The aging population and shortage of caregivers in Arizona has created a near-crisis. The state has responded by pairing its Medicaid program with three insurers in an effort to create a steady long-term care workforce. Arizona Health Care Cost Containment System (AHCCCS) inked contracts with Southwest Catholic Health Network Corp., Banner-University Family Care and United […]
Category: Medicaid
Grandkids-on-demand startup Papa Inc. announced last week that it has paired with Priority Health to begin offering services to the Michigan health plan’s Medicare Advantage members. The move — along with a rework of Papa’s brand — are good indications of the ambitions that the company has in 2020. Only two years old, Papa is […]
HCAOA elects new board president The Home Care Association of America (HCAOA) has elected Emma Dickison as the new president of its board of directors. Washington, D.C.-based HCAOA represents nearly 3,000 companies that employ more than 500,000 caregivers. Dickison brings her background as CEO of Home Helpers Home Care — a company she’s been with […]
A government official in one state is waging war on what he sees as a dearth of home health data. Last week, Iowa Auditor Rob Sand voiced how his office could not accurately provide an analysis on certain services provided by the state’s Medicaid program, including home-based care, a local CBS affiliate reported. Sand reportedly […]
The 2019 fiscal year concluded with the Department of Justice (DOJ) bringing in $2.6 billion in recoveries involving health care fraud and false claims. Home health-related fraud was a large part of these efforts. This marks the 10th consecutive year that the department’s civil health care fraud settlements and judgments have exceeded $2 billion. The […]
A Medicaid cut of tens of millions of dollars is putting home care providers in one state in the hot seat. On Jan. 1, the New York State Department of Health announced it was trimming Medicaid payments by 1% for the current fiscal year. While the reduction may seem small, it initially accounts for roughly […]
Insurance giant Humana Inc. (NYSE: HUM) and health technology company Royal Philips (NYSE: PHG) have teamed up to give Humana’s Medicare Advantage (MA) members 24/7 access to care via remote patient monitoring. The move reflects the continued adoption of remote patient monitoring and telehealth, especially when it comes to the MA landscape. “Payers are increasingly […]
Regulatory changes that threatened to compound the caregiver crisis in one state have been reversed, after a judge declared them “null and void.” The news comes more than a month after a new rate structure took effect to govern the Consumer-Directed Personal Assistance Program (CDPAP) in New York. CDPAP allows seniors and people with disabilities […]
Set to take effect on Jan. 1, the Patient-Driven Groupings Model (PDGM) is as controversial as it is revolutionary. The model’s therapy changes and behavioral assumptions are two reasons why. Home health operators worry their operations and patients will suffer as a result of those modifications, among others. Even PDGM’s lead author, Lisa Grabert, acknowledges […]
Grandkids-on-demand startup Papa has raised $10 million in Series A funding, pushing the Miami-based company’s total funding raised above $13 million. The recent investment round was led by Silicon Valley-area venture capital firm Canaan, with money also coming in from Sound Ventures, Y Combinator and Pivotal Ventures, a firm created by Melinda Gates. Past big-name […]