Modivcare’s new CEO of personal care, Marsha Ramos, sees a Medicare home care benefit as a potential turning point for the personal home care industry. But even as attention around home care access grows, she said concerns about fraud, waste and abuse could threaten momentum behind the benefit. In the short term, however, the home-based […]
Reps. Debbie Dingell, D-Mich., and John Moolenaar, R-Mich., have introduced a bill to strengthen the Program of All-inclusive Care for the Elderly (PACE) and allow PACE providers to expand access to in-home care. The legislation, called the PACE Access Improvement Act and introduced on Sept. 24, would make PACE a mandatory Medicaid service and ease […]
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, […]
