The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. Firstly, the timeline of the rule is now clear. Specifically: – In three years, states must “report on their readiness to collect data regarding the percentage […]
Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. Dubbed the ACO Primary Care Flex Model (ACO PC Flex Model), it will provide one-time advanced shared savings payments and monthly […]
Two senators introduced a bill Thursday that would create a pilot program aimed at expanding the scope of hospital-at-home care in the U.S. Dubbed the At Home Observation and Medical Evaluation (HOME) Services Act, the bill was introduced specifically by Sens. Marco Rubio (R-Fla.) and Tom Carper (D-Del.). Sen. Marsha Blackburn (R-Tenn.) was an original […]
Home-based care providers avoiding the shift to value-based care are running out of time and excuses. The Centers for Medicare & Medicaid Services (CMS) wants 100% of traditional Medicare beneficiaries and the “vast majority of Medicaid beneficiaries” in accountable care relationships by 2030. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) […]
The number of hospice providers enrolled in the Medicare program in four states has skyrocketed over the past few years. The jaw-dropping spike, in turn, has triggered increased oversight efforts – some of which may not be having the desired effect. A similar trend could be happening in home health care in one major county, […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is again taking steps to increase access to Medicaid home- and community-based services (HCBS). On Tuesday, the agency provided further guidance around how states can better support HCBS programs, which are both popular and sometimes hard to navigate. “For too long, American families have struggled to […]
The Centers for Medicare & Medicaid Services (CMS) released its improper payment report last week. It was another win for the home health industry, which has become less of a culprit in the reports over the years. Overall, the Medicare fee-for-service (FFS) estimated improper payment was 7.38%, or $31.2 million. That was the seventh consecutive […]
Scroll down to watch: HHCN’s 2024 Final Home Health Payment Rule webinar The final payment rule for 2024 reaffirmed that, no matter the amount of on-the-ground testimonials or data the home health industry lays out, the U.S. Centers for Medicare & Medicaid Services (CMS) is going to continue gaslighting providers. CMS has a hard job, […]
After the U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2024 final payment rule Wednesday, home health providers found themselves in a position they know all too well. Is a 0.8% aggregate payment increase better than the 2.2% decrease that was proposed? Of course. Was the rule, in its totality, effective in […]
The Centers for Medicare & Medicaid Services (CMS) unveiled a new state-focused demonstration model Tuesday. One of the model’s primary objectives is to shift health care spending and utilization more toward primary and community-based care. The States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model) will aim to better address chronic disease, behavioral […]
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