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New York Plaintiffs File Class Action Lawsuit Over Home Care Cuts

A federal class action lawsuit filed against New York State health officials alleges that officials are mishandling Medicaid home care services by cutting services for those who need them most, the New York Times reports.  Three plaintiffs are named in the lawsuit filed against the state commissioners of the Department of Health and the Office […]

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CMS Pledges $100 Million to Streamline State Medicaid Programs

In an effort to improve patient care and reduce costs, the Centers for Medicare & Medicaid Services (CMS) has launched a $100 million initiative to provide federal tools and resources to state Medicaid programs.  The Medicaid Innovation Accelerator Program (IAP), developed with input from the National Governors Association, is CMS’ latest effort to support payment and […]

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CMS Proposal Would Cut $7 Billion in DMEPOS Payments

The Centers for Medicare & Medicaid Services (CMS) has proposed a rule that would cut Medicare reimbursements for durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS) by more than $7 billion from 2016 to 2020.  The proposed rule would create significant changes to Medicare coverage and payment policies for DMEPOS, including a methodology for adjusting […]

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Federal Judge Rules Breach of Contract in DME Bidding Suit

Medical supply company CardioSom, LLC has prevailed in its lawsuit against the U.S. government, paving the way for some 300 other providers to follow suit, HME News reports.  Chief Judge Patricia Campbell-Smith of the U.S. Court of Federal Claims recently ruled that the government was in breach of contract when it rescinded contracts in the original […]

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Home Health Leaders: Medicare Reforms Could Save More Than $15 Billion

The leading coalition of home health providers has put forth a proposal that could save more than $15 billion over 10 years by improving the Medicare pay model. The Partnership for Quality Home Healthcare recently proposed Skilled Home Health and Integrity Program Savings (SHHIPS), which would move Medicare away from a “pay and chase” model by preventing […]

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