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 […]

HCAOA Names Home Helpers CEO as Board President; CMS Chief Medical Officer Leaves for Humana

HCAOA elects new board president The Home Care Association of America (HCAOA) has elected Emma Dickison as the new president of its board of directors. Washington, D.C.-based HCAOA represents nearly 3,000 companies that employ more than 500,000 caregivers. Dickison brings her background as CEO of Home Helpers Home Care — a company she’s been with […]

DOJ Recoups $2.6 Billion from Home Health Fraud, Other Schemes in 2019

The 2019 fiscal year concluded with the Department of Justice (DOJ) bringing in $2.6 billion in recoveries involving health care fraud and false claims. Home health-related fraud was a large part of these efforts.  This marks the 10th consecutive year that the department’s civil health care fraud settlements and judgments have exceeded $2 billion. The […]

Humana, Philips Using In-Home Interventions to Tackle $17B Re-Hospitalization Problem

Insurance giant Humana Inc. (NYSE: HUM) and health technology company Royal Philips (NYSE: PHG) have teamed up to give Humana’s Medicare Advantage (MA) members 24/7 access to care via remote patient monitoring. The move reflects the continued adoption of remote patient monitoring and telehealth, especially when it comes to the MA landscape. “Payers are increasingly […]