Signify Health’s (NYSE: SGFY) leaders are as cautiously optimistic and encouraged by the prospects of direct-contracting models as almost anyone. For now, Signify works with the government to give the Centers for Medicare & Medicaid Services (CMS) insight on how the models could work in the future. The company also works with adjacent organizations that […]
Centers for Medicare & Medicaid Services
The U.S. Centers for Medicare & Medicaid Services (CMS) on Monday proposed plans to expand the Home Health Value-Based Purchasing (HHVBP) model nationwide by the start of next year. The agency did so in its proposed payment rule for 2022. In addition to the HHVBP expansion, CMS proposed to increase Medicare payments to home health […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has extended the Comprehensive Care for Joint Replacement (CJR) payment model. That’s welcome news for home health operators, as CJR has been a key program for participating agencies since its implementation. Introduced in 2016, CJR essentially allows CMS to hand out bonuses or inflict payment penalties […]
A delay in the Global and Professional Direct Contracting Model by the Biden administration has put the already-accepted direct-contracting entities (DCEs) in a coveted position. New entrants are no longer being accepted for participation in the model while the Centers for Medicare & Medicaid Services (CMS) and its innovation arm review the details. That gives […]
It has been over three months since former Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma resigned from her post. As of Wednesday, no one has officially filled the position’s void. The Biden administration’s pick for administrator, Chiquita Brooks-LaSure, has yet to be confirmed by the Senate due to ongoing partisan disputes. For […]
The Acute Hospital Care At Home initiative from the U.S. Centers for Medicare & Medicaid Services (CMS) now has at least 80 participants, Administrator Seema Verma announced Wednesday. Unveiled in November, the initiative has been growing rapidly, especially of late. On its end, CMS hopes the emerging hospital-at-home models can increase acute care capacity and […]
The U.S. Centers for Medicare & Medicaid Services (CMS) issued its final 2021 home health payment rule in late October. When it came out, some providers were less than pleased. On one hand, the Patient-Driven Groupings Model (PDGM) wasn’t substantially altered to balance out its flawed behavioral assumptions. On another, there are also a few […]
Senator Susan Collins (R-Maine) has sent a letter to the U.S. Centers for Medicare & Medicaid Services (CMS) on behalf of home health providers, urging the agency to reconsider the 4.36% behavioral adjustment baked into the Patient-Driven Groupings Model (PDGM) this year and in 2021. Collins isn’t alone. U.S. Representative Vern Buchanan, a Republican from […]
Between the Patient-Driven Groupings Model and the COVID-19 virus, home health providers are arguably facing the most volatile environment in their industry’s history. At the same time, millions of people are now looking for safer and simpler ways to receive care, which only boosts demand for in-home care services. Looking back, rapidly evolving technology, legislation […]
The U.S. House of Representatives passed a funding bill Tuesday that should catch the attention of home health operators. The bill included a provision aimed at lessening the burden associated with paying back advance and accelerated payments, which the Trump administration made available to financially support Medicare providers amid spring COVID-19 spikes. Specifically, the provision […]
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