The Centers for Disease Control and Prevention (CDC) added a new diagnostic code to their annual update of the International Classification of Diseases (ICD-10) list. The new code, z512A, supports providers in hospitals and health facilities by alerting home care clinicians and other post-acute care providers when a patient is being discharged to aftercare following […]
Category: Regulation
This week, the Centers for Medicare & Medicaid Services (CMS) published a report on a study of its Acute Hospital Care at Home (AHCAH) program. This program permits specific Medicare-certified hospitals to provide inpatient-level care to patients in their homes. The report outlines the study’s results and discusses potential future considerations and limitations. The report […]
The Centers for Medicare & Medicaid Services (CMS) has released additional information around continuity of coverage for home- and community-based services (HCBS) beneficiaries. The agency issued an informational bulletin last month reminding states of federal renewal requirements and available flexibilities to ensure continued coverage for individuals eligible for HCBS through Medicaid. This bulletin continues CMS’ […]
Oak Street Health – a key pillar of CVS Health’s (NYSE: CVS) health care services strategy – has reached a $60 million settlement with the Department of Justice (DOJ). The settlement is being paid to resolve allegations that Oak Street violated the False Claims Act, specifically by paying kickbacks to third-party insurance agents. The DOJ […]
UnitedHealth Group’s (NYSE:UNH) acquisition of Amedisys (Nasdaq:AMED) is still pending. That could be due to a variety of factors, but one is clear: the Oregon Health Authority’s (OHA) ongoing review, which is expected to continue until at least the end of November. OHA’s Health Care Market Oversight (HCMO) program reviews health care business deals to […]
The Federal Trade Commission (FTC) has taken action against Care.com, alleging that the company’s platform systematically deceived caregivers seeking jobs and failed to provide a simple way for families to cancel their paid memberships. Care.com is an online platform that connects people seeking to hire workers for various jobs – such as child and older […]
On July 22 the Consumer Directed Personal Assistance Association (CDPAANYS) filed a lawsuit against the Department of Health (DOH). The suit alleges that the DOH made unlawful changes to how Medicaid reimburses companies that administer the Consumer Directed Personal Assistant Program (CDPAP), which allows patients to hire and train their own in-home care providers. This […]
A U.S. judge decided not to block the Federal Trade Commission’s (FTC) ban on non-compete agreements this week, continuing an ongoing saga that home care providers are paying close attention to. Broadly, the ban on non-competes is seen as generally positive for home care leaders, who can now freely move on to better career opportunities. […]
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 […]
As home health providers continue to digest the proposed payment rule for 2025, National Association for Home Care & Hospice (NAHC) President William A. Dombi believes that the industry will ultimately see a comparatively toned down final rule. “We believe we will not end up with this proposed rule as a final rule,” he said […]
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