CMS Proposes Rules to Improve Data Sharing Between Health Care Providers, Insurers

The Centers for Medicare & Medicaid Services (CMS) is taking further steps to cure lack of interoperability within the health care system, an issue that has long plagued the home health industry. On Monday, CMS released proposed rules that require many providers and insurers to adopt a secure, standard format for electronic patient data by […]

Home Health Care Agencies Threatened as Wages Rise, Reimbursements Lag

As more states push to raise the minimum wage, home-based care companies must work harder than ever to attract and retain workers as competition among employers grows. In home health care, agencies’ success often depends on Medicaid reimbursement, which is not keeping up with wage inflation in some states. And in private-pay home care, increased […]

Home Health Care Creating Savings Under CJR Model

A staple mandatory bundled payment program geared toward hip and knee replacements has saved hundreds of dollars per episode over the past couple of years, recent research has found. The main reasons: a reduction in skilled nursing facility (SNF) reimbursements and an increase in the use of home health care. Medicare policymakers launched the Comprehensive […]

Court Sides with Home Health Agencies in Reimbursement Fight

A judge has ordered the Texas Health and Human Services Commission (HHSC) to accept telemonitoring reimbursement requests from home health providers, who claim the agency has failed to do so since the beginning of the year. That’s according to the Austin American-Statesman. Previously, Home Health Care News reported on the four home health companies behind […]

Home Health Agencies Sue Texas Over Reimbursement Halt

A group of home health agencies is suing the Texas Health and Human Service Commission (HHSC) for allegedly halting reimbursements for telemonitoring services. The agencies claim they will go out of business and deprive Texans of necessary care if the court doesn’t step in. Unidos Healthcare LLC; Corazon Health Care Services LLC; Cleveland Health Care […]

Telemonitoring May Cut Costs, Not Hospital Admits, for Heart Patients

Telemonitoring has long been touted as a way to reduce hospitalizations. But when paired with home health care for heart failure patients, that may not always be the case. Still, there are reasons — from both a cost and outcomes perspective — for home health providers to consider implementing telemonitoring for this patient group. That’s […]

Why California is a Hotbed for In-Home Palliative Care

A Medicaid program in California is increasing access to palliative care services in people’s homes. For about a year, home-based palliative care has been a mandated benefit in California’s Medicaid program, Medi-Cal. Most Medi-Cal beneficiaries are enrolled in managed care plans that contract with agencies that provide these palliative care services, according to a Next […]

12 Home Health Workers Indicted for $87 Million Medicaid Fraud

Two sisters and 10 of their employees have been indicted after a federal grand jury said they spent years using their home health care companies to defraud the Pennsylvania Medicaid program. Home health care companies owned and operated by sisters Arlinda Moriarty and Daynelle Dickens received more than $87 million in Medicaid payments for services that were never […]