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The murky world of Medicaid funding: Recycled money, accounting tricks and pay-to-play schemes


The murky world of Medicaid funding: Recycled money, accounting tricks and pay-to-play schemes
Tony Cook, Tim Evans and Emily Hopkins, Indianapolis Star
© J. Scott Applewhite, AP
Centers for Medicare and Medicaid Services Administrator Seema Verma testifies Oct. 23 before the House Commerce Subcommittee on Oversight and Investigations.
Federal Medicaid officials are concerned some states might be using accounting tricks to grab extra federal nursing home dollars without meeting their obligation to share in the cost.
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In order to receive supplemental Medicaid nursing home funds from the federal government, states must pony up a share called the state match. It’s typically somewhere around 33% here in Indiana. In other words, for every dollar the state contributes the federal government contributes $2 more. ....

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Here are five takeaways from IndyStar's 18-month nursing home investigation


Here are five takeaways from IndyStar s 18-month nursing home investigation
Tony Cook, Emily Hopkins and Tim Evans, Indianapolis Star
An 18-month IndyStar investigation found that Indiana s nursing home system is profoundly broken. It s expensive. Inefficient. Ripe for fraud. Poorly staffed. And when the coronavirus pandemic struck, it was tragically unprepared.
Here s what our investigation has found:
More than a billion dollars diverted
An arcane federal law allows government-owned nursing homes to draw extra Medicaid funds. The intent was to provide additional financial assistance to homes that often serve as the last resort for poor and medically needy residents.
© Stephen J. Beard ....

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COVID in Indiana: How Indiana failed nursing home residents


Tim Evans, Emily Hopkins and Tony Cook, Indianapolis Star
Published
5:19 pm UTC Jan. 23, 2021
For more than nine months, Indiana officials reassured the public that nursing homes were receiving the help they needed to handle the pandemic and protect vulnerable residents. 
But the state never really got it under control.
The weekly death toll inside nursing homes is as bad as it has ever been. In all, more than 3,100 nursing home residents have died from COVID-19. Many died alone, their families unable to offer comfort or even say goodbye.
It didn’t have to be that way.
An IndyStar investigation has found longstanding, systemic problems left thousands of Hoosiers in nursing homes that are among the most poorly staffed in the nation. In some, even the simplest aspects of care are too often ignored. Now, Indiana’s long-term care residents are dying of COVID-19 at a rate that is among the highest in the U.S. ....

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Poor staffing, missed reforms, 3,100 COVID deaths: How Indiana failed nursing home residents


But the state never really got it under control.
The weekly death toll inside nursing homes is as bad as it has ever been. In all, more than 3,100 nursing home residents have died from COVID-19. Many died alone, their families unable to offer comfort or even say goodbye.
It didn’t have to be that way.
An IndyStar investigation has found longstanding, systemic problems left thousands of Hoosiers in nursing homes that are among the most poorly staffed in the nation. In some, even the simplest aspects of care are too often ignored.
Now, Indiana’s long-term care residents are dying of COVID-19 at a rate that is among the highest in the U.S. ....

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