Atlanta-based Five Points Healthcare has expanded its services into Virginia after acquiring BestCare Home Care, a home health provider of Medicare-certified, Medicaid-waiver and personal care services throughout the northern and western parts of Virginia. Fulcrum Equity Partners, a growth equity fund also based in Atlanta, provided equity financing for the acquisition, which marks the third […]
Category: Medicaid
The third wave of a home care-related Medicaid fraud scheme that originated in Illinois has resulted in 14 more indictments, bringing the total number of defendants involved to 43, according to the Federal Bureau of Investigation (FBI). Last week’s indictments constitute the third round of charges stemming from Operation Home Alone, an initiative led by […]
Health plans are cashing in on home visits, taking advantage of Medicare profits when the house calls unearth patients’ medical problems, according to a report by The Center for Public Integrity, a nonprofit investigative news organization in Washington, D.C. Some senior citizens are finding that their Medicare Advantage health plans were eager to send a […]
Recently published findings from an audit of Medicaid and Medicare hospice providers found that 90% of those randomly sampled did not meet state hospice licensure requirements related to hospice workers. The Department of Health and Human Services Office of Inspector General conducted an audit to determine whether the Centers for Medicare & Medicaid Services’ (CMS) reliance […]
The number of people who are more likely to receive home care is increasing as the proportion of people age 65 and older grows — forcing health care organizations to map out strategies to meet their customers’ demands. In a recently released study, Deloitte details the opportunities and challenges of care provided inside the home, and […]
A dozen prospective states and projects have been named to receive a combined amount of $840 million under new programs intended to improve the healthcare system. The Department of Health and Human Services (HHS) made up to $730 million available as part of the State Innovation Model initiative to help states design and test improvements […]
A bipartisan letter from 36 U.S. Senators is calling for the Centers of Medicare & Medicaid Services (CMS) to hold off on expanding the agency’s competitive bidding program for durable medical equipment. Led by Sens. John Thune (R-SD), Robert Casey (D-PA) and John Hoeven (R-ND), the letter urges CMS to halt the expansion of the […]
The Department of Health Care Finance (DHCF) announced Friday that it will terminate six home care agencies from Washington, D.C.’s Medicaid program, following their alleged involvement in a recent fraud investigation. Effective July 15, 2014, the six providers that will receive termination notices include ABA Home Health Care; Nursing Enterprises; Nursing Unlimited; T&N Reliable Nursing […]
Eligible health professionals not yet up to speed with new 2014 certified electronic health record (EHR) technology (CEHRT) will receive more time and flexibility thanks to a new proposed rule published Tuesday. The proposed rule, from the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology […]
Health care spending for seniors grew at the slowest rate compared to other age groups between 2002 and 2010, according to a new actuarial report from the Centers for Medicaid & Medicare Services. The average annual growth in per-person personal health care spending for seniors was 4.1% during that eight-year time frame—the lowest among any […]
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