The landscape of home health care is evolving through the introduction of two key models designed to improve patient outcomes and reduce costs: the expanded Home Health Value-Based Purchasing (HHVBP) model and the Targeted Episode-Based Medicare Access and Payment (TEAM) model. These initiatives incentivize home health agencies to provide high-quality, coordinated care while addressing the […]
Questions always abound when a new presidential administration comes in, but Republicans’ focus on cost-cutting hold potential for home-based care — if providers can advocate for themselves in Washington. Though uncertainties abound when it comes to the Trump administration’s approach to health care, many notable policies have been implemented during Republican administrations. From the establishment […]
Oregon’s Health Care Market Oversight (HCMO) program is reviewing a proposal to spin off Providence’s home health and hospice services into a joint venture supported by private equity. Sarah Bartlemann, the cost programs manager for Oregon’s Health Authority (OHA), confirmed the review in a letter to a Washington D.C. attorney representing Compassus, Providence’s partner in […]
Home care providers are now required to be licensed by the Maine Department of Health and Human Services (DHHS). These new regulations took effect on Aug. 20, 2024. By licensing these agencies, the state establishes standards that they must follow, as well as mechanisms for oversight and enforcement actions in cases of non-compliance. Additionally, there […]
On Nov. 1, the Centers for Medicare & Medicaid Services (CMS) issued the final home health payment rule for 2025, updating Medicare policies and rates for home health agencies. But while the payment-related information grabbed headlines, there are plenty of other changes to home health care within the rule that providers should be paying attention […]
A federal judge in Delaware has ordered home health and hospice provider VitalCaring and its private equity backers to share future profits with Encompass Health (NYSE: EHC) and Enhabit Inc. (NYSE: EHAB). The court ordered that 43% of VitalCaring’s future profits be placed in trust to benefit Encompass and Enhabit. The remaining 57% would go […]
The saga involving New York’s self-directed home care program has taken yet another turn. Last week, a home care company that was not chosen to be the fiscal intermediary for the program moving forward sued the state, alleging that the selection process was rigged. The Consumer Directed Personal Assistance Program (CDPAP) has cost the state […]
Donald Trump will take over the presidency again in January. There will be many implications for home-based care providers, and details from Trump’s first presidency will help project those. In the weeks leading up to the Nov. 5 election, Trump and Kamala Harris battled over home-based care. Specifically, Harris suggested a personal home care benefit […]
UnitedHealth Group (NYSE: UNH) and Amedisys (Nasdaq: AMED) leaders are reportedly expected to meet with officials from the Department of Justice over the next week to discuss their pending deal. The companies will likely make a final case for why the deal should go through, while the DOJ considers whether to officially file a lawsuit […]
The U.S. health care system is banking on home- and community-based services (HCBS) to help keep seniors and individuals with disabilities at home and away from more costly brick-and-mortar facilities. But for now, incongruent rates mean disparate access to those services state by state. The Centers for Medicare & Medicaid Services (CMS) released the Medicaid […]
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