One policymaker is attempting to put a halt to the 80-20 rule. At the start of the week, the “Ensuring Access to Medicaid Services” rule was finalized. The 80-20 provision is, arguably, the most controversial component of the Medicaid rule. In summary, the provision calls for 80% of Medicaid payments for home- and community-based services […]
Category: Medicaid
Home-based care dealmaking remains in a lull, one it hasn’t been able to shake since the historical M&A highs of 2020 and 2021. “We didn’t expect it to be that flat and that consistent for 2023,” Mark Kulik, senior managing director at M&A firm The Braff Group, said during a presentation at Home Health Care […]
In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. While there’s still plenty of oversight, the spotlight on home health and personal care providers appears to have dimmed somewhat. Instead of focusing on home health and personal care, watchdogs are increasingly targeting hospices, […]
Medicaid payment rates for home- and community-based services (HCBS) vary drastically across states, causing workforce instability and access challenges for services. That’s according to a recent report from the Medicaid and CHIP Payment and Access Commission (MACPAC). MACPAC makes recommendations to Congress, the U.S. Department of Health and Human Services (HHS) and states on issues […]
After the release of the proposed “80-20 rule” last year for home- and community-based services (HCBS), providers had plenty of time to digest. Now, they’re formulating their plans of action ahead of the proposal’s potential finalization. Broadly, the U.S. Centers for Medicare & Medicaid Services’ (CMS) proposed rule had several components, but the most controversial […]
There’s a potential storm brewing in New York state due to Gov. Kathy Hochul’s executive budget for 2025. The budget proposal includes over $1 billion in cuts to the states’ home care programs. The move is an effort to reduce Medicaid spending. The budget proposal cuts, which was released on Jan. 16, would directly impact […]
In a State of the Union address that evoked Franklin Delano Roosevelt, Abraham Lincoln and Vladimir Putin within the first minute, President Joe Biden also made room for home-based care. After urging for higher taxes on the uber-wealthy, Biden challenged Americans to imagine a future with better access to home care. “Imagine the future of […]
Providers and stakeholders dedicated to improving access to home- and community-based services (HCBS) are at a crossroads, particularly when it comes to caring for intellectual and developmental disability (IDD) patients. “The direct support workforce crisis continues to be the single greatest barrier to access to community-based services for people with intellectual and developmental disabilities,” Lydia […]
Dina — a digital network management company for home- and community-based services — recently closed a $7 million funding round. The round was led by venture capital investor First Analysis, with participation from existing investors Osage Venture Partners and First Trust Capital Partners. Dina also counts SCAN Group as one of its investors. The organization […]
States with home- and community-based services (HCBS) providers are facing an uphill battle when it comes to implementing service offerings and evaluating the success of their programs linked to the federal funds from the American Rescue Plan Act (ARPA). That’s according to a new brief that explores how states are assessing the outcomes of their […]
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