6 Steps Home Care Providers Must Take to Succeed in Medicare Advantage

The recent rule changes to Medicare Advantage (MA) from Centers for Medicare & Medicaid Services have created a level of flexibility and creativity for home care participation that is nearly unchecked. For example, the final call letter for MA plan year 2020 notes that “MA organizations have broad discretion” in determining what’s called the “Special […]

OIG Calls for Additional Oversight of Home Health, Personal Care Service Providers

In a new report released Monday, the U.S. Department of Health and Human Services Office of Inspector General (OIG) highlighted dozens of its unimplemented recommendations for reducing fraud, waste and abuse throughout the Medicare and Medicaid systems. Many of the recommendations were tied to home health, hospice and personal care services, in addition to how […]

HHS Secretary: ‘We Want to Go Further’ with Medicare Advantage In-Home Benefits

Medicare Advantage plans could get even more flexibility to address social determinants of health for beneficiaries if Health and Human Services Secretary Alex Azar has his way. In turn, that could mean even more opportunities for home care providers to offer and be reimbursed for services such as companion care, bathing, transportation and more. “Our […]

Why 2020 Will Launch the Medicare Advantage Boom in Home Care

The Medicare Advantage revolution continues to grow — and starting in 2020, home care providers will reap the rewards. Through a series of law changes over the past decade, including the Patient Protection and Affordable Care Act of 2010 and the Bipartisan Budget Act of 2018, Medicare’s move away from fee-for-service models and toward value-based […]

Payers See Home Health Providers as ‘Commodities,’ Industry Leaders Say

Home health care is still not being recognized for its inherent value in reducing hospitalizations and curbing health care costs by payers, which often view providers more as commodities than trusted partners.  “Where are we in home health?” Bruce Greenstein, chief strategy and innovation officer at LHC Group Inc. (Nasdaq: LHCG) said Monday during a […]

Amedisys Exec: Payers’ Interest In Home-Based Care ‘Higher Than Ever’ — But Misconceptions Remain

For years, many in the health care industry considered non-medical home care the black sheep of the family, if part of the bloodline at all. The important intervention proven to help keep seniors out of the hospital and cut health care costs was often written off as a luxury service — and even labeled “non-skilled,” […]

NAHC’s Dombi: CMS Needs to ‘Back Off’ RAP Proposal, PDGM Assumptions

The looming Patient-Driven Groupings Model (PDGM), a potential hospice carve-in under Medicare Advantage (MA) and the expanding Review Choice Demonstration (RCD) are just a few of the developments reshaping the current landscape of home health and hospice. As if those three items aren’t enough, providers are also facing the continuing Value-Based Purchasing Model (VBPM), emerging […]