Gov. Task Force Charges 91 Healthcare Providers for $430 Million Billing Fraud

The Medicare Fraud Strike Force operations has busted 91 individuals—among them doctors, nurses, and other licensed medical professionals—for their alleged participation in Medicare fraud schemes involving approximately $429.2 million in false billing, Attorney General Eric Holder and Health and Human Services (HHS) Secretary Kathleen Sebelius recently announced. The bulk of the fraudulent billing, at more […]

Flexpoint Ford Completes $71 Million Sale of IntegraCare to Kindred Healthcare

Flexpoint Ford, LLC, a private equity firm that focuses on the health care and financial services sectors, has completed the $71 million sale of IntegraCare Holdings, Inc. to Kindred Healthcare, Inc. The transaction includes a potential $4 million earn out based on 2013 earnings. IntegraCare, headquartered in Grapevine, Tex., is a Medicare and Medicaid certified […]

Democrats and Republicans Agree: Aging in Place, Home Health Care Important

Home care has been included in the political platforms of both Democrats and Republicans, signaling a shared view of the importance of aging in place and home- and community-based options for seniors.  On the GOP side, the modernization of Medicaid and the prioritization of home care were emphasized.  “Because seniors overwhelmingly desire to age at […]

Home Health Care Industry One Step Closer to New Medicare Pricing System?

Representative Tom Price, M.D. (R-Ga.) has agreed to introduce a bill in the U.S. House of Representatives replacing the current Medicare competitive bidding program for durable medical equipment and prosthetics, orthotics, and supplies (DMEPOS) with a market pricing program (MPP), a move strongly supported by many home health care groups.  The Centers for Medicare & […]

Kindred Acquires Home Health Care Provider IntegraCare for $75 Millon

Home health care and hospice provider IntegraCare has been acquired by Kindred Healthcare, Inc. (NYSE:KND), a Louisville, Ky.-based long-term care and rehabilitation services provider, for up to $75 millon.  IntegraCare Holdings, Inc., is a Texas-based portfolio company of private equity firm Flexpoint Ford LLC, and was purchased for $71 million in cash plus up to […]

CMS Gets Aggressive on Medicare Claims, Denials Rise 24% in Q2

More healthcare providers are seeing their Medicare reimbursement claims denied and are needing to provide more information to the Center for Medicare & Medicaid Services (CMS) Recovery Audit Contractors (RACs), according to results of the American Hospital Association’s RACTrac Survey for the second quarter of 2012, as the agency continues its attempts to limit inaccurate […]

Detroit Home Health Manager Pleads Guilty in $13.8 Million Fraud Scheme

A Detroit man pleaded guilty yesterday in federal court to one count of conspiracy to commit health care fraud after managing a $13.8 million Medicare fraud scheme, according to the Federal Bureau of Investigation.  Jawad Ahmed managed home health agency Physicians Choice Home Health Care LLC (Physicians Choice), and used the company to deliver kickbacks to […]

Felons Turned Home Health Workers Caring for Elderly in California

Some of California’s elderly in need of home health services are being cared for by convicted felons, made possible in part by a flawed system that is “rife with loopholes,” reports the local NBC affiliate, allowing people to sign waivers allowing felon caretakers to care for them despite their backgrounds—and despite the criminal activity they […]

Hospitals Look to Home Care In Cutting Patient Readmissions

Medicare will begin penalizing 2,211 hospitals in October for having too many counts of patient readmissions, and some hospitals are looking to home health care as a solution to the readmission problem.  Severity of the Medicare penalties is based on the number of the readmissions for Medicare heart failure, heart attack and pneumonia patients between […]

Kindred Acquires Home Health Care Provider IntegraCare for $75 Millon

Home health care and hospice provider IntegraCare has been acquired by Kindred Healthcare, Inc. (NYSE:KND), a Louisville, Ky.-based long-term care and rehabilitation services provider, for up to $75 millon.  IntegraCare Holdings, Inc., is a Texas-based portfolio company of private equity firm Flexpoint Ford LLC, and was purchased for $71 million in cash plus up to […]