Lawmakers Back Home Health Providers, Condemn Payment Cuts In Symbolic Subcommittee Hearing

The Senate Finance Committee’s Subcommittee on Health Care held a hearing Tuesday regarding aging in place and access to home health care in the U.S.  While current struggles were highlighted throughout, the hearing was ultimately a symbolic win for home health providers across the country. Lawmakers came across as more educated on home health care […]

Lawsuit Filed Against HHS Over Home Health Care Shortcomings Dismissed

The U.S. District Court for the District of Columbia has dismissed a class action lawsuit that accused the U.S. Department of Health and Human Services (HHS) of failing to properly administer the Medicare home health benefit. The plaintiffs had argued the home health services required under Medicare law were wholly insufficient. Medicare law authorizes coverage […]

Home Health Providers Failing to Deliver Required Services, New Survey Suggests

Medicare-certified home health providers are falling short when it comes to the amount of care services they’re offering, a new survey released Thursday from the Center For Medicare Advocacy (CMA) suggests. “Our surveys confirmed what we, unfortunately, hear all the time at [CMA], either directly from the beneficiaries, family members or friends who’ve tried to […]

Home Health Value-Based Purchasing Model Could Limit Access to Care, Critics Caution

In January, the U.S. Department of Health and Human Services (HHS) revealed plans to expand the Home Health Value-Based Purchasing (HHVBP) Model — a Medicare demonstration that aims to tie reimbursement to quality of care. While HHVBP has gained popularity within the home health industry, some experts believe there are potential downsides to scaling the […]

Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find

Home Health Care News Perspective: With certain non-skilled in-home care services allowable under the Medicare Advantage program in 2019, the home care industry has made landing partnerships with health plans a top priority. But significant opportunities may not arise until 2020, experts predict. Just 3% of MA plans will next year offer in-home support services such as […]

Judge: CMS Must Clarify When Rehab is Covered by Medicare

Home health agencies may be worried about offering services to patients whose conditions are not improving. But home health and other providers need to be reassured that they can in fact bill Medicare for these types of services and expect payment, a federal judge recently ordered. Indeed, the Centers for Medicare & Medicaid Services (CMS) […]

Under New Settlement, Home Care Under Medicare Made Easier

More patients would be able to access home health care through Medicare benefits to treat chronic conditions as a result of a class action lawsuit settlement with policy implications announced this week.  In the proposed settlement, the Obama Administration has agreed to abandon a former policy that required Medicare recipients to show a likelihood of […]