Home Care Agencies See New Opportunities Amid VA Changes

The Department of Veterans Affairs (VA) — or the Tesla of home care, according to some — recently made changes to its health care plan to put veterans at the center of their own care and reduce network fragmentation.  The VA Mission Act makes it easier for veterans to visit non-VA medical facilities and creates […]

State Cuts Suggest SNF-to-Home Diversion Is Still Going Strong

At least in one state, the diversion of patients from skilled nursing facilities (SNFs) to home-based care appears still be going strong. In Connecticut, state officials have targeted nine under-performing nursing homes for millions of dollars in Medicaid funding cuts, partly citing large numbers of empty beds as the reason why, the Hartford Courant reported […]

Lenders See Positives in Proposed RAP Phase Out

Industry experts predict that a potential phase out of home health Requests for Anticipated Payments (RAPs) will likely put several small to mid-size providers out of business. But not everybody is lamenting the Centers for Medicare & Medicaid Services (CMS) proposal. Amedisys Inc. (Nasdaq: AMED) and other large home health providers, for example, have spun […]

Financial Crisis Puts Quality Care Services in Survival Mode

An ongoing financial crisis related to phone troubles has put a Texas home health agency “on life support,” according to a local news report. The story further reveals how even a seemingly small disruption to cash flow can put home health providers with tight operating margins underwater. Opened more than two decades ago, Beaumont, Texas-based […]

Home-Based Kidney Care Company Provides Framework for In-Home Renal Treatment

A value-based kidney care company is showing what’s possible when it comes to renal treatment in the home — potentially providing a framework for home-based care providers if a variety of newly proposed payment models come to fruition. Since getting started about three-and-a-half years ago, Vienna, Virginia-based Somatus Inc. has served 3,000 patients, doing more […]

Counterpoint: Elimination of RAPs Isn’t a ‘Sky-Is-Falling Issue’

Since the Centers for Medicare & Medicaid Services (CMS) announced its proposal to phase out Requests for Anticipated Payments (RAPs) last month, home health providers have voiced their concerns about what the change will mean for them. Industry-wide, the consensus isn’t good. Many providers worry the removal of RAPs, in addition to the other regulatory […]

Ohio Home Health Agencies Are Next in Line for the Review Choice Demonstration

The Review Choice Demonstration (RCD) is expanding. The Centers for Medicare & Medicaid Services (CMS) announced Monday that home health providers in Ohio will be next in line for RCD, a revived version of the failed Pre-Claim Review Demonstration (PCRD) meant to combat improper billing. Home health providers in Illinois — the only state with […]