Colorado’s Medicaid program has moved to terminate its provider agreement with home care provider FreedomCare of Colorado. The provider went from receiving about $1 million in Medicaid payments last year to nearly $22 million so far this year, according to the Colorado Sun. That spending increase drew scrutiny, but the grounds cited for termination center […]
Team Select Home Care bet $6 million on an unproven concept: that proprietary predictive AI, trained on more than a decade of patient records, could catch subtle clinical decline and keep medically fragile patients out of the hospital. Now, the provider is reporting measurable results — and using them to reshape how it negotiates with […]
States are going beyond federal requirements to detect fraud in Medicaid home care, cross-checking billed services against electronic visit verifications (EVVs) and analyzing claims for specific patterns, according to a new KFF report. Most states report that program integrity was one of their top three priorities, but the report’s authors cautioned that additional anti-fraud efforts […]
Modivcare’s new CEO of personal care, Marsha Ramos, sees a Medicare home care benefit as a potential turning point for the personal home care industry. But even as attention around home care access grows, she said concerns about fraud, waste and abuse could threaten momentum behind the benefit. In the short term, however, the home-based […]
Reps. Debbie Dingell, D-Mich., and John Moolenaar, R-Mich., have introduced a bill to strengthen the Program of All-inclusive Care for the Elderly (PACE) and allow PACE providers to expand access to in-home care. The legislation, called the PACE Access Improvement Act and introduced on Sept. 24, would make PACE a mandatory Medicaid service and ease […]
Caregivers in New York’s self-directed Medicaid home care program have filed for a union election to be represented by 1199SEIU United Healthcare Workers East. If the workers vote to unionize, 190,000 caregivers who provide home care through New York’s Consumer-Directed Personal Assistance Program (CDPAP) would join the union. “Being a CDPAP caregiver can be […]
Last week, several large, publicly traded home-based care providers took the stage at the 2026 Jefferies Healthcare Services and Technology Conference, offering a back-to-back look at how the industry’s biggest operators are thinking about growth heading into 2027. Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH), Addus HomeCare Corp. (Nasdaq: ADUS) and the Pennant Group Inc. (Nasdaq: […]
For families of aging adults, staying informed about a loved one’s day-to-day care can be an uphill battle. Omatochi founder and CEO Deka Dike developed a family-facing app designed to bridge that divide, giving relatives direct visibility into the daily routines, meals and medication adherence of low-income seniors. The technology-enabled home care provider is now […]
Following a Medicaid rate increase in California, Aveanna Healthcare (Nasdaq: AVAH) leaders predict hundreds of families will move children out of children’s hospitals and into home-based pediatric care and reverse years of caregiver shortages. Aveanna execs aim to raise caregiver wages ahead of the new rate, then ramp up recruiting in January to meet ramping […]
On Wednesday, a Brooklyn federal court sentenced the owner of adult day and home health companies to 76 months in prison for leading a multiyear Medicaid fraud and illegal kickback scheme that fraudulently billed the program about $64 million. The owner, Zakia Khan, pleaded guilty in 2025 to conspiring to defraud Medicaid and pay healthcare […]
