States with home- and community-based services (HCBS) providers are facing an uphill battle when it comes to implementing service offerings and evaluating the success of their programs linked to the federal funds from the American Rescue Plan Act (ARPA). That’s according to a new brief that explores how states are assessing the outcomes of their […]
Category: Medicaid
Between the increase to the Federal Medicaid Assistance Percentage (FMAP) match and American Rescue Plan (ARP) funds, home- and community-based services (HCBS) providers had a safety net. In 2024, providers will need to prepare for a very different environment that does not include these financial buffers. “We’ve had success in many states, over the last […]
In terms of home-based care providers’ relationship with payers, Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) CEO Jeff Shaner believes that the next few years will be “transformative.” Providers will have to be intentional in their agreements to reach the future success they desire, Shaner believes. He said so on Tuesday during a panel discussion at […]
Drawing parallels between the intentions of the Centers for Medicare & Medicaid Services (CMS) and the narrative of a Charles Dickens novel is an uncommon venture. However, the metaphor is there for the taking when it comes to potential Medicaid policy. “When the 80/20 rule came out, many of us saw this as a ‘Tale […]
WellBe Senior Medical has received an investment from CVS Health Ventures, the corporate venture capital arm of CVS Health (NYSE: CVS). The company did not disclose the investment amount. The funds will further fuel WellBe’s national expansion. Currently, the company operates in seven states across the U.S. Most recently, it set up shop in Oregon. […]
One of the most well-established independent home care companies in the nation is heading into the new year with a new identity – and a much larger overall business. Just a few years ago, the Greater Boston-based HouseWorks brought in about $25 million in annual revenues, with nearly all of that coming from private-pay home […]
People who are 55 years old, and living in a community setting in the U.S., are seeing major disparities when it comes to long-term services and supports (LTSS) needs, a new report from research and advisory firm ATI Advisory found. ATI Advisory found that these disparities exist by examining race, gender and geography. The report […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is again taking steps to increase access to Medicaid home- and community-based services (HCBS). On Tuesday, the agency provided further guidance around how states can better support HCBS programs, which are both popular and sometimes hard to navigate. “For too long, American families have struggled to […]
New Mexico is increasing its reimbursement rates for providers that bill Medicaid in the state. Overall, providers are set to get an additional $409 million in reimbursement. The increases will start taking shape on claims made on or after July 1, 2023. Another rate hike is expected in the future for CY 2025. “Thanks to […]
Though the vast majority of seniors are living in their communities, as opposed to assisted living or nursing homes, only a third of these individuals are receiving financial support or assistance from Medicaid to pay for home- and community-based services. That’s one takeaway from a recent Kaiser Family Foundation (KFF) webinar. Seniors that aren’t getting […]