The National Alliance for Care at Home’s (the Alliance) new chief government affairs officer, Denis Fleming Jr., sees an unprecedented upswell of bipartisan support among lawmakers for home-based care — an environment he describes as the “greatest opportunity” yet for providers. At the same time, Fleming is closely watching rising threats to access to care, […]
24 Hour Home Care plans to lay off 738 employees, according to a California Worker Adjustment and Retraining Notification (WARN) filing. The layoffs are scheduled to take effect on Sept. 15, according to the filing. 24 Hour Home Care said the layoffs were the result of Health Net’s planned discontinuation of Personal Care and Homemaker […]
I’m coming to you live from HHCN’s FUTURE conference, where I’m having the pleasure of connecting with HHCN+ members, readers, and a slew of industry experts and leaders. I’m currently tucked away at an out-of-the way table to bring you a few key insights from the event. I’m still processing my thoughts and the information […]
Medicare Advantage, Medicaid managed care and federally facilitated ACA Marketplace health plans deny between 12% and 18% of standard prior authorization requests — denials that can act as a burden to home health providers. Prior authorization denial rates varied widely among the largest insurers in 2025, according to a recent study by KFF. “Health insurers […]
The home-based care industry is shifting fast, with major leadership changes, new technologies changing the operational game and a significantly different regulatory landscape, including a federal-level fraud crackdown. Those are big, sometimes abstract forces. But what matters most is how provider leaders show up in an organization’s day-to-day operations: the referral documents someone has to […]
Last week, the U.S. Department of Justice (DOJ) made a dramatic shift in the way it enforces policies that have long been used to support people with disabilities’ ability to receive services in home and community settings. Specifically, the DOJ said it will no longer rely on its longstanding guidance interpreting Olmstead v. L.C., a […]
Indiana has instituted a six-month provider certification and enrollment moratorium on some home- and community-based services waiver providers after gaining approval from the Centers for Medicare & Medicaid Services (CMS). The moratorium goes into effect on Aug. 1, 2026, and is designed to mitigate fraud, waste and abuse, according to Indiana Health Coverage Programs (IHCP). […]
High interest rates have slowed and complicated home-based care M&A, but they may also be creating a favorable buying opportunity for investors willing to enter the market now. Buyers able to absorb higher borrowing costs may find a slower and more complex dealmaking landscape — one where compliance has become a critical screening tool, […]
When I started covering home-based care, I did not anticipate that the industry would become a flashpoint in partisan politics, beyond familiar debates about reimbursement rates and the finer points of regulations. So, I’ve been surprised — and disturbed — by developments this year. The latest came this week: the U.S. Centers for Medicare & […]
On Tuesday, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced that the agencies deferred over $1 billion in Medicaid payments for certain high-risk Medicaid claims in two states, including home-based services. HHS and CMS deferred $867.5 million in federal Medicaid payments to California and […]
