CMS Lifts Moratoria on Home Health After 5 Years

The long-standing moratoria on new Medicare home health agencies is no longer in effect anywhere in the U.S. The Centers for Medicare & Medicaid Services (CMS) allowed the temporary ban to expire on Jan. 30, a move that will likely improve patient access to home-based care in related markets, experts say. CMS initially implemented a […]

LHC Group Expands Home-Based Care Footprint With Latest Joint Venture

Just one month into the year, LHC Group (Nasdaq: LHCG) is already making progress on its 2019 goal to shift more care into the home.  The home health care powerhouse on Thursday announced a new joint venture with Unity Health, resulting in shared ownership of two home health providers in Arkansas. The move is yet […]

Insurance Risks for At-Home Care Agencies and How to Address Them

As health care costs rise unsustainably and the aging population booms like never before, the need for affordable at-home care continues to grow. But from an insurance standpoint, providing that care could soon come with more risk and a higher price tag. “There’s no specific data that is publicly available that speaks to [at-home care […]

Court Ruling Goes Against Pro-Home Health Provider Medicare Recoupment Trend

A recent court ruling against a home health care company could mean trouble for providers struggling financially as a result of Medicare recoupment, at least one legal expert believes.   Currently, home health care providers that are overpaid for Medicare services are not required to repay the Centers for Medicare & Medicaid Services (CMS) while […]

Humana Updates Management Team, LHC Group Fills Out Board

Humana updates management team with internal hires Health insurance giant Humana Inc. (NYSE: HUM) has filled two leadership roles with internal candidates. The Louisville, Kentucky-based company has promoted Joseph Ventura to General Counsel and named Douglas Stoss interim lead for Humana’s Office of Corporate Affairs. Both will serve as members of the company’s management team. […]

How Home Health Agencies Can Prepare for, Fight PDGM

When it takes effect next year, the Patient-Driven Groupings Model (PDGM) from the Centers for Medicare & Medicaid Services (CMS) is expected to revolutionize home health agency operations and double billing efforts. As the biggest payment overhaul in years, it’s crucial for providers to spend 2019 preparing for — and fighting certain aspects of — […]

Caregiver Shortage Could Mean 7.8 Million Unfilled Jobs By 2026

The nationwide shortage of caregivers continues to be one of the biggest industry-wide problems for home health and home care agencies, with no end in sight. And in the future, the employment crunch could become even worse than previously expected. That’s according to a new report from Paraprofessional Healthcare Institute (PHI), a worker advocacy organization […]

Shifting ACO Rules Create Uncertainty for Home Health Agencies

Home health agencies are still unsure what a recent overhaul of Medicare’s accountable care organization (ACO) program means for them. They will be affected, experts say, but how and to what extent remains unclear. Called “Pathways to Success,” the new policies for ACOs were announced by the Centers for Medicare & Medicaid Services (CMS) about […]

Homewatch CareGivers Adds New Leadership Position to Focus on Innovation

Homewatch CareGivers has developed a new leadership position to spearhead innovation within the company. Jennifer Ramona has been named vice president of strategy and health care innovation. Previously, Ramona was the company’s director of business development. “We shifted some of [my] responsibilities with regards to the day-to-day business development to be able to really take […]

Visiting Angels, FirstLight Among Best Franchises to Buy in 2019

Visiting Angels, FirstLight Home Care and six other home care companies have been ranked among the 200 best franchises to buy in 2019. That’s according to a list compiled by Franchise Business Review, a market research firm that focuses on satisfaction and performance in the franchise industry. From June 2017 to November 2018, the firm […]