The National Alliance for Care at Home’s (the Alliance) new chief government affairs officer, Denis Fleming Jr., sees an unprecedented upswell of bipartisan support among lawmakers for home-based care — an environment he describes as the “greatest opportunity” yet for providers. At the same time, Fleming is closely watching rising threats to access to care, […]
I’m coming to you live from HHCN’s FUTURE conference, where I’m having the pleasure of connecting with HHCN+ members, readers, and a slew of industry experts and leaders. I’m currently tucked away at an out-of-the way table to bring you a few key insights from the event. I’m still processing my thoughts and the information […]
Two months after Democrats unveiled a policy framework to add a home care benefit within Medicare, lawmakers introduced a bill that, if passed, would make the benefit a reality. The new bill, called the Medicare At Home Act, would add a home care benefit to Medicare Part B. “Americans overwhelmingly and strongly believe Medicare […]
Last week, Sen. Susan Collins (R-Maine) introduced a bill that would reset the home health base payment rate and give the Centers for Medicare & Medicaid Services (CMS) new fraud-fighting tools. The bill serves as a microcosm of how lawmakers appear to view the home health industry: with equal parts support and suspicion. It’s a […]
The home-based care industry is shifting fast, with major leadership changes, new technologies changing the operational game and a significantly different regulatory landscape, including a federal-level fraud crackdown. Those are big, sometimes abstract forces. But what matters most is how provider leaders show up in an organization’s day-to-day operations: the referral documents someone has to […]
Choice Health at Home’s CEO, David Jackson, envisions his rapidly-growing business as among the largest home-based post-acute care businesses within the next five years. To achieve this goal, Jackson has laid out a strategy that includes “matching the market” in terms of Medicare Advantage, a hub-and-spoke density model and a three-pronged service foundation, according to […]
Demand for home infusions is growing as payers and health systems increasingly seek to move appropriate patients into lower-cost settings and accelerate discharge — but operational and reimbursement challenges, including site of care restrictions and a lack of standardized contracting, complicate the path to scale. This shift is increasing demand for in-home infusions, but the […]
High interest rates have slowed and complicated home-based care M&A, but they may also be creating a favorable buying opportunity for investors willing to enter the market now. Buyers able to absorb higher borrowing costs may find a slower and more complex dealmaking landscape — one where compliance has become a critical screening tool, […]
Medicare-certified home health agency supply continued to grow in 2024, but much of that expansion was concentrated in California — particularly Los Angeles County, an area previously identified by the California state auditor as a major hotspot for hospice fraud, waste and abuse — according to the Medicare Payment Advisory Commission (MedPAC). California, and Los […]
On Tuesday, the Centers for Medicare & Medicaid Services (CMS) proposed shifts to Medicare’s Shared Savings Program (MSSP), accountable care organizations (ACOs) and physician payment structure with the broad goal of propelling a shift toward value-based care. The proposed changes, which include allowing ACOs with approved applications to decrease or cut beneficiary out-of-pocket costs for […]
