New York Governor Kathy Hochul Calls State’s Self-Directed Care Program A ‘Racket’

New York Gov. Kathy Hochul last week told reporters that the state’s self-directed home care program has become a “racket.” While New York’s program – dubbed the Consumer Directed Personal Assistance Program (CDPAP) – is unique, self- and consumer-directed home care has become a much more popular model over the last few years across the […]

‘Bad Apples In A Barrel’: How Fraudsters In Home Health Care Impact The Entire Space

The home health industry has its very own boogeyman — the bad actor. However, there’s a difference between providers that have made errors in claims processing or quality of care provisions versus those taking part in purposeful fraudulent activity, according to National Association for Home Care & Hospice (NAHC) President William A. Dombi. “The outright […]

Analyzing The Wide Range Of Legal Issues Currently Affecting Home Care

Home care providers are navigating headwinds that include, but are not limited to, the 80/20 provision, the FTC ban on non-competes and increased workplace violence. Arguably, there are more legal considerations for leaders now than there were even during the COVID-19 pandemic.  Home Health Care News recently caught up with home care insiders Angelo Spinola […]

Contradictory Policymaking Has Led To Costlier Care: The Future of Health Care Is In The Home

The following is an op-ed submitted by: Ken Albert, CEO, Andwell Health Partners; David Causby, CEO, Gentiva; Marcylle Combs, CEO, MAC Legacy; Brent Korte, CEO, Frontpoint Health; John Olajide, CEO, Axxess; Billy Simione, Managing Principal, SimiTree; Jennifer Sheets, the former CEO of Interim HealthCare; Susan Ponder-Stansel, CEO, Alivia Care; David Totaro, Chief Government Affairs Officer, […]

‘This Final Rule Is A Double Whammy’: What Home-Based Care Providers Should Know About FTC’s Non-Compete Ban

On April 23, the Federal Trade Commission (FTC) voted 3-2 to finalize a new rule largely prohibiting employers from enforcing non-competes against workers. While the regulatory timeline on the non-compete ban is fairly immediate, the rule will face intense legal pressure from a variety of groups, mainly of which will come from health care. Regardless […]

With Medicaid Access Rule Finalized, Home Care Providers Enter ‘Wait-And-See’ Mode

On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). Providers and advocates, on the other hand, continued to argue that the policy could be disastrous. During a press call Tuesday, CMS stuck with the theme that, in general, […]

What The ‘Fundamentally Contradicting’ Medicaid Access Rule Includes

The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. Firstly, the timeline of the rule is now clear. Specifically: – In three years, states must “report on their readiness to collect data regarding the percentage […]

Home Care Industry Slams Finalized 80-20 Rule, Warns Agency Closures Are Coming

The “Ensuring Access to Medicaid Services” rule has been finalized. Most importantly, the bemoaned “80-20” provision has gone through as proposed, meaning providers will eventually be forced to direct 80% of reimbursement for home- and community-based services (HCBS) to caregiver wages.  First proposed by the U.S. Centers for Medicare & Medicaid Services (CMS) in April […]

OIG Targets Home Health Improper Payments, EVV, Consumer-Directed Programs in Ongoing Watchdog Initiatives 

In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. While there’s still plenty of oversight, the spotlight on home health and personal care providers appears to have dimmed somewhat. Instead of focusing on home health and personal care, watchdogs are increasingly targeting hospices, […]