Home Health Value-Based Purchasing Model Could Limit Access to Care, Critics Caution

In January, the U.S. Department of Health and Human Services (HHS) revealed plans to expand the Home Health Value-Based Purchasing (HHVBP) Model — a Medicare demonstration that aims to tie reimbursement to quality of care. While HHVBP has gained popularity within the home health industry, some experts believe there are potential downsides to scaling the […]

As Becerra Awaits HHS Confirmation, Biden Reportedly Narrows Picks to Head CMS

There’s a new name being circulated for President Joe Biden’s top pick to lead the U.S. Centers for Medicare & Medicaid Services (CMS). Chiquita Brooks-LaSure — a former policy official who played a key role in guiding the Affordable Care Act through passage and implementation — is now the likeliest candidate to run CMS, according […]

COVID-19 Funding Presents an ‘Enforcement Perfect Storm’ for Home Health Providers, Others

The federal government saw $2.2 billion in civil fraud recoveries in 2020. Roughly 82% of those settlements and judgments — about $1.8 billion — were from matters related to the health care sector. That’s according to a recent report from Nashville, Tennessee-based law firm Bass, Berry & Sims. The report examined significant health care fraud […]

MACs Report Processing Glitches for No-Pay RAPs

Among payment-related policy changes for the home health industry in 2021 is the elimination of traditional Requests for Anticipated Payment (RAPs) — and the introduction of the “no-pay RAP.” While the change is a potentially costly one for home health agencies, they’re not the only ones struggling to keep up. Medicare Administrative Contractors (MACs) have […]

National Expansion of Home Health Value-Based Purchasing Model Estimated to Create $6.3B in Savings

In somewhat of a surprise move, U.S. health care policymakers unveiled plans last week to expand the Home Health Value-Based Purchasing (HHVBP) Model, a nine-state Medicare demonstration designed to better align reimbursement to quality of care. Despite backing from most of the home health industry, the HHVBP Model — first implemented in 2016 — had […]

[Updated] HHS Announces Plans to Expand the Home Health Value-Based Purchasing Model

Home health providers are getting one of their biggest wishes granted. The U.S. Department of Health and Human Services (HHS) announced Friday that it is expanding the Home Health Value-Based Purchasing (HHVBP) Model. First implemented in 2016, the HHVBP Model is currently active in just nine states: Massachusetts, Maryland, North Carolina, Florida, Washington, Arizona, Iowa, […]

UNC Health Rolls Out Hospital-at-Home Program with Medically Home

UNC Health is throwing its hat in the hospital-at-home ring. The North Carolina-based health system announced Monday that it has plans to launch an acute hospital care at home program in partnership with Medically Home. UNC Health is a state-owned integrated health care system based in Chapel Hill. The organization is made up of 12 […]

CMS Approves 5 More Hospitals for Hospital-at-Home Initiative, Raising Total to 56

The U.S. Centers for Medicare & Medicaid Services (CMS) has approved a handful of new hospitals under its rapidly growing hospital-at-home initiative, Administrator Seema Verma announced on Monday. Originally unveiled at the end of November, CMS’s “Acute Hospital Care at Home” initiative is designed to give hospitals “unprecedented” and “comprehensive” regulatory flexibilities to treat certain […]