[Updated] CMS Getting Closer to Vaccination Guidance for Home Health Agencies, Other Medicare-Medicaid Providers

The Centers for Medicare & Medicaid Services (CMS) revealed last week that it was in the rulemaking stage of a collaboration with the Occupational Safety and Health Administration (OSHA) on the establishment of a federal vaccine mandate. Last Monday, Dr. Lee Fleisher, CMS’ chief medical officer and director of the Center for Clinical Standards and […]

InnovAge CEO Maureen Hewitt: PACE Tailwinds Stronger Than Ever

InnovAge (Nasdaq: INNV) went public earlier this year with a $350 million IPO. It has since set its sights on expansion. The largest Program of All-Inclusive Care for the Elderly (PACE) organization in the country, InnovAge is bullish on its ability to do just that, thanks to both internal confidence and also external, regulatory tailwinds. […]

Increasing LTSS Access Could Cost Up to $12.8 Billion Per Year

Access to long-term services and supports (LTSS) in the U.S. remains limited, which currently puts seniors in need in a bind. Their options are often such: spend down on savings and assets in order to qualify for Medicaid, or rely on unpaid family care or other informal services. A new study from the Washington, D.C.-based […]

Why Senior-Focused Primary Care Centers Are Reaching into the Home

More and more primary care centers have chosen to specialize in serving seniors. In particular, companies such as CareMax Inc. (Nasdaq: CMAX), VillageMD and Humana Inc., mainly through its CenterWell Senior Primary Care arm, have all solidified their spots in the senior care sector by becoming a one-stop-shop for geriatric services. In the case of […]

Older Americans Overwhelmingly Support Choose Home Care Act

The vast majority of older Americans want to age in place, several past surveys have found. Unsurprisingly, that desire has translated into overwhelming support for the Choose Home Care Act. Introduced in July by Sens. Debbie Stabenow (D-Mich.) and Todd Young (R-Ind.), Choose Home is legislation designed to give nursing home-eligible Medicare beneficiaries more options […]

How CommonSpirit Reduced Medicare Spending by $136M

CommonSpirit Health carved out $136 million in savings to Medicare for 2020, while also improving overall outcomes for hundreds of thousands of beneficiaries, the company recently announced. CommonSpirit Health is a participant in the Medicare Shared Savings Program (MSSP), which began back in 2012 after being designed by the U.S. Centers for Medicare and Medicaid […]

Medicare Enrollment Starting to Accelerate, as Number of Home Health Agencies Continues to Decline

Enrollment in fee-for-service (FFS) Medicare has started to accelerate in recent years, as more members of the baby-boom generation age into the program. At the same time, the number of individual home health agencies in the U.S. continues to decline. That’s according to the Medicare Payment Advisory Commission (MedPAC), which reported on emerging Medicare trends […]

Despite Formidable Challenges, PACE Leaders Keep Expansion Dreams Alive

The Program of All-Inclusive Care for the Elderly (PACE) concept has gained significant business and policy momentum over the past several months, with recent research also highlighting just how successful programs were at avoiding COVID-19 deaths compared to other care settings. Despite that traction and the model’s clear benefits, PACE still faces a long list […]

‘Extensive’ Proposed Rule Sets Stage for Value-Based Purchasing, PDGM Adjustments

The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2022 home health proposed payment rule on Monday, while simultaneously announcing plans for the nationwide expansion of the industry’s value-based purchasing demo. While just a few days have gone by, home health stakeholders have already started to zero-in on several key areas — […]

HHS Issues New Reporting Requirements, Deadlines for Provider Relief Fund Recipients

Home health providers may have some additional financial aid in the not-too-distant future, as the federal government reportedly inches closer toward disbursing another round of CARES Act funds. As they wait for details, home health providers and other Medicare-reimbursed organizations on Friday received new reporting requirements and deadlines for the COVID-19 relief dollars they received […]