‘This Has Been Haunting Us’: How Sloppy Cost Reporting Leads To Home Health Payment Cuts

It’s easy for home health agencies to point the finger at the U.S. Centers for Medicare & Medicaid Services (CMS) for slashing reimbursement rates. However, some argue that agencies also should take a close look in the mirror, with a point of reflection being around cost reporting. “These cuts that we’re getting — and the […]

Lawmakers Back Home Health Providers, Condemn Payment Cuts In Symbolic Subcommittee Hearing

The Senate Finance Committee’s Subcommittee on Health Care held a hearing Tuesday regarding aging in place and access to home health care in the U.S.  While current struggles were highlighted throughout, the hearing was ultimately a symbolic win for home health providers across the country. Lawmakers came across as more educated on home health care […]

The GUIDE Model’s Promising Goals For Supporting Caregivers

When the Centers for Medicare & Medicaid Services (CMS) first announced the Guiding an Improved Dementia Experience (GUIDE) Model in late July, there was excitement and an eagerness to learn more from home-based care providers. The goal of the model, according to CMS, is to “support people living with dementia and their unpaid caregivers.” Even […]

OIG Believes Unreported Falls Show ‘Poor Compliance,’ But Home Health Advocates Disagree

Home health agencies aren’t reporting more than half of falls involving major injury or hospitalization on patient assessments for Medicare beneficiaries, a recent report from the Office of Inspector General (OIG) found. In order to compile this report, OIG looked for falls with major injury in Medicare hospital claims for home health patients, and then […]

How Home-Based Care Providers Are Planning To Get Involved With The GUIDE Model

The Centers for Medicare & Medicaid Services (CMS) first announced the Guiding an Improved Dementia Experience (GUIDE) Model in late July. Home-based care providers have now had time to think about the opportunity the model may bring with it. The goal of the model is to “support people living with dementia and their unpaid caregivers.” […]

‘Exacerbating Decline In Access’: LHC Group, Enhabit, Bayada Sound Off On CMS’ Proposed Rate Cuts

The U.S. Centers for Medicare & Medicaid Services’ (CMS) home health proposed payment rule – which would slash rates by 2.2%, or an estimated $375 million less compared to 2023 levels – drew the ire of the industry’s heaviest hitters during the public comment period. The comments were critical of the proposed rule itself. They […]

CMS Unveils AHEAD Model, Aims To Shift Health Care To ‘Community-Based Settings’

The Centers for Medicare & Medicaid Services (CMS) unveiled a new state-focused demonstration model Tuesday. One of the model’s primary objectives is to shift health care spending and utilization more toward primary and community-based care. The States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model) will aim to better address chronic disease, behavioral […]

How Home-Based Care Helped The Medicare Shared Savings Program Generate $1.8B In Savings

The Medicare Shared Savings Program (MSSP) continues to save Medicare over a billion dollars annually. And some of the highest-performing, most innovative Accountable Care Organizations (ACOs) participating in the program continue to generate savings by effectively using home-based care. The U.S. Centers for Medicare & Medicaid Services (CMS) announced Thursday that MSSP saved Medicare $1.8 […]