Insurance giant Cigna (NYSE: CI) has reached an agreement with the U.S. government over claims it overcharged the Medicare Advantage (MA) program by misrepresenting patients’ conditions. As part of the agreement, Cigna will pay more than $172 million to the government and will also enter into a corporate integrity agreement with the U.S. Department of […]
CMS
When the Centers for Medicare & Medicaid Services (CMS) first announced the Guiding an Improved Dementia Experience (GUIDE) Model in late July, there was excitement and an eagerness to learn more from home-based care providers. The goal of the model, according to CMS, is to “support people living with dementia and their unpaid caregivers.” Even […]
A proposed rule from the U.S. Centers for Medicare & Medicaid Services (CMS) – which would require at least 80% of Medicaid reimbursement for home- and community-based services go toward worker compensation – received over 2,100 submissions during its public comment period. Many of the comments included gratitude and appreciation for CMS regarding its efforts […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has extended a COVID-19 pandemic-era waiver that will allow home- and community-based service (HCBS) providers to take advantage of flexibilities in their state programs. The Appendix K waiver allowed HCBS providers more wiggle room during emergencies, such as the COVID-19 pandemic. CMS introduced the waiver to […]
The past few years have been a time of transformation for the hospital-at-home model. As it cements its popularity, new players have begun to rise with it. While hospital at home has long been embraced across the globe — in Australia, Canada and across Europe, for example — the model popped up in the U.S. […]
The No. 1 thing home health providers should be focused on ahead of the U.S. Centers for Medicare & Medicaid Services (CMS) final payment rule is finding any additional opportunities to increase revenue, experts believe. It may seem like a no-brainer, but if the reimbursement cuts come as proposed by CMS, providers need to be […]
The U.S. Centers for Medicare & Medicaid Services (CMS) will immediately stop enforcing the COVID-19 vaccine mandates for home health workers and other health care staff. In light of the public health emergency (PHE) ending on May 11, the Biden administration announced in early May that it planned to end vaccination requirements for federal workers […]
The U.S. Centers for Medicare & Medicaid Services (CMS) recent proposed rule for Medicaid may cap business for certain providers, but industry experts believe the government agency is likely foreshadowing its intentions for the final rule. The new rule would force 80% of payment to go to workers in home- and community-based services (HCBS). There […]
The U.S. Centers for Medicare & Medicaid Services (CMS) on Thursday announced a new proposed rule that would, among its provisions, establish a strict requirement for the amount of Medicaid payment going toward home care worker compensation. Specifically, the proposed rule from CMS would require that at least 80% of Medicaid payments for personal care, […]
The U.S. Department of Health and Human Services (HHS) is making ownership data for all Medicare-certified home health and hospice agencies publicly available. The Centers for Medicare & Medicaid Services (CMS) announced the news early Thursday. Anyone can now review “detailed information on the ownership of more than 6,000 hospices and 11,000 home health agencies,” […]
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