‘Perpetuity Of Uncertainty’: Home Health Providers Await Another Poor Payment Proposal While Left In Limbo On Massive Clawbacks

The Medicaid Access Rule has been finalized, with six years until the implementation of the 80-20 provision. There’s no time to rest for home-based care providers and advocates on the regulation front, however. Summer is near, and that means so is the home health proposed payment rule from the Centers for Medicare & Medicaid Services […]

Addus Remains Disappointed With Medicaid Access Rule, But It’s Also Willing To Take Advantage

Addus HomeCare Corp. (Nasdaq: ADUS) leaders still believe the Medicaid Access Rule missed the mark. But that doesn’t mean they won’t take advantage of it. The company is regularly building out its personal care footprint, expanding it in some areas and bolstering it in others. If consolidation is a result of the Medicaid Access Rule’s […]

How Personal Care In Acute Care Settings Could Become Popularized, Benefiting Patients And Providers

In March, the U.S. Centers for Medicare & Medicaid Services (CMS) approved a request from one state to allow more personal care service delivery within acute care facilities. Though not yet widespread, the amendment could open doors for providers and patients needing personal care in alternative settings in the future.  One change to a Medicaid […]

CMS’ Daniel Tsai Stands Behind ‘80-20’ Provision, Medicaid Access Rule In Congressional Hearing

A senior Centers for Medicare & Medicaid Services (CMS) official stood behind the “80-20 rule” — which has drawn major pushback from the home-based care industry — during a congressional hearing Tuesday. Last week, the “Ensuring Access to Medicaid Services” rule was finalized. The impetus behind the rule is to strengthen access to home- and […]

‘This Battle Is Far From Over’: Federal Court Dismisses NAHC’s Lawsuit Against CMS

Last summer, the National Association for Home Care & Hospice (NAHC) made waves when it filed a lawsuit against the Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services (HHS) over Medicare home health payment calculations. Last week, a federal court in Washington D.C., dismissed NAHC’s lawsuit against […]

Payment Cuts Are Having A Compounding, Dire Effect On The Home Health Industry

Home health providers’ fight against cuts to fee-for-service Medicare payment has become a year-by-year battle. But the yearly cuts are compounding, which is exactly what industry advocates are trying to illustrate to Congress prior to the next payment rule proposal.  Since the adoption of the Patient-Driven Groupings Model (PDGM) in 2020, the Centers for Medicare […]

With Medicaid Access Rule Finalized, Home Care Providers Enter ‘Wait-And-See’ Mode

On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). Providers and advocates, on the other hand, continued to argue that the policy could be disastrous. During a press call Tuesday, CMS stuck with the theme that, in general, […]

What The ‘Fundamentally Contradicting’ Medicaid Access Rule Includes

The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. Firstly, the timeline of the rule is now clear. Specifically: – In three years, states must “report on their readiness to collect data regarding the percentage […]