CMS, OIG Disconnect Highlighted In Medicare Overpayments Report

Federal watchdogs reported the Centers for Medicare & Medicaid Services (CMS) has not collected the near-$500 million in Medicare overpayments that were found in audits over a two-year period beginning in 2014. The Office of the Inspector General at the Department of Health and Human Services (OIG-HHS) recently reviewed 148 Medicare audits it conducted for […]

Where the Director of the Center for Medicare Wants to See Care Go

One of the most important Centers for Medicare & Medicaid Services (CMS) leaders – Dr. Meena Seshamani – is optimistic about the future of the home health care industry. She detailed why last month at Home Health Care News’ Capital+Strategy event, pointing to more care taking place outside of traditional facilities, innovative care models and […]

Pause to Alternative Payment Models Gives Some Providers a ‘Golden Ticket,’ Leaves Others Behind

The Global and Professional Direct Contracting Model — a Center for Medicare & Medicaid Innovation (CMMI) creation — has been put on pause. The holdup is just another example of CMMI pumping the brakes on an alternative payment model in the days since the Biden administration took over the executive branch.   Broadly, the Global and […]

[Updated] CMS Announces New, More Provider-Friendly Rules for Advanced and Accelerated Loan Repayment

The U.S. Centers for Medicare & Medicaid Services (CMS) announced amended terms Thursday for accelerated and advanced payments granted to Medicare-certified health care providers — including home health agencies — during the public health emergency. Under the new “Continuing Appropriations Act” of 2021 and “Other Extensions Act,” repayment for providers will now begin one year […]