Providers Urge CMS to Enact Medicare Advantage Home Care Proposal

Private duty and home health care providers have weighed in on a recent proposal to include non-skilled in-home supports in Medicare Advantage plans in 2019, with some providers calling it a “precursor” to expanding home care services to all Medicare patients. The proposal, which was announced by the Centers for Medicare & Medicaid Services (CMS) […]

Questions Arise in Light of New Home Health Payment Policies

Coming changes in how Medicare will pay for therapy are raising questions—and some concerns—in the home health sector. The therapy policies were included in the Bipartisan Budget Act of 2018, which was signed into law last week. One of the biggest changes relates to Medicare therapy caps, which were repealed in the bill as had been expected. […]

Spending Bill Holds Wins and Losses for Home Health Care

President Donald Trump signed a sweeping spending bill into law on Friday, February 9, just hours after it was approved by lawmakers and after the government temporarily shut down without a deal. The bill, which will fund the federal government for two years, includes many health care measures that will impact the home health care industry. […]

Bill Calls for Hospices to Destroy Opioids After Patients Die

As the country is gripped by an opioid addiction crisis, the role of hospices in the epidemic has come under a spotlight. A new bill in Kentucky would aim to address some of those issues by improving the disposal of medications in the hospice setting after a patient’s death. A rising problem surrounding hospices has […]

New Home Health Payment Reform Moves Closer to Reality

Fast-moving developments on Capitol Hill are all but ensuring that home health care payment reform will be going forward. After the House of Representatives approved a short-term spending bill on Tuesday to fund the government, the Senate introduced its own version Wednesday. Both bills include major health care measures. Among the biggest changes is a new, 30-day […]

[Updated] House Lawmakers Include HHGM in Proposed Spending Bill

House lawmakers approved a new spending bill to keep the federal government running that included several home health provisions, notably the reintroduction of a controversial overhaul to the Medicare payment system known as the home health groupings model (HHGM). HHGM was first floated in the proposed rule setting 2018 Medicare payment rates for home health, but […]

CMS to Allow Non-Skilled Home Care Benefit in Medicare Advantage

Non-skilled in-home care supports will be included as a supplemental benefit in Medicare Advantage plans in 2019, according to the Centers for Medicare & Medicaid Service (CMS), which announced the policy change Thursday afternoon. The move marks the first time that CMS has allowed an item or service to be eligible as a supplemental benefit that covers […]

CMS Again Extends Moratoria on New Home Health Agencies

The Centers for Medicare & Medicaid Services (CMS) has extended its moratoria on new home health care agencies in Florida, Illinois, Michigan, Texas, Pennsylvania and New Jersey. The home health moratoria went into effect in 2013 in Chicago, Illinois, and Miami, Florida, to prevent the enrollment of new agencies in these areas and has since […]

More Guidance Released on Home Health CoP Surveys

Days after the new home health conditions of participation (CoPs) went into effect on Jan. 13, the Centers for Medicare & Medicaid Services (CMS) released a revised protocol for surveyors. The update provides more information on how home health care agencies will be surveyed under the new CoPs, which dictate how providers qualify to offer […]