Home Health Quality on the Upswing, Readmission Rates Hold Steady

The quality of home health care improved across most major domains between 2016 and 2017, although the rate of hospital admissions remained static for the fifth straight year. That’s according to data in the Home Health Chartbook 2018, prepared by Avalere Health for the Alliance for Home Health Quality and Innovation. The document compiles data […]

Federal Bill Would Expand Crackdown on Medicaid Home Health Fraud

Democratic Rep. Peter Welch of Vermont on Tuesday unveiled bipartisan legislation to combat Medicaid fraud and abuse originating outside of institutional health care settings. The bill would build on the authority of state Medicaid Fraud Control Units (MFCUs) and expand the scope to encompass all Medicaid services including non-institutional settings, such as home health care. […]

Medicaid Officials Target Home Health Aides’ Union Dues

Home Health Care News Perspective: Union fees for home care workers have long been in the crosshairs. HHCN previously reported on how the home care industry paved the way for the Supreme Court’s landmark Janus ruling and how workers have begun to file lawsuits seeking reimbursement of union fees in the wake of that case.  […]

Fresh Research Supports a Medicare Benefit for At-Home Personal Care

Results from a program in Maryland suggest that a Medicare benefit to cover at-home personal care services could be feasible, according to new research findings. “We think the Maryland experience is instructive,” researcher Karen Davis told Home Health Care News. Davis is professor emerita in the Department of Health Policy and Management at the Johns […]

Rhode Island Secures Rate Escalators for Medicaid Home Care Program

Home care providers in the state of Rhode Island have secured a much-needed Medicaid rate increase for the home care and hospice program. The 2019 state budget includes a 10% unencumbered increase for Medicaid fee-for-service personal care attendant services and a 29% increase for Medicaid FFS skilled nursing, therapeutic care and hospice, both effective July 1, […]

New York Overbilled Medicaid Home Care Program by $75 Million

New York’s Medicaid agency claimed reimbursement for some in-home care services that were not in accordance with Medicaid requirements, to the tune of $74.8 million, according to the Office of Inspector General. The state did not provide documentation of services claimed, claimed reimbursement for services that were not authorized or supported, and for claims which […]

California to Pay for Healthy Food Delivery for Ill Residents

To keep their chronically ill residents at home and out of hospitals or nursing homes, states are beginning to look at food-as-medicine models that deliver healthy, nutritious meals under doctors’ orders. But there’s now a state that’s doing a lot more than looking. California has launched a new, three-year, $6 million pilot program spearheaded by […]

Louisiana Medicaid Recipients May Lose Home Care Benefits

Tens of thousands of Medicaid recipients in Louisiana, many of whom rely on home care services, are being warned they may soon lose benefits due to proposed state budget cuts. The Louisiana Department of Health began mailing notices Thursday to nearly 37,000 Medicaid enrollees, informing them that their eligibility may end on July 1 because […]

CMS To Be Flexible in Enforcing Medicaid Home Health Rule

A deadline for states to comply with a 2016 Medicaid home health final rule is approaching, but the Centers for Medicare & Medicaid Services (CMS) won’t necessarily enforce all compliance areas right away, according to an announcement issued Thursday. The final rule was published on February 2, 2016, with an effective date of July 1, 2016. […]

Dementia Care Spending to Hit $277 Billion, In-Home Services Grow

In 2018, the total cost of care for people with Alzheimer’s and other dementias is projected to reach $277 billion. That figure is expected to keep ballooning in coming years and decades, and a growing proportion of spending has been going toward in-home care. This is the second consecutive year that total payments to care […]