Editor’s Picks: CMS Cracks Down on Fraud

This week on Home Health Care News, readers tuned in to learn what the Centers for Medicare & Medicaid Services (CMS) is doing to crack down on fraud. They also discovered how value-based purchasing and new quality measures are ushering in a new era in the home health industry, and read about a new partnership between a New Jersey health system and a home care provider.

Here in the newsroom, we considered the role of family caregivers, and how they’re impacted by their behind-the-scenes roles.

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CMS Tightens Screws on Home Health Fraud—CMS is making strides to crack down on home health fraud through data use and more site visits. Recently released data, for example, could help CMS pinpoint more locations where it won’t certify new home health agencies in the future based on utilization patterns.

How to Thrive in Home Health’s New Era—With value-based purchasing programs underway and new quality measures being considered, the home health industry is entering a new era, according to advisors from the Visiting Nurse Associations of America.

Inspira and Bayada Develop Joint Venture, Spark Worker Grievance—New Jersey-based Inspira Health Network announced its new partnership with Bayada Home Health Care, a privately held home care company that operates in 21 states. The move will potentially displace some home care nurses, prompting a union representing Inspira’s nurses to file a grievance.


Little Growth in Number of Home Health Agencies—As the population of American seniors continues to grow, so does the need for long-term care services, but the number of home health agencies increased only slightly between 2012 and 2014.

Weekend Read

Make Family Caregivers Matter More: Measure Them—Steve Landers, CEO of VNA Health Group, reminds us of the impact of medical issues beyond those who are afflicted, particularly on families. Family caregivers work every day in the shadows of our health care system, he writes, and their personal and workplace responsibilities tend to be vastly affected by their caregiver roles.

Written by Kourtney Liepelt

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