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 […]
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 […]
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, […]
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 […]
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, […]
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 […]
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 […]
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, […]
President Joe Biden made remarks on the care economy – including home care – in a speech Tuesday at Union Station in Washington, D.C. “You know, take home care,” he said. “The cost of long-term care for aging loved ones and people with disabilities rose 40% in the last decade. Medicaid offers help, but it […]
The erosion of non-solicitation agreements poses a significant challenge for home care providers, potentially undercutting their business models and profitability. Non-solicitation agreements keep home care clients from poaching caregivers trained and supplied by agencies. In certain states with stricter rules against non-competes — like California and Connecticut — the lines between non-solicitation and non-compete agreements […]
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