Court Sides with Home Health Agencies in Reimbursement Fight

A judge has ordered the Texas Health and Human Services Commission (HHSC) to accept telemonitoring reimbursement requests from home health providers, who claim the agency has failed to do so since the beginning of the year. That’s according to the Austin American-Statesman. Previously, Home Health Care News reported on the four home health companies behind […]

Home Health Agencies Sue Texas Over Reimbursement Halt

A group of home health agencies is suing the Texas Health and Human Service Commission (HHSC) for allegedly halting reimbursements for telemonitoring services. The agencies claim they will go out of business and deprive Texans of necessary care if the court doesn’t step in. Unidos Healthcare LLC; Corazon Health Care Services LLC; Cleveland Health Care […]

Telemonitoring May Cut Costs, Not Hospital Admits, for Heart Patients

Telemonitoring has long been touted as a way to reduce hospitalizations. But when paired with home health care for heart failure patients, that may not always be the case. Still, there are reasons — from both a cost and outcomes perspective — for home health providers to consider implementing telemonitoring for this patient group. That’s […]

Why California is a Hotbed for In-Home Palliative Care

A Medicaid program in California is increasing access to palliative care services in people’s homes. For about a year, home-based palliative care has been a mandated benefit in California’s Medicaid program, Medi-Cal. Most Medi-Cal beneficiaries are enrolled in managed care plans that contract with agencies that provide these palliative care services, according to a Next […]

12 Home Health Workers Indicted for $87 Million Medicaid Fraud

Two sisters and 10 of their employees have been indicted after a federal grand jury said they spent years using their home health care companies to defraud the Pennsylvania Medicaid program. Home health care companies owned and operated by sisters Arlinda Moriarty and Daynelle Dickens received more than $87 million in Medicaid payments for services that were never […]

Home Health Quality on the Upswing, Readmission Rates Hold Steady

The quality of home health care improved across most major domains between 2016 and 2017, although the rate of hospital admissions remained static for the fifth straight year. That’s according to data in the Home Health Chartbook 2018, prepared by Avalere Health for the Alliance for Home Health Quality and Innovation. The document compiles data […]

Federal Bill Would Expand Crackdown on Medicaid Home Health Fraud

Democratic Rep. Peter Welch of Vermont on Tuesday unveiled bipartisan legislation to combat Medicaid fraud and abuse originating outside of institutional health care settings. The bill would build on the authority of state Medicaid Fraud Control Units (MFCUs) and expand the scope to encompass all Medicaid services including non-institutional settings, such as home health care. […]

Medicaid Officials Target Home Health Aides’ Union Dues

Home Health Care News Perspective: Union fees for home care workers have long been in the crosshairs. HHCN previously reported on how the home care industry paved the way for the Supreme Court’s landmark Janus ruling and how workers have begun to file lawsuits seeking reimbursement of union fees in the wake of that case.  […]