Here Today, Gone Tomorrow: Home Health Providers May See Spike in Whistleblower Lawsuits

Home health providers have had to navigate through a slew of regulatory changes over the past three months. Some of those changes will end up permanent, while others are bound to go away. Non-physician certification, telehealth technology and new infection control protocols are examples of long-lasting changes linked to the COVID-19 virus. Meanwhile, cash flow […]

Predicting COVID-19’s Long-Term Impact on the Home Health Care Market

The Patient-Driven Groupings Model (PDGM) and its unintended ripple effects were supposed to be the dominant story this year for the nation’s 12,000 or so Medicare-certified home health care providers. But the coronavirus has rewritten the script for 2020, throwing most of the industry’s previous projections out the window. While PDGM — implemented on Jan. […]

How MedStar Health Went from 10 Virtual Visits Per Week — to 4,000 Per Day

Before COVID-19 began spreading across the U.S., MedStar Health was scheduling about 10 telehealth visits per week. During the height of COVID-19, that number increased to nearly 4,000 visits — per day. “Things have tailed off, but [they] certainly won’t ever go back to where they were,” David Brennan, MedStar’s director of telehealth initiatives, said […]

‘They Shot from the Hip’: Home Health Providers Sound Off on CMS

The COVID-19 virus has thrown a wrench into any home health care plans the U.S. Centers for Medicare & Medicaid Services (CMS) initially had for 2020. Instead of mainly focusing on the launch of the Patient-Driven Groupings Model (PDGM) and other initiatives, the agency has had to make a slew of critical decisions in support […]

As Older Adults Are Increasingly Isolated, Advocates Call for Medicare Home Care Benefit

The COVID-19 virus has driven much discussion over the best ways to revamp home-based care moving forward. Suggestions as to how to do that have ranged from small tweaks to seismic shifts, from fine-tuning documentation requirements to allowing for direct telehealth reimbursement. While seemingly endless, all of the ideas are valuable, CareAcademy CMO and co-founder […]

What Home-Based Care Agencies Need to Know About OSHA’s New Guidelines

In an effort to ease some of the COVID-19 burden, federal regulators have relaxed certain restrictions on home-based care providers since the Trump administration declared a public health emergency on March 13. But while the Centers for Medicare & Medicaid Services (CMS) and other agencies loosen their grip, the Occupational Safety and Health Administration (OSHA) […]

New CMS Medicare Advantage Rule Creates Incentives for Providers to Invest in Telehealth

The Centers for Medicare & Medicaid Services (CMS) announced Friday it has finalized changes to Medicare Advantage (MA) and Medicare Part D. The changes — detailed in a final rule for 2021 — partly seek to strengthen access to telehealth services, an increasingly important component of the health care system amid the ongoing coronavirus emergency. […]

After Weeks of Coronavirus Chaos, Home-Based Care Providers Welcome Early Signs of Normalcy

After an immense disruption from the COVID-19 virus led to a dip in patient visits and revenue, home-based care insiders are now reporting budding signs of normalcy. The public health crisis, of course, is far from over. But the initial panic is subsiding, patients are receiving care again and providers are gaining confidence operating in […]

‘Rare Flexibility’ for Medicare Advantage Plans Could Lead to Home Care Inflection Point

The Centers for Medicare & Medicaid Services (CMS) has granted further flexibility to Medicare Advantage (MA) plans to offer more benefits to beneficiaries during the COVID-19 crisis. For home care providers, that could mean more business opportunity. The Special Supplemental Benefits for the Chronically Ill (SSBCI) program was announced in 2019 for the 2020 plan […]