OIG: Iowa Overpaid Medicaid-Reimbursed Home Health Providers by $37.1M

The state of Iowa did not sufficiently monitor its health home care program providers for at least four years, resulting in tens of millions of dollars in improper reimbursement, the Office of Inspector General (OIG) found upon review.  The Medicaid health home care option allows states flexibility in creating programs that produce care coordination and […]

Elara Caring Turns to Telehealth to Solve Coronavirus Pain Points

In the midst of the COVID-19 pandemic, Elara Caring has announced it will be rolling out telephonic home visits and telehealth services for its skilled home health and hospice patients. Elara Caring is making the move to solve a number of pain points related to the coronavirus outbreak, including an industry-wide personal protective equipment (PPE) […]

Medicaid Home-Based Care Providers Seek Stability Amid Coronavirus Disruption

Florida became the first state to secure an emergency Medicaid waiver from the U.S. Centers for Medicare & Medicaid Services (CMS) to help providers maintain operations during the COVID-19 national emergency. If Medicaid-reimbursed personal care services providers are to stay afloat during the ongoing pandemic, several more states will have to follow suit. Generally, states […]

‘Wake-Up Call’ Prompts $8.5M Emergency Reimbursement Effort

The shutdown of a major nonprofit home care provider in one state has motivated lawmakers to seek emergency action to the tune of $8.5 million. The move is a reminder of how important home-based care has become for state policymakers. Maine State Senator Shenna Bellows, a Democrat, recently announced plans to introduce emergency legislation that, […]

In-Home Care Cuts Reportedly Causing ‘Widespread Harm’ in Arkansas

One U.S. state is now being sued over a policy change that has triggered reductions in home care services for some of its Medicaid recipients. The state being targeted is Arkansas. Advocates and legal representatives of those Medicaid recipients argue the reductions are “causing widespread harm.” “The last time [Department of Human Services] provided any […]

Nascentia Health Latest to Feel Effects of New York’s Medicaid Cuts

Nascentia Health, a home-focused health system based in New York, recently notified its staff that it was forced to lay off 71 employees across 48 counties. The nonprofit, which formerly employed nearly 800 employees, was forced to do so because of New York’s Medicaid cuts. The company estimates that it will lose $400 million from […]

Investing in Social Determinants of Health Yields High ROI

A community health program that tackles socioeconomic determinants of health saved Medicaid roughly $1.4 million, a new study unveiled Monday in the journal Health Affairs has found. The study marks one of the first return-on-investment analyses of just how valuable community-health workers and social-focused health approached truly are. As part of the economic analysis study, […]

Medicaid Program Teams Up with Insurers to Ease Caregiver Crisis

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 […]