Payer Influence Growing in Home-Based Care

Another in-person event came and went this week, as Home Health Care News hosted its annual Capital+Strategy event in Arlington, Virginia. And as executives, analysts, private equity representatives and others gathered to discuss the state of home-based care, news dropped that UnitedHealth Group (NYSE: UNH) is acquiring LHC Group Inc. (Nasdaq: LHCG) and combining the […]

Bill Aiming to Significantly Extend the Acute Hospital Care at Home Waiver Introduced

A bill that would extend the Acute Hospital Care at Home waiver has finally been introduced. Dubbed the “Hospital Inpatient Services Modernization Act,” the bill is sponsored by Sens. Tom Carper (D-Del.) and Tim Scott (R-S.C.), as well as Reps. Brad Wenstrup (R-Ohio) and Earl Blumenauer (D-Ore.). The bill would extend the waivers that have […]

Home-Based Care Can Help Turn Around CMS’ Investment Portfolio, Former Administrator Says

Former U.S. Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma is bullish on a lot. Speaking at the Home Care 100 conference Tuesday, she expressed enthusiasm for a new era of data-tracking and technology, as well as value-based care, Medicare Advantage and hospital at home. Most noteworthy to the attendees, however, was her […]

Home Health Improper Payments Increased to $1.84 Billion in 2021

The Centers for Medicare & Medicaid Services (CMS) announced Monday it continues to see a major decrease in improper payments to providers, though not necessarily in the home health setting. Specifically, the agency said that there has been a $20.72 billion reduction in Medicare fee-for-service improper payments since 2014. “CMS is undertaking a concerted effort […]

‘Layer Upon Layer of Regulation’: Breaking Down the CMS Vaccination Mandate

Since the Centers for Medicare & Medicaid Services (CMS) released its interim emergency regulation relating to the federal government’s vaccine mandate last Thursday, more clarity has come to the surface. Specifically, CMS has made clear what health care providers are included, what individuals can be exempt and how the mandate will be enforced. What came […]

CMS Hopes to Support Home-Based Care with More Payment, Regulatory Flexibilities

Officials from the U.S. Centers for Medicare & Medicaid Services (CMS) and its main innovation hub touted a “strategy refresh” on Wednesday. Among its key pillars, the refresh calls for greater payment and regulatory flexibilities supporting the provision of home- and community-based care. CMS Administrator Chiquita Brooks-LaSure discussed the strategy reset during a Wednesday afternoon […]

PDGM’s Base Rates Set 5.76% Below Budget-Neutral Levels, Analysis Finds

The public comment period for the U.S. Centers for Medicare & Medicaid Services’ (CMS) home health proposed payment rule closed last week. Since then, the industry has voiced more substantive concerns with the rule than initially expected. The Partnership for Quality Home Healthcare (PQHH), for instance, recently released its own perspective, which was driven by […]