“Opposed.” That was the one-word response a home health provider left for the Centers for Medicare & Medicaid Services’ (CMS) during the comment period on the 2025 home health proposed payment rule. This comment was an anomaly, in terms of its brevity. While most respondents expressed similar sentiments, they chose to utilize more words to […]
Less than a month before election day, the Democratic and Republican candidates for president are dueling over home-based care plans. Vice President Kamala Harris announced on “The View” this week a proposal that would allow home care to be administered through traditional Medicare. On the same day, former President Donald Trump and his campaign released […]
Mental and physical health are vital components of overall wellbeing and can influence each other in many ways. Yet, individuals with mental health conditions may encounter challenges in accessing adequate health care, which can impede their ability to manage their physical health. Home health care providers, however, are increasingly stepping in to bridge this gap. […]
The Medicare Payment Advisory Commission (MedPAC) paints a rosy portrait of home health margins. But an analysis of cost reporting data – that considers both traditional Medicare and Medicare Advantage (MA) payments – shows that providers are generally not sitting atop a hill of money. Instead, they are struggling to stay above water. Kalon Mitchell […]
Home-based care providers and Program of All-Inclusive Care for the Elderly (PACE) organizations are in a unique position to strengthen the work one another is doing to care for seniors. No one understands this better than Alivia Care, a home-based care provider that also has PACE programs under its umbrella. In 2021, Alivia Care opened […]
The biggest retailers were zealous in their pursuit of home-based health care initiatives. But there’s little evidence to suggest that pursuit has been successful, at least thus far. This week, CVS Health (NYSE: CVS) announced that it was laying off 2,900 workers. Simultaneously, reports surfaced of Glenview Capital – a significant shareholder in the company […]
Electronic Visit Verification (EVV) was established as law in 2016 under the 21st Century Cures Act to address fraud and abuse in home-based care delivery. The law provides federal guidelines, but individual states can determine which service codes are included. However, years after nationwide implementation, EVV still remains a burden for home care providers. Simply […]
The Centers for Medicare & Medicaid Services (CMS) has released additional information around continuity of coverage for home- and community-based services (HCBS) beneficiaries. The agency issued an informational bulletin last month reminding states of federal renewal requirements and available flexibilities to ensure continued coverage for individuals eligible for HCBS through Medicaid. This bulletin continues CMS’ […]
Lawmakers have introduced federal legislation that aims to address the shortage of health care professionals, including home-based care professionals. On Wednesday, Rep. James Comer (R-Ky), and co-sponsor Morgan McGarvey (D-Ky), introduced H.R.9812 into the House of Representatives. The bill is looking to tackle the dearth of nurses, nurse aides and more, by incentivising states to […]
As more home health providers participate in value-based care arrangements, leaders are learning what works, and what falls flat. Enhabit Inc. (NYSE: EHAB) has been active in the value-based care space. The company has a small – but growing – number of value-based contracts on the Medicare Advantage (MA) side, as well as Accountable Care […]
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