Verma’s Comments Signal Turning Point for In-Home Care

The U.S. Centers for Medicare & Medicaid Services (CMS) on Wednesday released $165 million in supplemental funding for Money Follows the Person (MFP) programs, which encourage transitions from long-term care facilities to home- and community-based settings.  In the grand scheme of government health care spending, $165 million is only a drop in the bucket. In […]

CMS Announces $165M to Support Home Care, Reduce ‘America’s Over-Reliance’ on Nursing Homes

The U.S. Centers for Medicare & Medicaid Services (CMS) took a new step on Wednesday to support care transitions from long-term care facilities into home- and community-based settings. On Wednesday, CMS announced the availability of up to $165 million in supplemental funding to states currently operating Money Follows the Person (MFP) demonstration programs. MFP programs […]

Verma: CMS Holding Off on Medicare Loan Recoupment, Keeping Tabs on Congress

Home health providers that have been waiting for the Medicare advance and accelerated loan repayment process to begin will have to wait a little bit longer. While the U.S. Centers for Medicare & Medicaid Services (CMS) has yet to release an official statement, Administrator Seema Verma has confirmed the agency will hold off on the […]

CMS Issues New Guidance to Advance Value-Based Payment Models in Medicaid

The U.S. Centers for Medicare & Medicaid Services (CMS) is once again calling attention to its previously outlined commitment to value-based care strategies. The agency on Tuesday released new guidance to help states shift more toward value-based approaches under their Medicaid programs. The overarching goal of the guidance is to better align health care provider […]

CMS Completes Home Health Compare Overhaul, Launches New Medicare Tool

Nine months after initially floating the idea, the U.S. Centers for Medicare & Medicaid Services (CMS) has launched Care Compare, a consumer-facing database of provider quality information. The agency announced the launch on Thursday. CMS originally announced its plan to merge Home Health Compare with the seven other Compare sites in January. Agency officials said […]

Home Health Agencies Plan Ahead for Full-Blown RCD Resumption

Earlier this month, the U.S. Centers for Medicare & Medicaid Services (CMS) announced it will not immediately pursue a full-blown restart of the Review Choice Demonstration (RCD), a regulatory initiative designed to reduce improper billing in home health care. Instead, CMS outlined how it will move forward with a “phased-in approach” to RCD that gives […]

Spending on Home Health Care Down 21.6% Under PDGM

Spending on home health care services is down substantially under the Patient-Driven Grouping Model (PDGM), a recently unveiled analysis suggests. While the Bipartisan Budget Act of 2018 requires PDGM to be budget neutral, spending on home health care has actually been about 21.6% lower than projected, according to a detailed analysis from Dobson DaVanzo & […]

Confessions of a Home Health Agency Owner: ‘CMS Is Trying to Put Agencies Like Mine Out of Business’

For decades, home health agencies have learned to operate — and often thrive — in the midst of massive change. But since the start of 2019, that change has felt overwhelming for some agency owners, particularly those who run mom-and-pop businesses with razor-thin margins. Above all, perhaps, the decision by the Centers for Medicare & […]

Debunking Common PDGM Primary Diagnosis Myths

In order for home health providers to see reimbursement success, they need to be able to separate myths from facts when it comes to the Patient-Driven Groupings Model (PDGM). But one specific point of confusion has been primary diagnosis clinical groups. “There are a lot of rumors and myths floating around out there,” Robbi D. […]