Changemakers Series

COVID-19 Innovation: PACE Organizations Thriving by Shifting More Care into the Home

Amid the COVID-19 outbreak, post-acute care organizations have had to pivot. For Philadelphia-based Mercy LIFE — a Program of All-Inclusive Care for the Elderly (PACE) organization within the Trinity Health Mid-Atlantic system — that has meant closing its adult day centers and shifting care into the home for its 800-plus participants. Buses usually used for […]

Home-Based Care Advocates Call for Presumptive Eligibility, Direct Care Workers Fund

Securing direct reimbursement for telehealth visits and a Medicare rate increase are among the top advocacy priorities for home health providers during the coronavirus outbreak. While they share some common goals, home-based care providers that predominantly work under Medicaid have priority lists of their own. David Totaro is the chief government affairs officer for Moorestown, […]

CMS Decision to Cease Advance Payments May Prove Shortsighted

The U.S. Centers for Medicare & Medicaid Services (CMS) recently announced plans to suspend its advance payment program and reevaluate its accelerated payment program. It’s a decision that some home health industry insiders feel is too premature. CMS typically offers expedited Medicare payments to help providers during times of natural disasters. The agency initially expanded […]

OIG: Iowa Overpaid Medicaid-Reimbursed Home Health Providers by $37.1M

The state of Iowa did not sufficiently monitor its health home care program providers for at least four years, resulting in tens of millions of dollars in improper reimbursement, the Office of Inspector General (OIG) found upon review.  The Medicaid health home care option allows states flexibility in creating programs that produce care coordination and […]

Elara Caring Turns to Telehealth to Solve Coronavirus Pain Points

In the midst of the COVID-19 pandemic, Elara Caring has announced it will be rolling out telephonic home visits and telehealth services for its skilled home health and hospice patients. Elara Caring is making the move to solve a number of pain points related to the coronavirus outbreak, including an industry-wide personal protective equipment (PPE) […]

Medicaid Home-Based Care Providers Seek Stability Amid Coronavirus Disruption

Florida became the first state to secure an emergency Medicaid waiver from the U.S. Centers for Medicare & Medicaid Services (CMS) to help providers maintain operations during the COVID-19 national emergency. If Medicaid-reimbursed personal care services providers are to stay afloat during the ongoing pandemic, several more states will have to follow suit. Generally, states […]

‘Wake-Up Call’ Prompts $8.5M Emergency Reimbursement Effort

The shutdown of a major nonprofit home care provider in one state has motivated lawmakers to seek emergency action to the tune of $8.5 million. The move is a reminder of how important home-based care has become for state policymakers. Maine State Senator Shenna Bellows, a Democrat, recently announced plans to introduce emergency legislation that, […]