The Centers for Medicare & Medicaid Services (CMS) has proposed reducing Medicare home health payments by 1% in CY2017, or $180 million. The proposed changes to the Medicare home health prospective payment system (HH PPS) follow the federal agency’s proposal to increase hospice payments by 2%, or $330 million for 2017. In 2015, care for […]
Category: Featured
The U.S. Supreme Court has declined to hear Home Care Association of America v. Weil, ending a long-running legal saga and putting to rest any question of whether home care workers will be afforded minimum wage and overtime protections. At issue is the Fair Labor Standards Act’s so-called companionship exemption. Home care workers were for […]
The Medicare Fraud Strike Force has engaged in a three-day execution of the largest fraudulent billings takedown—that includes home health agencies—in the group’s history. Approximately 300 people were charged across 36 federal districts for their alleged participation in a variety of schemes that involved more than $900 million in fraudulent health care billings, according to […]
Though the home health industry has pushed back against the Center for Medicare & Medicaid Services’ (CMS) prior authorization program—dubbed the Pre-Claim Review Demonstration for Home Health Services—the pilot is likely to start soon, and home health agencies are gearing up to deal with the potential of any additional administrative burden. Agencies in the first […]
The use of home health services after a major joint repair surgery for Medicare patients results in cost-effective care and lower readmission rates, according to data newly released Thursday. The data analysis, conducted by Dobson | DaVanzo & Associates and released by the Alliance for Home Health Quality and Innovation, comes just more than two […]
With the federal government pushing for more coordinated post-acute care, some companies are making big moves to have control over more of the whole continuum and doubling-down on their efforts around home health. Marquis Companies is one such company. The Milwaukee, Oregon-based organization offers home health care, post-acute rehabilitation, independent and assisted living, memory care, […]
Days after unveiling a preauthorization requirement for home health agencies, providers expressed confusion and concern as the Centers for Medicare & Medicaid Services (CMS) attempted to clarify what the plan entails. The new preauthorization measure, dubbed the Pre-Claim Review Demonstration for Home Health Services, aims to crack down on Medicare fraud, waste and abuse in […]
Gaps in care for seniors living at home can make them vulnerable to hospital visits, which is why a unique group of providers with both home health care and senior housing services have teamed up to serve Michigan residents. Tandem365 is a Michigan-based organization that aims to help older adults—55 and older—“navigate” the health system […]
Home health providers and associations were quick to denounce a preauthorization requirement after the Centers for Medicare & Medicaid Services (CMS) revealed it will move forward with its formerly announced plans. Across the board, industry officials expressed disappointment and concern with the CMS plans for prior authorization, now deemed the Pre-Claim Review Demonstration for Home […]
Amedisys Inc. (NASDAQ: AMED) wants to be on top: the biggest, the best, and the first choice for employees. To accomplish this, the Baton Rouge, Louisiana-based home health and hospice giant is focusing primarily on strong volume growth—a plan of action the company’s CEO, Paul Kusserow, believes has enormous potential. “We believe volume cures all […]
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