Lenders See Positives in Proposed RAP Phase Out

Industry experts predict that a potential phase out of home health Requests for Anticipated Payments (RAPs) will likely put several small to mid-size providers out of business. But not everybody is lamenting the Centers for Medicare & Medicaid Services (CMS) proposal. Amedisys Inc. (Nasdaq: AMED) and other large home health providers, for example, have spun […]

Ensign Group Names Company Vet as CFO of Home Health Spinoff Pennant

The Ensign Group Inc. (Nasdaq: ENSG) announced Monday that it has named Jennifer L. Freeman to serve as chief financial officer of The Pennant Group Inc., the planned spinoff company launched from Ensign’s home health, hospice and senior living businesses. Freeman is an Ensign veteran, having joined the company earlier this year as CFO of […]

[Updated] Guardian Healthcare Resolves Improper Billing Allegations; Home Health Recruiter Found Guilty in Medicaid Kickback Scheme

Guardian Healthcare resolves allegations Boston-based Guardian Healthcare has entered into a financial settlement with MassHealth, the Massachusetts Medicaid program, according to Law360.  The home-based care provider — which offers home health and home care services — agreed to pay $1.95 million to resolve allegations that it submitted Medicaid claims without physician authorization that the services were […]

Financial Crisis Puts Quality Care Services in Survival Mode

An ongoing financial crisis related to phone troubles has put a Texas home health agency “on life support,” according to a local news report. The story further reveals how even a seemingly small disruption to cash flow can put home health providers with tight operating margins underwater. Opened more than two decades ago, Beaumont, Texas-based […]

Bernie Sanders: Home-Based Care Should be Guaranteed Right

So far, aging in place has mostly taken a backseat during 2019’s Democratic presidential debates and conversations surrounding Medicare-for-All models. That may be changing — and fast. On Thursday afternoon, presidential hopeful Bernie Sanders sent a message to his more than 8.5 million followers on Twitter: “No senior should have to sell their belongings or […]

Home-Based Kidney Care Company Provides Framework for In-Home Renal Treatment

A value-based kidney care company is showing what’s possible when it comes to renal treatment in the home — potentially providing a framework for home-based care providers if a variety of newly proposed payment models come to fruition. Since getting started about three-and-a-half years ago, Vienna, Virginia-based Somatus Inc. has served 3,000 patients, doing more […]

Humana At Home President: The Industry Will Adapt to PDGM

With a focus on addressing the social determinants of health through non-medical care, health insurance giant Humana Inc. (NYSE: HUM) has set its sights on care in the home. In addition to Humana At Home, the company sends almost 50,000 nurses into the home daily through Kindred at Home, the largest provider of home health […]