CareLinx Launches ‘Turnkey’ Home Care Option for Medicare Advantage Plans

Flexing its scale and technology knowhow, nationwide online home care network CareLinx has launched a new, turnkey offering for Medicare Advantage (MA) plans looking to incorporate non-skilled home care as a supplemental benefit. Announced Wednesday, Medicare At Home will allow MA plans to partner with CareLinx in a Medicare-compliant fashion so they can offer home […]

Home Health Investigations Help OIG Recover $2.91 Billion in 2018

For years, the Department of Health and Human Services Office of Inspector General (OIG) has been ramping up efforts to battle Medicare fraud — including in home health and hospice. Now, a new OIG semiannual report is showing the agency’s progress, to the tune of $2.91 billion in expected investigative recoveries for fiscal year 2018. Throughout […]

Vermont Home Health Agencies Face Big Financial Hit Under Proposed Medicare Changes

Seven of Vermont’s 10 home health and hospice agencies will lose significant funding as a result of recent changes to Medicare’s rural add-on payments. In 2018, rural home health agencies across the country received a 3% rural add-on payment increase. The payment bumps, which providers have been receiving for several years, help in dealing with obstacles […]

Medicare Advantage Beneficiaries Eagerly Await New Home Care Coverage

More than half of all Medicare Advantage (MA) members want their plans to cover assistance at home, according to a new survey. But despite new rules allowing it, the majority of beneficiaries will have to wait until 2020 or later for their plan to have that option. Fifty-seven percent of members surveyed by HealthMine Medicare […]

Brookdale Petitions Supreme Court to Review $35 Million Whistleblower Lawsuit

Brookdale Senior Living (NYSE: BKD), one of the largest home health providers in the nation, has petitioned the U.S. Supreme Court to review a case involving allegations of fraudulent Medicare billings totaling about $35 million. The lawsuit was filed in 2012 by Marjorie Prather, a former employee of Brentwood, Tennessee-based Brookdale. Prather alleged that Brookdale […]

Health Plans: Mixed Messages, Lack of Clarity Hinder MA Change Adoption

Despite high levels of interest, several roadblocks are preventing a bigger, broader rollout of new supplemental benefits, including ones related to home care, soon to be available under Medicare Advantage (MA) in 2019. Those roadblocks, according to MA plans, include a general lack of regulatory clarity, mixed messages from federal policymakers and a tight deadline. […]

Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find

Home Health Care News Perspective: With certain non-skilled in-home care services allowable under the Medicare Advantage program in 2019, the home care industry has made landing partnerships with health plans a top priority. But significant opportunities may not arise until 2020, experts predict. Just 3% of MA plans will next year offer in-home support services such as […]

[Updated] CMS Finalizes PDGM and $420 Million Increase for 2019 Medicare Payments

Despite industry concerns, the Centers for Medicare & Medicaid Services (CMS) has finalized the Patient-Driven Groupings Model (PDGM) planned to start in 2020. The agency has also finalized several other changes to how home health providers are reimbursed for their services starting in 2019, tweaking remote patient monitoring rules and refining the Value-Based Purchasing Model […]