SCAN Health Plan recently awarded the Alliance for Leadership and Education (ALE) a $2 million grant to facilitate aging in place for California’s most vulnerable seniors. The not-for-profit health plans’ grant will fund the delivery of community-based home health services for Californians who are dually eligible for Medicare and Medi-Cal (Medicaid) through the state’s Community-Based […]
Category: Medicaid
As a widely used alternative to in-home care, nursing home care currently serves more than 1.5 million Americans. The services they receive includes help with activities of daily living, as well as certified nursing care. But the use of nursing homes as well as the costs associated are not equal across the United States. Eight […]
The owners of a former Miami-based health clinic pleaded guilty this week to charges in an $8 million home health care fraud scheme. They will face a maximum penalty of 10 years in prison for their roles in the operation. Miami residents Miguel Jimenez, 43, and Marina Sanchez Pajon, 29 pleaded guilty in the Southern […]
The owner of a health care business is facing a million-dollar civil settlement, prison time and 20-year Medicare and Medicaid exclusion after being convicted of felony charges relating to illegal kickbacks paid for patient referrals. Babubhai Rathod is the ninth person to be convicted of charges in the case, which is the result of a […]
Among healthcare employers, home health boasted the greatest number of new jobs created in July, according to the Bureau of Labor Statistics. Counting 162,000 jobs added in total across the U.S., the home healthcare sector added 3,900 of those jobs. This compares with 300 new jobs created in the nursing and residential care facilities care […]
With a strong focus on enabling seniors to remain in their homes as they age, a project currently under way in Maryland with plans to expand is bundling services delivered in the home and is realizing cost savings in the meantime. The project, made possible through grant funding is finding that through a tripod of […]
While states are suffering from budgetary restrictions following the recession, the little funding they do have for long term care initiatives is projected to go to home and community based care. The vast majority of states plan to increase their spending this year on community and home based services, with additional attention to changing their […]
A report from the Office of the Inspector General of the Department of Health and Human Services finds that 11 states have improper restrictions on eligibility requirements for Medicaid home health benefits by requiring them to be homebound. The OIG report, sent on July 1 to Marilyn Tavenner, the administrator for the Centers for Medicare […]
The owner and operator of a New Jersey home health aide agency was arrested last Friday for allegedly billing Medicaid for services her company had not rendered, the Office of the Insurance Fraud Prosecutor announced after executing multiple search warrants leading up to the arrest. Laurie Provost, the owner/operator of Home Care Solutions, was charged […]
Home health industry advocates in Oregon are pushing for assistance from the Centers for Medicare and Medicaid Services following an announcement from the agency that it would reduce home health reimbursements in 2014. Rural home health providers in the state are particularly hard-hit, according to a recent Oregonian report, leading the state’s Congressional delegation to […]


