The federal government saw a return of nearly $1.9 billion in health care fraud settlements and judgments in 2021. Of this $1.9 billion, the Medicare Trust Funds received $1.2 billion, and the U.S. Centers for Medicare & Medicaid Services (CMS) received roughly $98.7 million. The Health & Human Services Office of Inspector General’s (HHS-OIG) annual […]
The Centers for Medicare and Medicaid Services
A group of New York home-based care providers are taking aim at the Department of Health and Human Services (HHS), the New York State Department of Health (NYSDOH) and the U.S. Centers for Medicare & Medicaid Services (CMS) in a lawsuit filed Friday. Broadly, the case alleges unfair distribution of funds from the American Rescue […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is giving home health providers in North Carolina and Florida time to acclimate to the full implementation of Review Choice Demonstration (RCD). For providers in North Carolina and Florida, the rollout of RCD has meant keeping an eye out for key changes. Broadly, the purpose of […]
The federal government and other private stakeholders play an important role in addressing the unique challenges of accelerating hospital-at-home delivery. That’s according to a group of health care experts who spoke on the future of hospital-at-home models during a Friday webinar hosted by the Leonard Davis Institute of Health Economics at the University of Pennsylvania. […]
Home health operators have to navigate numerous regulatory and policy changes to stay in business. Two major ones surfaced within days of each other last week. The U.S. Centers for Medicare & Medicaid Services (CMS) released the home health final payment rule on Nov. 2, then the federal government announced COVID-19 vaccination requirements for health […]
Now that the final home health payment rule for 2022 has been floating around for a few days, industry insiders have had time to pick it apart and zero in on key changes, including the nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) Model. A significant difference between the finalized expansion of HHVBP and […]
The Centers for Medicare & Medicaid Services (CMS) revealed last week that it was in the rulemaking stage of a collaboration with the Occupational Safety and Health Administration (OSHA) on the establishment of a federal vaccine mandate. Last Monday, Dr. Lee Fleisher, CMS’ chief medical officer and director of the Center for Clinical Standards and […]
Editor’s note (Aug. 26, 2021): The Department of Health, Codes Committee of the Public Health and Health Planning Council adopted the emergency regulation on Thursday. More information is available here. New York home-based care workers wondering if a COVID-19 vaccine mandate is around the corner will soon have an answer. On Thursday, the New York […]
ConcertoCare appoints chief people officer ConcertoCare has hired Rachel Grace as its chief people officer. Backed by Deerfield Management Company, the Aliso Viejo, California-based ConcertoCare offers in-home primary care, virtual care and PACE services to dual-eligible seniors and those enrolled under Medicare Advantage. In her new role, Grace will be responsible for developing hiring and […]
The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2022 home health proposed payment rule on Monday, while simultaneously announcing plans for the nationwide expansion of the industry’s value-based purchasing demo. While just a few days have gone by, home health stakeholders have already started to zero-in on several key areas — […]