The Unintended Consequences Of CMS’ Proposed HCBS Medicaid Rule

The U.S. Centers for Medicare & Medicaid Services (CMS) recent proposed rule for Medicaid may cap business for certain providers, but industry experts believe the government agency is likely foreshadowing its intentions for the final rule. The new rule would force 80% of payment to go to workers in home- and community-based services (HCBS). There […]

Modivcare Continues To Grow Personal Care Segment, Unconcerned With Medicaid Rule Proposal

Despite some concern from industry peers, Modivcare Inc. (Nasdaq: MODV) isn’t sweating the U.S. Centers for Medicare & Medicaid Services’ (CMS) latest proposed rule, which includes a provision that would require at least 80% of Medicaid payments to go toward compensation for personal care workers. There are a couple of reasons for this, according to […]

Tomorrow Health Looks To Solve Home-Based Care Woes Within Medicaid

Tomorrow Health – one of the more prominent home-based care startups – has launched a new product that aims to cut through the complexity of offering care in the home. With home- and community-based services (HCBS) booming across the country, the company wants to make the delivery of those services more seamless while reducing costs, […]

CMS Medicaid Proposals Offer Transparency And Accountability, But Compensation Provision Could Cap Business For Cash-Strapped Providers

On Thursday, the U.S. Centers for Medicare & Medicaid Services (CMS) proposed a new rule that would make major changes to the way that home care workers are compensated under Medicaid. While home-based care stakeholders recognize that the proposal could lead to some improvements, many are critical of what they view as a one-size-fits-all approach […]

[Updated] CMS Proposes New Rule Requiring At Least 80% of HCBS Medicaid Payments To Go Toward Worker Compensation

The U.S. Centers for Medicare & Medicaid Services (CMS) on Thursday announced a new proposed rule that would, among its provisions, establish a strict requirement for the amount of Medicaid payment going toward home care worker compensation. Specifically, the proposed rule from CMS would require that at least 80% of Medicaid payments for personal care, […]

Why Federal Support For Home-Based Care Is Missing The Mark

Home-based care has experienced a series of symbolic wins in 2023, many of which came from President Biden himself or his administration. But not all home-based care providers feel like victors. Home-based care is a broad term, and there is a large chunk of providers that haven’t felt the warmth from policymakers in Washington, D.C., […]

HCBS Utilization Has Grown Significantly, But The Workforce Hasn’t

Workforce growth has not kept pace with the growth of utilization in home- and community-based services (HCBS), a new study found. From 2013 to 2019, the number of home care workers per 100 HCBS participants declined by 11.6%. Preliminary estimates suggest that a decline in that ratio continued post-2020. “When you look over time, we […]

Medicaid Redetermination And What It Means For Home-Based Care

In less than two weeks, there may be far fewer eligible Medicaid beneficiaries. Medicaid membership ballooned during the pandemic. Millions of people were suddenly eligible for public health care when companies went through layoffs and when unemployment spiked. Over the past three years, states were told not to disenroll people who didn’t specifically request it. […]