, a hormone associated with feelings…

Pennsylvania’s elderly population is facing a growing storm of uncertainty. The state’s nursing home industry, a critical lifeline for many seniors, is teetering on the brink of collapse, with a wave of closures, staffing shortages, and inadequate funding threatening access to care. A Survey Paints a Bleak Picture A recent survey conducted by the Pennsylvania Health Care Association (PHCA) paints a grim picture. Nearly half of their members, representing a significant portion of the state’s nursing homes, plan to close or sell at least one facility within the year. This isn’t just a hypothetical threat; it’s a chilling reality that’s…

Nursing home leaders descended on Washington, D.C. this week to voice their vehement opposition to a federal staffing mandate, arguing it would exacerbate existing workforce shortages and cripple the long-term care sector. The gathering, spearheaded by the American Health Care Association/National Center for Assisted Living (AHCA/NCAL) and LeadingAge, follows the finalization of the staffing rule by the Centers for Medicare & Medicaid Services (CMS). Industry leaders warn the rule, which mandates specific nurse staffing levels, is unrealistic and could lead to facility closures and reduced access to care for seniors. Unfunded Mandate, Unrealistic Requirements Mark Parkinson, president and CEO of…