Crisis Averted: Court Strikes Down Rate Changes Set to Compound Caregiver Shortage

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 […]

PDGM’s Lead Author Gets Candid About Pros, Cons of Revolutionary Model

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 […]

Papa Exploring Medicaid, Employee Benefit Opportunities Following $10M Funding Round

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 […]

Harvard Medical School’s David Grabowski: PDGM Is a ‘Brave New World’

The post-acute care sector is still a long ways away from the implementation of a unified payment system, but the Patient-Driven Groupings Model (PDGM) may be a step in that direction. That’s according to Harvard Medical School professor David Grabowski. As a professor in the department of health care policy, Grabowski’s work is concentrated on […]

Addus Closes on Hospice Partners of America; Ensign Group Completes Pennant Spinoff

Addus completes Hospice Partners of America deal Addus HomeCare Corporation (Nasdaq: ADUS) has completed its purchase of Hospice Partners of America. The Frisco, Texas-based at-home care company bought the multi-state hospice provider for $130 million cash — $118.4 million of which was in value and $11.6 million was in estimated tax benefits, according to a […]

Consumer-Directed Regulatory Changes Trigger Home Care Layoffs, Possible Closures

Less than three weeks in, regulatory changes in one state are already threatening to shrink the home-based care workforce there. The news comes out of New York, following Sept. 1 changes to the state’s Consumer-Directed Personal Assistance Program (CDPAP), which allows seniors and people with disabilities who receive Medicaid-certified home care to choose their own […]

Lawmakers Look to Eliminate 24-Hour Workdays in Home Care

Lawmakers in one state have introduced a bill that would effectively eliminate 24-hour workdays in home care. If it passes, the legislation could mean significant financial strain for home care agencies there.  It’s happening in New York — a state that frequently serves as a starting point for legal trends that then sweep the rest […]

EVV Upside: New Tech Rules Can Foster Efficiency, Value-Based Partnerships

Amid a rapidly changing business and regulatory landscape, home-based care providers can easily overlook the upcoming implementation of electronic visit verification (EVV) — but these new technology requirements are a revolutionary step toward interoperability and efficiency. Providers can leverage EVV to win value-based partnerships and streamline workflows, even as they reel from the impact of […]

Comment Period Closes For Proposed Home Health Payment Rule

The comment period for the proposed home health payment rule from the Centers for Medicare & Medicaid Services’ (CMS) ended Monday. Among other changes, the rule introduced in July proposes the implementation of a new home infusion benefit and the elimination of Request for Anticipated Payments (RAPs). On top of that, it doubles down on […]

Bay Area Home Health Provider Charged in $115M Medicare Scheme; Medicaid Fraud Defendants Plead Guilty

Home Health Provider Charged in Largest Ever Cash-for-Patient Scheme in NorCal The Bay Area’s largest home health care provider has been charged by federal prosecutors with paying doctors in a Medicare kickback scheme involving millions of dollars of payments in cash, Warriors tickets, designer handbags and more. Amity Home Health Care paid kickbacks to doctors, […]