Home Health Sector Remains Area of Focus For Fraud Watchdogs

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 […]

Home-Based Care Providers Sue CMS, HHS Over COVID-19 Relief Funds

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 […]

North Carolina, Florida Home Health Providers Navigate RCD Changes

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 […]

Health Care System Can’t Afford to Make Blockbuster’s ‘Netflix Mistake’ with In-Home Care

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. […]

New PDGM Adjustments Make It Tougher to Reach ‘Medium’ or ‘High’ Functional-Impairment Levels

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 […]

[Updated] CMS Getting Closer to Vaccination Guidance for Home Health Agencies, Other Medicare-Medicaid Providers

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 […]

[Updated] Vaccine Mandate Might Be Right Around the Corner for Home-Based Care Providers

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 Adds Chief People Officer; CMS Appoints Medicaid Director

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 […]

‘Extensive’ Proposed Rule Sets Stage for Value-Based Purchasing, PDGM Adjustments

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 — […]