A KHN investigation found when some Medicare Advantage plans got a rare federal audit, they couldn't produce billing records for care they said they'd provided. Some blamed fire, flood — or doctors.
To address the problem of poor care, President Biden is calling for a federal minimum staffing requirement in nursing homes. The nursing home industry says there aren't workers to fill the jobs.
As head of the Centers for Medicare and Medicaid Services, Verma says she's working to ease safety rules and lighten licensing requirements, to expand the number of hospital beds and health workers.
Workers in nursing homes, hospital ERs and other health facilities are required by law to notify police whenever they notice likely signs of physical or sexual abuse. But that's often not happening.
The investigation by the Centers for Medicare & Medicaid Services found that the hospital failed to protect the patient from "harassment and potential harm."
When states applied for waivers from Obamacare rules to reduce premiums and strengthen their insurance markets, they didn't get the answers they wanted, prompting some to suggest a conspiracy.