The U.S. District Court for the District of Columbia has dismissed a class action lawsuit that accused the U.S. Department of Health and Human Services (HHS) of failing to properly administer the Medicare home health benefit. The plaintiffs had argued the home health services required under Medicare law were wholly insufficient. Medicare law authorizes coverage […]
Centers for Medicare & Medicaid Services (CMS)
The U.S. Government Accountability Office (GAO) has signed off on the home health payment rule finalized by the Centers for Medicare & Medicaid Services (CMS) last month. After its review, the GAO found that CMS appropriately determined the impact of the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health […]
Audits from the U.S. Department of Health & Human Services’ Office of Inspector General (HHS-OIG) can often catch home health agencies by surprise. And after a slower audit period during the COVID-19 pandemic, experts told Home Health Care News that providers should expect a ramp-up in audits over the next year. Battling that element of […]
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 […]
The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health proposed payment rule late Friday. It comes with a decrease to payment rates by 4.2%, or $810 million less compared to 2022 rates. Overall, the proposed rule looks to be one that will be disappointing to providers, and one they […]
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 […]
The U.S. Centers for Medicare & Medicaid Services (CMS) announced Thursday it will distribute more than $110 million to expand access to home- and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) program. The MFP demonstration began in 2007 and was funded by the Affordable Care Act through 2016. The goal of the […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has made a major update to the Review Choice Demonstration (RCD), one that home health providers will undoubtedly be thrilled about. On Sept. 1, agencies in Florida and North Carolina are set to roll out RCD. One of the major complaints as the date loomed was […]
The U.S. Centers for Medicare and Medicaid Services’ (CMS) proposed home health payment rule came out in late June. The public comment period closes Friday, which means providers are running out of time to voice their concerns. Overall, providers seem to be generally happy about the proposed rule, which includes a 1.7% — or $310 […]
Once its 100% acquisition of Kindred at Home is finalized, Humana Inc. (NYSE: HUM) believes it will become one of the premier home health care providers in the entire country. It certainly has the resources to be just that. That’s partly because the payer-provider hybrid is also directly contracting with traditional Medicare through the Global […]
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