Upcoming Webinar — Oct. 4: PDGM Impact Roundtable Discussion

Date: Thursday, October 4th Time: 1:00 pm – 2:00 pm Central Time Register Now PDGM is set to disrupt the home health industry and how it does business today. Evaluating and understanding the impact on agencies should be top of mind when planning for the future. This new regulation will require agencies to make substantial changes […]

Home Health Industry Divided on Severity of Pre-Claim Threat

Whenever policymakers aim potentially controversial or burdensome regulations at the home health industry, stakeholders big and small typically march in lockstep to ward off attacks. But this year’s proposed iteration of pre-claim review appears to be an exception. There is a noticeable divide between larger home health providers and smaller ones—and a more muted overall […]

OIG Issues Sweeping Report on Hospice Fraud and Care Quality Concerns

To counter claims of fraud and abuse in the hospice industry, federal regulators have loudly announced their plans to aggressively go after dishonest providers. Those watchdogs include the U.S. Department of Health & Human Services’ Office of Inspector General (OIG), which released a sharp new report on fraud vulnerabilities within the Medicare hospice program on […]

Trump Signs Bill Delaying EVV

President Donald Trump late Monday officially signed off on H.R. 6042, a widely supported bill to delay the nationwide deadline for electronic visit verification (EVV) in Medicaid-reimbursed personal care services. The 21st Century Cures Act, signed into law in 2016 under the Obama Administration, originally required home care providers and state agencies to begin adopting […]

Value-Based Purchasing Proposals May Signal Expanded Rollout

The Patient-Driven Groupings Model (PDGM) largely stole the show when the Centers for Medicare & Medicaid Services (CMS) released its proposed payment rule earlier this month. But there were also some important and surprising positives within the rule’s 600 pages that home health providers shouldn’t ignore, industry executives and analysts say. The two most striking […]

Bill Delaying Nationwide EVV Deadline Awaits Trump’s Signature

In-home care providers, state Medicaid programs and their tech-vendor partners will very likely have at least one more year to gear up for the federally mandated nationwide rollout of electronic visit verification (EVV). That is, depending on what President Donald Trump decides to do. The U.S. House of Representatives last month signed off on H.R. […]

Congress Unlikely to Act as PDGM, Pre-Claim Loom

Washington, D.C., policymakers have hurled several challenging volleys toward the home health, personal care and hospice industries in 2018, including possible reincarnations of the Home Health Groupings Model (HHGM) and Pre-Claim Review Demonstration (PCRD). To parry those attacks, or at least make sure they’re not overly burdensome, stakeholders will likely need to band together in […]