Utilization of home health services fell in both urban and rural counties from January 2016 to March 2022 in the “high-utilization” categories, in part, due to the rural add-on payments. In 2018, the Centers for Medicare & Medicaid Services (CMS) implemented a rural add-on payment, or a percentage increase, at the request of Congress. That […]
Category: Regulation
Those in home-based care have seen a lot of government programs over the years, both good and bad. The Money Follows the Person (MFP) program tends to get brought up as part of the former camp – a good one. The program was initially launched in 2007 and was funded by the Affordable Care Act […]
A home health care company hoping to operate in Louisville, Kentucky has hit a road block in its fight against Certificate of Need (CON) laws. CON laws vary by state. Some have home health CON barriers, while others do not. That results in some states having far more home health agencies than others. Because Kentucky […]
A group of 22 states — led by Montana Attorney General Austin Knudsen — have urged the Centers for Medicare & Medicaid Services (CMS) to lift the COVID-19 vaccine mandate for health care workers in the Medicare and Medicaid space. The 22 states include Montana, Louisiana, Tennessee, Arizona, Alabama, Alaska, Arkansas, Florida, Indiana, Kansas, Kentucky, […]
Now that the final payment rule for the home health care industry is officially out, providers and advocates will take the long-awaited next step. For advocates, that will mean continuing legislation efforts. Although the final rule includes a 0.7% aggregate payment bump for home health agencies, behavioral adjustment cuts are still being implemented. That’s a […]
The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health final payment rule late Monday. It comes with an estimated increase to 2023 home health payments of 0.7%, or $125 million, compared to 2022 aggregate payments. Although it sets up certain financial challenges moving forward, the final rule is better […]
As a number of regulatory and legal obstacles hang in the balance, it’s important for home-based care providers to understand the obstacles they face and how to potentially overcome them. On the home health side, there’s the new payment rule for 2023 to navigate and the Home Health Value-Based Purchasing (HHVBP) Model. There’s also a […]
Home-based care providers have a lot on their minds these days. Home health providers, in particular, are laser-focused on the incoming final payment rule, which will decide whether or not they will face devastating cuts to reimbursement in years to come. Between that, labor shortages, inflation, pandemic-related struggles and any opportunities they’ve been trying to […]
Any day now, the home health final payment rule will officially be released by the Centers for Medicare & Medicaid Services (CMS). As providers await its arrival, many of them are gathered in St. Louis at the National Association for Home Care and Hospice’s (NAHC) annual conference. If the final rule is as bad – […]
The entire home health industry is anxiously awaiting the release of the final payment rule for 2023, which should be released by the Centers for Medicare & Medicaid Services (CMS) at some point over the next two weeks. The anxiousness is due to the home health proposed payment rule, which included a 4.2% aggregate decrease […]