So far, April has already seen two home health industry officials sentenced to a combined 15 years of prison time for their roles in multi-million scams, plus a conviction in the U.S. Department of Justice’s (DOJ’s) biggest health care fraud scheme ever. On April 4, DOJ announced the former director of nursing and administration of […]
Home care providers slow to chase Medicare Advantage business opportunities may now be motivated to speed up their pursuits. Last week, the Centers for Medicare & Medicaid Services (CMS) announced it was broadening the range of supplemental benefits Medicare Advantage (MA) plans can offer in 2020. Starting next year, health care policymakers will allow MA […]
The Centers for Medicare & Medicaid Services (CMS) announced Friday that the agency has finalized a set of policies designed to expand the use of telehealth benefits under the Medicare Advantage program. Originally proposed in October 2018 for the 2020 plan year, the new policies from CMS are meant to expand access to telehealth services […]
Although a fairly common practice in the senior housing and skilled nursing worlds, home health providers as a group have largely avoided bankruptcy proceedings, partly thanks to a steady reimbursement landscape and increasing demand for services by older Americans hoping to age in place. If history serves as any guide, that’s likely to change under […]
The Patient-Driven Groupings Model (PDGM) will shake up how and when home health providers are reimbursed compared to the current Medicare model, which has been in place since 2000. Among PDGM’s changes, for example, functional status and the OASIS M1800s section will matter significantly more. That’s a major change for home health providers, who are […]
The Centers for Medicare & Medicaid Services (CMS) has picked an official start date for its Review Choice Demonstration (RCD), an initiative meant to curb improper billing among home health providers. On Wednesday, CMS announced RCD will begin in Illinois on June 1. For home health providers operating in Illinois, that means all episodes of […]
Since joining Home Helpers as its president more than a decade ago, Emma Dickison has helped the Cincinnati-based home care franchise redefine its brand and achieve steady growth in an increasingly competitive industry. After Home Helpers was acquired by private equity firm Linsalata Capital Partners in 2016, Dickison’s leadership propelled her into the CEO position. […]
LHC Group finalizes joint venture Lafayette, Louisiana-based LHC Group Inc. (Nasdaq: LHCG) and Geisinger Home Health and Hospice have finalized their joint venture agreement, initially announced at the end of February. Under the agreement, LHC Group will take majority ownership of Geisinger’s home health and hospice services in the Pennsylvania locations of Danville, Bloomsburg, Wilkes-Barre, […]
One of the largest health systems in the country is betting big on its ongoing strategy to provide more care upstream. In March, Intermountain Healthcare announced it is expanding its home-based offerings in 2019 to include primary care and multiple hospital-level services, along with palliative care for patients with chronic or serious medical conditions. The […]
The Centers for Medicare & Medicaid Services announced last week the launch of a three-stage challenge designed to encourage the use of artificial intelligence (AI) in health care. As part of the challenge, participants will be tasked with using AI to better predict unplanned hospital and skilled nursing facility admissions — already a key focus […]
Subscribe
Receive industry updates and breaking news from HHCN