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In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding. States are not required to participate in the program, although all have since 1982.
Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with end stage renal disease and amyotrophic lateral sclerosis. It was begun in 1965 under the Social Security Administration and is now administered by the Centers for Medicare and Medicaid Services (CMS).
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov. CMS was previously known as the Health Care Financing Administration (HCFA) until 2001.
A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF) or long-term care facilities. Often, these terms have slightly different meanings to indicate whether the institutions are public or private, and whether they provide mostly assisted living, or nursing care and emergency medical care. Nursing homes are used by people who do not need to be in a hospital, but require care that is hard to provide in a home setting. The nursing home staff attends to the patients' medical and other needs. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day.
Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2023, the company ranked 42 on the Fortune 500 list, which made it the highest ranked company based in Kentucky. It is the fourth largest health insurance provider in the U.S.
Tenet Healthcare Corporation is a for-profit multinational healthcare services company based in Dallas, Texas, United States. Through its brands, subsidiaries, joint ventures, and partnerships, including United Surgical Partners International (USPI), the company operates 65 hospitals and over 450 healthcare facilities. Tenet also operates Conifer Health Solutions, which provides healthcare support services to health systems and other clients.
Long-term care (LTC) is a variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods. Long-term care is focused on individualized and coordinated services that promote independence, maximize patients' quality of life, and meet patients' needs over a period of time.
The American Health Care Association (AHCA) is a non-profit federation of affiliated state health organizations that represents more than 14,000 non-profit and for-profit nursing homes, assisted living communities, and facilities for individuals with disabilities. Clifton J. Porter, II became CEO on 14 October 2024.
Omnicare is an American company working in the health-care industry. It was established in April 1981 as a spinoff of healthcare businesses from Chemed and W. R. Grace and Company. It is currently a pharmacy specializing in nursing homes. In 2015, Omnicare was acquired by CVS Health.
WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States.
Centene Corporation is an American for-profit healthcare company based in St. Louis, Missouri, which is an intermediary for government-sponsored and privately insured healthcare programs. Centene ranked No. 25 on the 2023 Fortune 500.
In the United States, Medicare fraud is the claiming of Medicare health care reimbursement to which the claimant is not entitled. There are many different types of Medicare fraud, all of which have the same goal: to collect money from the Medicare program illegitimately.
Adam B. Resnick is an American health care entrepreneur, public speaker, author, and professional whistleblower.
Molina Healthcare, Inc. is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.
Founded in 1893 by nursing pioneer Lillian D. Wald and Mary M. Brewster, VNS Health is one of the largest not-for-profit home- and community-based health care organizations in the United States, serving the five boroughs of New York City; Nassau, Suffolk, and Westchester Counties; and parts of upstate New York.
Elevance Health, Inc. is an American for-profit health insurance provider. Prior to June 2022, Elevance Health was named Anthem, Inc. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Anthem Blue Cross in California, Wellpoint, and Carelon. It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within its affiliated companies' health plans.
As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. These facilities may be overseen by various types of state agency.
Rivington House is a building located at Rivington Street and Forsyth Street in the Lower East Side of Manhattan in New York City. It was originally constructed as an elementary school known as Public School 20 in 1898, and then operated as a vocational school beginning in 1942. In the 1990s, the building was purchased by Village Nursing Home and was converted into a specialty nursing home for patients with HIV/AIDS.
The first case of the COVID-19 pandemic in New York City was confirmed on March 1, 2020, though later research showed that the novel coronavirus had been circulating in New York City since January, with cases of community transmission confirmed as early as February. By March 29, over 30,000 cases were confirmed, and New York City had become the worst-affected area in the United States. There were over 2,000 deaths by April 6; at that stage, the city had more confirmed coronavirus cases than China, the UK, or Iran. Bodies of the deceased were picked up from their homes by the US Army, National Guard, and Air National Guard.
Dave Ashok Chokshi is an American physician and former public health official who served as the 43rd health commissioner of New York City. He was the first health commissioner of Asian descent. Chokshi previously served as the inaugural chief population health officer for NYC Health + Hospitals and as a White House fellow in the United States Department of Veterans Affairs. Currently he is a practicing physician at Bellevue Hospital and the inaugural Sternberg Family Professor of Leadership at the Colin Powell School for Civic and Global Leadership, part of the City College of New York.
References
- ↑ "Joel Landau". U.S. Green Building Council.
- ↑ Nathan-Kazis, Josh (April 1, 2016). "Hasidic Businessman Who Flipped AIDS Home Part of Sect With Cozy Ties to Mayor Bill de Blasio". Jewish Daily Forward.
- ↑ Goodman, David (March 30, 2016). "How New York Allowed Gentrification for $16 Million". The New York Times .
- ↑ "Appendices for Examination of the City's Removal of the Deed Restriction at 45 Rivington Street in Manhattan". New York City Department of Investigation. July 2016.
- ↑ Stringer, Scott (July 14, 2016). "De Blasio faults policy, not staff, for Rivington deal". Politico.
- ↑ Goodman, David (July 14, 2016). "New York Officials Were Warned About Lifting Nursing Home's Deed Limits, Report Says". The New York Times .
- ↑ Klein, Melissa; Short, Aaron; Vincent, Isabel (April 10, 2016). "Paterson was paid consultant to firm that flipped nursing home". The New York Post.
- 1 2 Short, Aaron (April 3, 2016). "De Blasio slams nursing home sale — but doesn't punish aides". The New York Post.
- ↑ LaMantia, Jonathan (January 16, 2018). "Nursing home chain looks to future after scandal". Crain's New York.
- 1 2 "The Costly Care of the Few". Oxeon.
- ↑ Bernstein, Nina (May 8, 2014). "Medicaid Shift Fuels Rush for Profitable Clients". The New York Times .
- ↑ "Joel Landau - Forbes New York Business Council Member". Forbes . Archived from the original on February 7, 2019. Retrieved August 7, 2019.