CareAll Management LLC and its affiliated entities have agreed to pay $25 million, plus interest, to the United States and the state of Tennessee to settle False Claims Act allegations, the Department of Justice (DOJ) announced recently. The settlement resolves allegations that CareAll — based in Nashville, Tenn., and one of the state’s largest home […]
Category: Medicaid
The Visiting Nurse Service of New York (VNSNY) last week agreed to pay about $35 million to settle claims that it improperly billed Medicaid for services related to member enrollment in the organization’s adult day centers. Under the terms of the settlement approved by U.S. District Judge Ronnie Abrams, VNSNY must pay a total of […]
State training standards for personal care aides (PCAs) are inadequate and inconsistent, say health workforce researchers. Less than half of states, or 45%, have one or more programs with no PCA training requirements and 22% have no PCA training requirements at all, according to a recent report published by the UCSF Health Workforce Research Center on Long-Term […]
The Centers for Medicare & Medicaid Services (CMS) issued its final rule late October for durable medical equipment (DME) payment adjustments. The final rule for calendar year 2015, which is largely unchanged from the proposed rule in July, clarifies certain criteria related to DME, such as methodology for expanding the CMS’ competitive bidding program to […]
The Office of the Inspector General (OIG) has released its work plan for 2015, addressing various issues relating to home health care and hospice. Among the topics addressed are the home health prospective payment system, fraud, health screening, hospice patients’ length of stay in assisted living facilities and the appropriateness of hospices’ general inpatient care […]
Home health care workers’ struggles for better pay and health benefits continues to capture the mainstream media’s gaze, with NPR being the latest news outlet to spotlight the plight these workers face in their day-to-day lives. In an article, NPR calls attention to several home health workers in Ohio, each grappling with affording essentials like […]
The debate over minimum wage in the home health care industry continues, as the most recent critics prove to be an unlikely group to criticize the movement: disability rights advocates, Bloomberg BusinessWeek reports. The article follows the Department of Labor’s decision earlier this month to delay enforcement of its new rule extending minimum wage and […]
While Medicare fraud isn’t specific to any one sector of healthcare, it can be a blemish on industries like home health, which ultimately suffer due to a few bad actors. However, implementing several key integrity reform measures can help strengthen federal payers like Medicare from further abusive practices, according to a recent report from the […]
Following a statewide campaign to raise the minimum wage, the Missouri Home Care Union announced Monday it had reached a deal with state negotiators to raise the wage for its home health workers. The collective bargaining agreement set home health care attendants’ wage between $8.50 and $10.15 an hour, less than the $11 proposed minimum […]
The Service Employees International Union (SEIU), which encompasses 2 million members in the U.S., Canada and Puerto Rico, does not have to pay back more than $34 million in dues collected from thousands of home health care workers who were forced into the union, a Michigan court ruled recently. The Michigan Court of Appeals ruled […]
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