Home Health Industry Leaders Scoff At ‘Distorted Picture of Reality’ Painted By MedPAC

The Medicare Payment Advisory Commission (MedPAC) recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2025. The recommendation is another chapter in the contentious relationship between the commission and the home health industry. It also recommended that Congress eliminate any payment updates for hospice providers in 2025. […]

New Legislation Offers Hope For Expanding HCBS Across More States

Over the past several years, many states have strengthened their home- and community-based services (HCBS) programs by covering more services and increasing rates. Now, over a dozen members of Congress are trying to give states additional funding to help expand those HCBS programs further. “A vast majority of seniors and people with disabilities would prefer […]

Cigna To Shed Certain Prior Authorization Requirements, May Benefit Home-Based Care Providers

In an attempt to lower administrative burden, Cigna Healthcare — the health insurance arm of The Cigna Group (NYSE: CI) — announced that it is removing nearly 25% of medical services from its prior authorization requirements. Broadly, prior authorization is the process that occurs when a health care provider requests a patient to receive a […]

Proposed Minimum Wage Hike For Health Care Workers Could Hurt Home-Based Care Providers

New legislation that would establish the first minimum wage requirement for health care workers advanced in the California State Assembly earlier this month. Although the news will be greeted warmly by caregivers in the Golden State, experts in the home-based care space are worried the minimum wage increase will have adverse effects on providers. “It […]

Lawmakers Seeking To Block Home Health Medicare Cuts

The Preserving Access to Home Health Act of 2023 was introduced Thursday. Its largest objective is to prevent further cuts to home health payments in 2024 and beyond. The bill, if passed, would also strip the Centers for Medicare & Medicaid Services (CMS) of some of its payment-rate setting power and force the The Medicare […]

New Senate Bill Could Make Offering Palliative Care Easier For Home Health Agencies

A group of lawmakers have rolled out a new Senate bill that would direct the Center for Medicare & Medicaid Innovation (CMMI) to develop a palliative care-specific payment model demonstration. The bill is dubbed the Expanding Access to Palliative Care Act. Sens. Jacky Rosen (D-Nev.), John Barrasso (R-Wy.), Tammy Baldwin (D-Wisc.) and Deb Fischer (R-Neb.) […]

Advocacy Investments Paying Off For Bayada

There’s a good argument to be made that one of the biggest successes in the history of Bayada Home Health Care came from a pre-dinner conversation in a parking lot 14 years ago. It was 2009, and Dave Totaro had just been hired by the company’s founder, Mark Baiada, as Bayada’s first chief marketing officer. […]