Fresh Research Supports a Medicare Benefit for At-Home Personal Care

Results from a program in Maryland suggest that a Medicare benefit to cover at-home personal care services could be feasible, according to new research findings. “We think the Maryland experience is instructive,” researcher Karen Davis told Home Health Care News. Davis is professor emerita in the Department of Health Policy and Management at the Johns […]

MedPAC Flags Home Health Referral Problems in Report to Congress

The Medicare Payment Advisory Commission (MedPAC) has alerted Congress to how rarely home health patients pick their neighborhood’s highest quality provider after being discharged from the hospital. MedPAC compiles its regular report to advise Congress on payments to health plans participating in the Medicare Advantage program and providers in Medicare’s traditional fee-for-service program, but lawmakers are not required […]

LHC Group CEO Frustrated by Managed Care Reimbursement

LHC Group (Nasdaq: LHCG) has long been considered the home health industry leader when it comes to making inroads with hospitals and health systems thanks to its joint venture strategy. However, despite a growing managed care population in the broad health care landscape, low reimbursement models will continue to challenge home health providers, according to […]

CMS Floats New Version of Pre-Claim Review for Home Health

The Centers for Medicare & Medicaid Services (CMS) is seeking public input on a new proposal that would bring back the controversial pre-claim review process for home health Medicare claims. Under the new program, home health agencies (HHAs) could choose to undergo either pre-claim or post-payment reviews, or to forgo reviews but take a 25% […]

New Long-Term Care Medicare Benefit Proposed

A newly proposed Medicare benefit would extend services to eligible beneficiaries for long-term care. The proposal was within a discussion draft of a bill by Representative Frank Pallone (D-NJ), released at a Wednesday roundtable discussion with aging and disability advocates. The proposal, The Medicare Long-Term Care Services and Supports Act of 2018, would establish a […]

U.S. Markets Less Saturated with Home Health Providers

The average number of Medicare home health providers per U.S. county has decreased, while the average number of hospice providers has increased. That’s according to the latest quarterly update that the Centers for Medicare & Medicaid Services (CMS) has made to its market saturation and utilization tool, which shows metrics for a variety of health […]

Home Care Providers Plan to Seize New Medicare Advantage Opportunity

Investors were bullish on home care on Tuesday, following news that Medicare Advantage (MA) plans would officially be allowed to cover non-skilled home care services starting in 2019. Care providers were excited as well, making the case that they are well-positioned to seize this opportunity, even as they are trying to determine its scope. The […]

CMS Officially Adds Non-Skilled In-Home Care as Medicare Advantage Benefit

Non-skilled in-home care services will be allowed as a supplemental benefit for Medicare Advantage (MA) plans in 2019, the Centers for Medicare & Medicaid Services (CMS) announced in a final rule issued Monday. The benefit marks the first time CMS has allowed supplemental benefits that include daily maintenance in Medicare Advantage. “CMS is expanding the […]