Sorting Through The Complex HCBS Medicaid Landscape

Medicaid home- and community-based services (HCBS) vary by state, in many ways. And while it makes the space a complex one for providers to navigate, a greater understanding of the complexities allows for more success. Broadly, Medicaid is a state and federal partnership. The federal government sets rules and parameters. The state takes those parameters […]

‘Bad Apples In A Barrel’: How Fraudsters In Home Health Care Impact The Entire Space

The home health industry has its very own boogeyman — the bad actor. However, there’s a difference between providers that have made errors in claims processing or quality of care provisions versus those taking part in purposeful fraudulent activity, according to National Association for Home Care & Hospice (NAHC) President William A. Dombi. “The outright […]

All The Payment Factors Included In The 2025 Home Health Proposed Rule

Providers examining the 2025 home health proposed payment rule may be experiencing some déjà vu, according to William A. Dombi, the president of the National Association for Home Care & Hospice’s (NAHC). “Much of what we see in the rule is just, on the payment side of it in particular, an update from ‘23 and […]

NAHC Re-Files Lawsuit Against HHS, CMS Over Home Health Cuts

The National Association for Home Care & Hospice (NAHC) hasn’t given up on efforts to push back on Medicare home health payment calculations. NAHC has re-filled its lawsuit against the U.S. Department of Health and Human Services (HHS). The lawsuit focuses on the home health PDGM budget neutrality adjustment, which imposed both permanent and temporary […]