The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. Dubbed the ACO Primary Care Flex Model (ACO PC Flex Model), it will provide one-time advanced shared savings payments and monthly […]
Category: CMS
In the last home health proposed rule from the Centers for Medicare & Medicaid Services (CMS), the federal agency in charge of reimbursement rates sent out a request for information on home health aide utilization. Specifically, the agency wondered why Medicare-covered home health aide visits and utilization had fallen off a cliff over the last […]
The number of hospice providers enrolled in the Medicare program in four states has skyrocketed over the past few years. The jaw-dropping spike, in turn, has triggered increased oversight efforts – some of which may not be having the desired effect. A similar trend could be happening in home health care in one major county, […]
As the breadth and depth of home health care continues to grow, providers are exposed to an abundance of opportunities. To get a crack at that upside, however, providers will need to overcome and adapt to a litany of challenges. Those that don’t could contribute to the consolidation that the home health industry is already […]
Home health providers could be facing a “doomy, gloomy” landscape in 2024, fresh off of two years that could be characterized as, well, doomy and gloomy. On Monday at the Home Care 100 conference in Scottsdale, Arizona, Partnership for Quality Home Healthcare CEO Joanne Cunningham tried to emphasize the positives, while also recognizing the realities. […]
In 2023, the decreasing influence of COVID-19 did not mitigate the overall operating pressures home health providers were forced to face. In the new year, there still remains plenty of opportunity, but much to work through to tap into that opportunity. More proposed rate cuts to home health reimbursement are expected from the Centers for […]
In July, the National Association for Home Care & Hospice (NAHC) filed a lawsuit against the U.S. Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services over home health payment cuts. On Dec. 15, the Biden administration responded by asking a federal judge to throw out that lawsuit, […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is again taking steps to increase access to Medicaid home- and community-based services (HCBS). On Tuesday, the agency provided further guidance around how states can better support HCBS programs, which are both popular and sometimes hard to navigate. “For too long, American families have struggled to […]
In a world where home health agencies are scored, reviewed and tested in so many different ways, providers need to know which quality measures hold the most weight. That’s especially the case today, when more care models shift toward value. “It is extremely important for providers to understand — especially if you’re trying to do […]
Nearly a month after the U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2024 final payment rule, the ins and outs of it have become more apparent. And there’s more to delve into than just blanket rate cuts. Aside from the headline-grabbing 0.8% aggregate payment increase and the permanent prospective adjustment of […]
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