The U.S. Department of Justice has filed a lawsuit alleging that New York’s Consumer Directed Personal Assistance Program (CDPAP) transition to a single fiscal intermediary was part of a fraud scheme that raided the state’s Medicaid program for millions of dollars. The lawsuit, filed Tuesday, alleges that the New York Department of Health selected Public […]
Home-based care veteran executive Dr. Brian Holzer has joined Freedom Senior Services as the company’s top executive after the company transitioned to new private equity ownership. Following Gemspring Capital’s acquisition of Freedom, Holzer aims to make the company an aggressive M&A player while expanding service lines and client demographics. To do so, Holzer plans to […]
Medicaid program integrity efforts have been ramping up quickly, and last week we saw clear evidence of this trend when the Ohio Department of Medicaid (ODM) suspended payments to 49 home health providers with billing patterns that the agency deemed suspicious. This makes Ohio an early state to take cues from CMS on shifting away […]
As federal officials intensify scrutiny of Medicaid-funded home-based care, Ohio has become the latest state to take aggressive enforcement action against providers. The Ohio Department of Medicaid (ODM) announced Thursday that it has suspended payments to 49 home health providers whose billing patterns triggered potential fraud concerns. The suspensions followed an executive order by Ohio […]
On Wednesday, Rep. Beth Van Duyne (R-Texas) introduced a bill that would increase oversight of Medicare home health and hospice, legislation that was welcomed by the National Alliance for Care at Home (the Alliance). The Protecting Seniors and Stopping Fraudsters Act is designed to bolster Medicare oversight, crack down on scammers, protect seniors from fraudulent […]
Addus HomeCare Corporation (Nasdaq: ADUS) is actively pursuing acquisitions of size – and does not anticipate any impact to its growth strategy from the recently-announced moratorium on home health Medicare enrollment. As the Centers for Medicare & Medicaid Services’ (CMS) new moratoria affect only home health and hospice, Addus’ personal care services segment is not […]
On Wednesday, the Centers for Medicare & Medicaid Services (CMS) announced a six-month moratorium on Medicare enrollment in home health and hospice, effective immediately. The moratoria will apply to all applications for initial Medicare enrollment as well as to certain changes in majority ownership, which are “frequently used to obscure control by bad actors,” and […]
Several large at-home care providers have now reported their Q1 2026 results, and two common threads emerged as I reviewed my notes from their earnings calls. Interesting comments on M&A represented one of the themes. For BrightSpring Health Services (NASDAQ: BTSG) and Pennant Group (NASDAQ: PNTG), the “digestion” of Amedisys assets acquired last year remains […]
The Pennant Group (Nasdaq: PNTG) is considering joint ventures and acquisitions following its $146.5 million acquisition of Amedisys home health and hospice assets. The considerations for joint venture and additional M&A come as Pennant continues to integrate the Amedisys assets – a process that is not without its challenges. The company has transitioned two of […]
Addus HomeCare Corporation (Nasdaq: ADUS) has entered a new, “very attractive” state with its acquisition of Indiana-based HomeCourt Home Care. The company has also entered into a definitive purchase agreement to acquire another personal care provider in Indiana, similar in size to HomeCourt, with the deal expected to close in the coming months, according to […]
