The Medicaid program could face significant challenges under the Trump administration, according to Dan Tsai, the deputy administrator and director of the Center for Medicaid and Children’s Health Insurance Program (CHIP) Services. He expressed these concerns during a leadership update call from the Center for Medicare & Medicaid Services (CMS) on Wednesday. “Medicaid is so […]
Category: Medicaid
Last month when Public Partnerships LLC (PPL) was awarded the fiscal intermediary contract in New York, it was also announced that the financial management services company would work with a network of home care agencies as part of the agreement. Those agencies have now been announced. “We are honored to be serving the CDPAP community […]
A St. Louis business owner was indicted on Oct. 30 by a federal grand jury after allegedly defrauding Missouri Medicaid out of more than $3 million over a decade. Camille S. Childress was indicted on four counts of health care fraud. The indictment says Childress owned Inspiring Angels LLC, a home care company based in […]
Vice President Kamala Harris proposed a Medicare home care benefit earlier this month. Some found the proposal innovative and exciting, others found it unrealistic and potentially costly. Many in between found it well intentioned, but wanted to hear further details. But more broadly, Harris’ proposal evoked an interesting conversation, at least in my mind. Who […]
The number of states with waiting lists for people in need of home- and community-based services (HCBS) hasn’t seen much variation between 2016 and 2024, according to a new data analysis from the KFF. In fact, there have been about 700,000 people on waiting lists, or interest lists, in most years since 2016. Total enrollment […]
With the “sandwich generation” top of mind, Vice President and presidential candidate Kamala Harris unveiled plans for a new Medicare home-based care proposal earlier this month. The proposal would include non-medical home care services under the Medicare umbrella, aiding seniors in need of activities of daily living support. The policy – if enacted – would […]
Whether it’s Medicare, Medicaid, Medicare Advantage (MA) or private pay, home care and home health leaders are both navigating tricky payer environments in their respective sectors. MA penetration continues, as do cuts to traditional Medicare payments in home health care. In home care, billing rates have recently risen on the private-pay side, while Medicaid payment […]
As home-based care demand continues to increase, several leaders are thinking about the unique growth trajectories at their companies. At Impact Healthcare, growth has been achieved by not overextending. In recent years, the company has seen 35% year-over-year growth, except for in 2020. “When I think about our growth trajectory, it’s making sure that we […]
The U.S. health care system is banking on home- and community-based services (HCBS) to help keep seniors and individuals with disabilities at home and away from more costly brick-and-mortar facilities. But for now, incongruent rates mean disparate access to those services state by state. The Centers for Medicare & Medicaid Services (CMS) released the Medicaid […]
An indictment was unsealed on Wednesday in Brooklyn, New York, charging eight defendants with allegedly scheming to defraud Medicaid of approximately $68 million. This was done through the operation of two social adult day care organizations and a home care financial intermediary that paid kickbacks and bribes for services not provided. According to court documents, […]
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