Trump Hints at Possible Medicare Cuts

President Donald Trump has opened the door to possible Medicare cuts, an alarming scenario for U.S. home health providers already facing a major reimbursement overhaul and increased compliance pressure from federal watchdogs.  Speaking during an interview with CNBC while attending the World Economic Forum in Davos, Switzerland, Trump suggested that he would consider cuts to […]

HCAOA Names Home Helpers CEO as Board President; CMS Chief Medical Officer Leaves for Humana

HCAOA elects new board president The Home Care Association of America (HCAOA) has elected Emma Dickison as the new president of its board of directors. Washington, D.C.-based HCAOA represents nearly 3,000 companies that employ more than 500,000 caregivers. Dickison brings her background as CEO of Home Helpers Home Care — a company she’s been with […]

Physician, NAHC Make Case for Home Care Coverage Under Medicare

Over the past few years, non-medical home care has become a pillar service within the broader health care continuum for its ability to improve outcomes and increase patient satisfaction. Due to that success, some believe home care should be covered under Medicare, just like home health or hospice care. Dr. Laurie Archbald, an associate professor […]

DOJ Recoups $2.6 Billion from Home Health Fraud, Other Schemes in 2019

The 2019 fiscal year concluded with the Department of Justice (DOJ) bringing in $2.6 billion in recoveries involving health care fraud and false claims. Home health-related fraud was a large part of these efforts.  This marks the 10th consecutive year that the department’s civil health care fraud settlements and judgments have exceeded $2 billion. The […]

Therapy Staff Layoffs Continue at Staggering Pace

Immediately following the Oct. 1 rollout of the Patient-Driven Payment Model (PDPM), news broke about widespread therapy staff layoffs throughout the skilled nursing industry. The layoffs have continued — at a staggering pace — in the months since. While PDPM is inherently different than the home health industry’s upcoming Patient-Driven Groupings Model (PDGM), the reimbursement […]

Payer, Health System Interest in Hospital-at-Home Models ‘Has Been Exploding’

Despite the hospital-at-home model existing for over 20 years, its popularity in the U.S. has been slow to gain significant traction. But the model made huge strides in 2019, with the implementation of a number of programs across the country. Generally, hospital-at-home programs attempt to provide acute, hospital-level care in the home as an alternative […]

MedPAC Pushes for 7% Medicare Payment Cut for Home Health Agencies

Despite reimbursement pressure tied to the Patient-Driven Groupings Model (PDGM), the overall home health care outlook remains relatively rosy for 2020, the Medicare Payment Advisory Commission (MedPAC) believes. But that rosy outlook may signal a payment cut come 2021. MedPAC officials discussed the U.S. post-acute care sector’s outlook earlier this month during one of its […]

Lawsuit: ‘Big Sharks’ Keeping ‘Small Fish’ Out of Home Health Market with Certificate of Need Laws

Two Nepalese immigrants who were barred from opening a home health agency due to Kentucky’s certificate of need law are now taking on the state in a lawsuit. Business partners Dipendra Tiwari and Kishor Sapkota had plans to open a home health agency that served the Bhutanese refugee population in the Louisville area. The idea […]

Why PDGM Neutrality May Be Easier Said Than Done

Home health stakeholders have closely followed skilled nursing facility (SNF) operators during their transition to the Patient-Driven Payment Model (PDPM), another Medicare payment overhaul that launched Oct. 1. So far, those observations have largely focused on how SNF operators have shifted their therapy strategies in response to PDPM, which is similar in design to the […]

Despite $5.32B Decrease, CMS Likely to Keep Foot on Improper Payments Gas Pedal

The Medicare fee-for-service improper payment rate has fallen once again, thanks largely to the cleaner paperwork and ongoing compliance efforts of U.S. home health providers. Despite clear and steady progress in bringing improper payment rates down, though, the Centers for Medicare & Medicaid Services (CMS) is unlikely to relax its oversight anytime soon, industry leaders […]