A ‘Fairly Big’ Deal: The Changes To Home Health Conditions Of Participation, OASIS

Last month, the U.S. Centers for Medicare & Medicaid Services (CMS) released its home health proposed payment rule for 2025. Since then, home health providers and industry stakeholders have reacted to the proposal’s cuts, as well as other payment factors that could impact the space moving forward. Though payment factors are top of mind, there […]

Dozens Of In-Home Care Providers Unveiled As Participants In CMS’ GUIDE Model

The Centers for Medicare & Medicaid Services’ (CMS) Guiding an Improved Dementia Experience (GUIDE) Model is live. Among its participants are a wide range of home-based care providers. CMS said that there will be almost 400 participating organizations building Dementia Care Programs (DCPs) to serve Medicare beneficiaries at first. “DCPs represent a wide range of […]

All The Payment Factors Included In The 2025 Home Health Proposed Rule

Providers examining the 2025 home health proposed payment rule may be experiencing some déjà vu, according to William A. Dombi, the president of the National Association for Home Care & Hospice’s (NAHC). “Much of what we see in the rule is just, on the payment side of it in particular, an update from ‘23 and […]

How The Supreme Court’s Chevron Decision Could Help Stop Home Health Cuts

On Friday, the U.S. Supreme Court upended the Chevron doctrine precedent. For home health industry purposes, that means a potentially weakened Centers for Medicare & Medicaid Services (CMS) moving forward. The news comes just two days after the home health proposed payment rule was released, which included significant cuts for the third straight year. Broadly, […]

‘Draconian’ And ‘Bewildering’: Inside The 2025 Home Health Proposed Payment Rule

The Centers for Medicare & Medicaid Services’ (CMS) proposed home health payment rule, released Wednesday, included significant cuts for the third straight year. Those cuts, among other proposed changes, raise questions over the stability of the industry in the coming years. It has providers asking themselves and others the question: “Why us?” For an industry […]

Payers Continue To Take Short-Sighted View Of Home Health Care

Home health providers want better rates and arrangements from Medicare Advantage (MA) plans. The plans, on the other hand, sometimes still can’t figure out what they want from providers. Some of the largest home health companies have begun to make headway with MA plans. “I think the payers are recognizing that this is not a […]

Contradictory Policymaking Has Led To Costlier Care: The Future of Health Care Is In The Home

The following is an op-ed submitted by: Ken Albert, CEO, Andwell Health Partners; David Causby, CEO, Gentiva; Marcylle Combs, CEO, MAC Legacy; Brent Korte, CEO, Frontpoint Health; John Olajide, CEO, Axxess; Billy Simione, Managing Principal, SimiTree; Jennifer Sheets, the former CEO of Interim HealthCare; Susan Ponder-Stansel, CEO, Alivia Care; David Totaro, Chief Government Affairs Officer, […]