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 […]
Medicare
A Detroit-area couple who owned home health care companies was sentenced to prison last week for Medicare fraud and tax evasion, according to U.S. Attorney Dawn Ison. Noli and Isabel Tcruz of Washington Township, Michigan, were sentenced on Sept. 4. Noli Tcruz received six years in prison, and his wife was given three years and […]
Home health agencies and other Medicare-reimbursed health care providers are just a couple weeks away from the return of sequestration. For many agencies, the restart of the 2% cut will merely be a return to normal, pre-pandemic business. For others, however, it presents another cash-flow disruption that could, at worst, put some smaller operators out […]
President Donald Trump has opened the door to possible Medicare cuts, an alarming scenario for U.S. home health providers already facing a major reimbursement overhaul and increased compliance pressure from federal watchdogs. Speaking during an interview with CNBC while attending the World Economic Forum in Davos, Switzerland, Trump suggested that he would consider cuts to […]
Three additional home health agency owners have been sentenced to a combined 117 months in prison for their roles in multi-million dollar fraud schemes. The recent sentencings bring April’s home health-related fraud cases to at least five overall, a total that broadly reflects the increased scrutiny and oversight the industry currently faces. On April 22, […]
The home health industry has won another victory in Washington, D.C., in its battle against certain parts of the Patient-Driven Groupings Model (PDGM) and shift toward a more pre-acute care identity. Sens. Susan Collins (R-Maine), Bill Nelson (D-Fla.) and Debbie Stabenow (D-Mich.) introduced the Home Health Payment Innovation Act — S. 3545 — on Wednesday. […]
Home care providers are juiced up over the promise of Medicare Advantage plans taking on non-skilled in-home supports as a supplemental benefit, but the opportunity may be smaller than some think. Not only will home care providers likely not see significant changes to MA plans in 2019, but the next few years could be a […]
The Office of Inspector General (OIG) has named a former owner of a Texas-based home health care company, Ebong Aloysius Tilong, among its “most wanted fugitives.” Tilong was indicted on charges of conspiracy to commit health care fraud, health care fraud, conspiracy to pay kickbacks, payment of kickbacks and conspiracy to commit money laundering in […]
Home health care and hospice admissions and utilization are both on the rise, according to the latest data report from Excel Health. Hospice admissions grew 4.6% from the third quarter of 2016 to the third quarter of 2017, rising to 313,500, according to the report, which is based on 100% of the most recent Medicare […]
The home health industry is one step closer to witnessing sweeping tax reform, with the bill on its way to President Trump’s desk. As such, the industry could see a windfall—though some cuts to Medicare and Medicaid could be triggered down the line. House and Senate lawmakers voted in favor of the Tax Cuts and […]