The U.S. Centers for Medicare & Medicaid Services (CMS) published its FY 2025 home health proposed payment rule Wednesday. With it, the agency signaled that more significant cuts could be on the way for providers. To rebalance the Patient-Driven Groupings Model (PDGM) and make it budget neutral, at least according to its internal methodology, CMS […]
Last month, the Centers for Medicare & Medicaid Services (CMS) revealed that it planned to extend Review Choice Demonstration (RCD) for five additional years. This extension began on June 1. Though many home health providers had a bumpy start when RCD first launched, most of the industry has since adjusted. Some even view RCD as […]
Home health providers want better rates and arrangements from Medicare Advantage (MA) plans. The plans, on the other hand, sometimes still can’t figure out what they want from providers. Some of the largest home health companies have begun to make headway with MA plans. “I think the payers are recognizing that this is not a […]
The following is an op-ed submitted by: Ken Albert, CEO, Andwell Health Partners; David Causby, CEO, Gentiva; Marcylle Combs, CEO, MAC Legacy; Brent Korte, CEO, Frontpoint Health; John Olajide, CEO, Axxess; Billy Simione, Managing Principal, SimiTree; Jennifer Sheets, the former CEO of Interim HealthCare; Susan Ponder-Stansel, CEO, Alivia Care; David Totaro, Chief Government Affairs Officer, […]
Sens. Tom Carper (D-Del.) and Tim Scott (R-S.C.) have introduced a bill that would push back the expiration date of the Centers for Medicare & Medicaid Services’ (CMS) Acute Hospital Care at Home waiver program by five years. “Since Hospital at Home was implemented just a few years ago, we have seen this program deliver […]
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 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 […]
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 […]
When the “Ensuring Access to Medicaid Services” rule was finalized last week, the 80-20 provision stole the show, due to its unpopularity among home-based care leaders. But experts have pointed out that the rule is much more than just the 80-20 provision. “The rule, including the preamble, was over 1,000 pages, and I joke that […]
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 […]
By continuing to use the site, you agree to the use of cookies. More Information
The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this. For more information, see our cookie policy
