Blue Cross Blue Shield Of Massachusetts To Eliminate Prior Authorization For Home Health Discharges

Blue Cross Blue Shield of Massachusetts is getting rid of one of the biggest pain points for home health providers: prior authorization. The change will eliminate more than 14,000 authorizations, according to the company. Broadly, patients being discharged from the hospital to home health care will not need advanced approval. The types of care that […]

How Home Care Providers Merge Art, Science To Form Compensation Strategies

For home care leaders, determining the wages of salespeople, caregivers and other contributors is a major undertaking. It is part art, part science, and hard to perfect. At the Home Care Association of America’s (HCAOA) annual conference last month, providers offered a peak behind the curtain on how those determinations take place. Hillendale Home Care […]

Transactions: Gentiva Completes ProMedica Deal; Avid Health at Home Acquires Independence 4 Seniors

Gentiva officially acquires ProMedica’s home health, palliative and hospice business Gentiva has closed on its $710 million deal for ProMedica’s home health, palliative and hospice business. The deal was first announced in February. Now that it is finalized, the Atlanta-based Gentiva will boost its location count from 380 to 500, and its patient census by […]

CMS Keeps Home Health Providers In Payment Purgatory With 2024 Final Rule, Strikes Contentious Tone With Industry

After the U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2024 final payment rule Wednesday, home health providers found themselves in a position they know all too well. Is a 0.8% aggregate payment increase better than the 2.2% decrease that was proposed? Of course. Was the rule, in its totality, effective in […]

[Updated] CMS Finalizes 0.8% Home Health Payment Increase For 2024, Additional PDGM Cuts

The U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2024 home health final payment rule Wednesday. It comes with an estimated aggregate increase to 2024 home health payments of 0.8%, or $140 million, compared to 2023 aggregate payments. But that doesn’t tell the entire story, with sharp rate cuts also finalized. “The $140 […]

Senators Call On President Biden To Help Protect Home Health Benefit

A group of senators sent a letter to President Joe Biden last week urging him and his administration to look after the Medicare home health benefit. Sens. Debbie Stabenow (D-Mich.), Kyrsten Sinema (D-Ariz.), Kirsten Gillibrand (D-N.Y.), Tammy Duckworth (D-Ill.), Mazie K. Hirono (D-Hawaii), Jeanne Shaheen (D-N.H.), Tina Smith (D-Minn.) and Maggie Hassan (D-N.H.) all signed […]

Stronger Personal Care Hiring Is Paying Dividends For Addus

Addus HomeCare Corporation (Nasdaq: ADUS) has reduced turnover and delivered on important acquisitions over the past few months. Still, a home- and community-based services (HCBS) proposed rule is hanging over its head. That rule, of course, includes the 80/20 provision, which would see the Centers for Medicare & Medicaid Services (CMS) mandate that 80% of […]

Compassus Brings On John Cullen As Next CFO

Compassus – one of the largest home-based care providers in the country – has a new CFO. John Cullen will take over the role on Oct. 30, the company announced Monday. Cullen will succeed Brad Wear, who was named CFO in 2018. “John’s extensive experience and proven leadership in the health care sector equip him […]