Headwinds primarily associated with Medicare Advantage (MA) and care activity in its insurance business led UnitedHealth Group (UHG) (NYSE: UNH) to lower its anticipated earnings per share for 2025. In the first quarter of 2025, UHG’s revenues increased by $9.8 billion year-over-year, reaching $109.6 billion. This growth was primarily driven by a more comprehensive approach […]
Category: CMS
The Centers for Medicare & Medicaid Services (CMS) announced Thursday that it would no longer approve funding for some services previously covered by state section 1115 demonstrations, including some in-home non-medical services. In a letter addressed to state Medicaid directors, CMS stated that the organization “did not anticipate” approving new federal funding for designated state […]
Home-based care providers that also offer hospice services face a proposed 2.4% increase in per diem payments – a figure likely insufficient to meet rising operational costs and growing patient demand. The U.S. Centers for Medicare & Medicaid Services (CMS) on Friday announced its proposed hospice payment rule featuring the payment increase, which was lower […]
Payment rates for at-home care providers have been a major theme of the past week, with the arrival of a final Medicare Advantage (MA) rule from the Centers for Medicare & Medicaid Services (CMS), and Medicaid remaining in the crosshairs of federal budget action. We also tackled building margin and financial resilience in our latest […]
The Centers for Medicare & Medicaid Services (CMS) announced a 5.06% Medicare Advantage payment increase on Friday – more than double the rate suggested by the outgoing Biden administration. The final rule is largely positive news for the home-based care community, Fred Bentley, managing director in ATI Advisory’s care continuum strategy and solutions practice, told […]
The forthcoming TEAM bundled payment model will offer home health providers opportunities to boost utilization and develop stronger referral partnerships – if they understand and succeed in their roles within a 30-day episode of care. The Transforming Episode Accountability Model (TEAM), set to begin on Jan. 1, 2026, requires providers to “front-load” the episode of […]
New York’s tumultuous ongoing transition to a single fiscal intermediary for the state’s self-directed home care program, the Consumer Directed Personal Assistance Program (CDPAP), has caught the attention of the U.S. Centers for Medicare & Medicaid Services (CMS). CDPAP is a New York Medicaid home care program that allows eligible individuals to hire the caregiver […]
Senate Republicans released text for a budget resolution Thursday that, if enacted, could substantially alter the home-based care industry. The budget framework directs the House Committee on Energy and Commerce, the committee with jurisdiction over Medicaid, to slash the deficit by at least $880 billion between 2025 and 2034, prompting concerns from home-based care providers. […]
The Trump administration announced Thursday that it would slash 10,000 jobs at the U.S. Department of Health and Human Services (HHS), including roles at the Centers for Medicare and Medicaid Services (CMS), which controls government health insurance programs crucial to the home health community. The cuts are part of a dramatic restructuring of the agency […]
For once, most representatives from both parties agreed that action is necessary. “I was encouraged by the engagement from lawmakers on both sides of the aisle,” Empath Health CEO Jonathan Fleece told me in an email after the March 11 hearing, at which he testified. “There was real recognition that home-based care is not only […]
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