“Social environment factors” play a big role in whether a senior who’s receiving home health care following a hospital discharge is likely to be readmitted within 60 days, finds a study published in Advances in Nursing Science. Those factors can include the patient’s living situation and the amount of care provided by a family member […]
Category: Medicare
A major Indiana hospital system recently employed a remote patient monitoring program developed by Care Innovations, a joint venture between Intel and GE, in a study that ultimately achieved a 75% reduction in hospital admissions compared to the control group. St. Vincent, a member of Ascension health, the nation’s largest not-for-profit Catholic Healthcare System, was […]
More Medicare beneficiaries will be eligible for at-home care covered by the entitlement program under a proposed settlement, reports USA Today. The settlement relates to whether beneficiaries who cannot prove their medical conditions will improve can still get coverage for skilled nursing and therapy services. A proposed Medicare settlement that allows more patients to receive […]
Medicare reimbursements to home health agencies will essentially remain flat in calendar year 2013, according to the Centers for Medicare & Medicaid Services (CMS). Payments to home health agencies are estimated to decrease by approximately 0.01%, or $10 million, in the upcoming year, says the final rule updating Medicare’s Home Health Prospective Payment System (HH […]
Home health care providers in Pennsylvania are getting squeezed as Medicare reimbursements for home health services have been scaled back and the possibility of further cuts looms on multiple horizons, reports The Morning Call. Under the Affordable Care Act, Medicare is facing a $716 billion spending cut in the next 10 years, and providers in […]
Aging demographics in the U.S. are indicative of a “megatrend” seen throughout the world, reports CNBC, and governments across the globe are starting to look for ways to provide efficient and cost-effective long-term care for seniors. Long-term care encompasses skilled nursing, assisted living, and home health care, the article notes, but regardless of setting, it’s […]
The Centers for Medicare and Medicaid Services (CMS) needs to put into effect a rule it made more than a decade ago requiring home health agencies to obtain surety bonds as a mechanism to protect Medicare from overpayments, says the Office of the Inspector General (OIG). It’s been 15 years since CMS first promulgated the […]
More patients would be able to access home health care through Medicare benefits to treat chronic conditions as a result of a class action lawsuit settlement with policy implications announced this week. In the proposed settlement, the Obama Administration has agreed to abandon a former policy that required Medicare recipients to show a likelihood of […]
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, 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 […]