The Transforming Episode Accountability Model (TEAM) went into effect on Jan. 1, 2026, and while full industry-wide data likely will not be available until mid-2027, the model will increasingly lead hospitals to emphasize outpatient services and tighten coordination between hospitals, home health agencies and other post-acute partners, experts told Home Health Care News. “[TEAM] changes […]
On Wednesday, a Brooklyn federal court sentenced the owner of adult day and home health companies to 76 months in prison for leading a multiyear Medicaid fraud and illegal kickback scheme that fraudulently billed the program about $64 million. The owner, Zakia Khan, pleaded guilty in 2025 to conspiring to defraud Medicaid and pay healthcare […]
LeadingAge and the National Alliance for Care at Home (the Alliance) submitted new letters urging the Centers for Medicare & Medicaid Services (CMS) to allow the moratorium on Medicare home health enrollment to expire — even after LeadingAge has supported the freeze. These new letters also urge CMS to adopt more targeted enforcement measures to […]
The National Alliance for Care at Home’s (the Alliance) new chief government affairs officer, Denis Fleming Jr., sees an unprecedented upswell of bipartisan support among lawmakers for home-based care — an environment he describes as the “greatest opportunity” yet for providers. At the same time, Fleming is closely watching rising threats to access to care, […]
The comment window for the proposed CY2027 Medicare home health rule has closed — and the difference in quantity and quality from last year feels stark. Last year, the home health community flooded the Centers for Medicare & Medicaid (CMS) with official comments decrying what was the largest proposed cut to the Medicare base […]
Technology now helps home health care providers catch errors before they reach the payer — but issues such as incomplete documentation or missing clinician signatures can still cause delays. The process begins with intake and eligibility, then continues through clinical documentation, assessments, coding and claim submissions, experts told Home Health Care News. “Billing starts the […]
I’m coming to you live from HHCN’s FUTURE conference, where I’m having the pleasure of connecting with HHCN+ members, readers, and a slew of industry experts and leaders. I’m currently tucked away at an out-of-the way table to bring you a few key insights from the event. I’m still processing my thoughts and the information […]
The home health community has voiced support for the potential rate increase in the proposed home health payment rule for calendar year 2027, while noting a few caveats. Providers and advocates are now filing comments as the window for public comments draws to a close. Commenters broadly praised the proposed rule change, while also urging […]
Economic downturns can prompt states to restrict home- and community-based services (HCBS), but could prompt states to pursue value-based contracts with providers. State Medicaid programs could consider these value-based arrangements over exclusive cuts or benefit reductions, said industry leaders speaking at Home Health Care News’ PAYER Summit in June. “Everyone right now should be a […]
After four consecutive years of decline, home health and hospice dealmaking is gaining momentum — and the proposed CY2027 home health rule and the Medicare enrollment moratoria could propel activity even higher through 2027. Home health and hospice dealmaking could spike not only in volume, but also in valuation, according to a recent report from […]
