CMS to Retire Home Health Compare Next Month

The U.S. Centers for Medicare & Medicaid Services (CMS) is moving forward with its plan to retire the old Home Health Compare in favor of a new, multi-setting tool known simply as “Care Compare.” By Dec. 1, CMS will move away from Home Health Compare, Nursing Home Compare, Hospital Compare and the five similar online […]

CMS: Home Health Improper Payments Down by $5.9B Since 2016

Home health providers continue to make serious progress in reducing improper payments under fee-for-service Medicare, the U.S. Centers for Medicare & Medicaid Services (CMS) announced Monday. Since 2016, improper payments to home health providers have dropped by an estimated $5.9 billion, according to CMS. All improper payments in fee-for-service Medicare are down by an estimated […]

Verma: Older Adults Must Have a ‘More Robust’ Set of Home Care Options

The U.S. Centers for Medicare & Medicaid Services (CMS) on Monday touted several tools designed to help states rebalance their long-term care ecosystem toward home- and community-based services.  The development is the latest in a series of CMS efforts aimed at strengthening home- and community-based services amid the COVID-19 pandemic, with the ultimate goal of […]

Late RAPs Could Trigger Immediate 20% Payment Reduction in 2021

The U.S. Centers for Medicare & Medicaid Services (CMS) released its final home health payment rule for CY 2021 on Thursday, with essentially no changes to the Patient-Driven Groupings Model (PDGM) or its controversial behavioral adjustment.  In addition to doubling down on PDGM, boosting the home health base payment rate by 1.9% and making minor […]

Congressman Vern Buchanan Urges CMS to Scrap PDGM’s 4.36% Behavioral Adjustment

In August, the Partnership for Quality Home Healthcare (PQHH) unveiled a first-of-its kind, comprehensive analysis of the Patient-Driven Groupings Model (PDGM). Among its findings, the analysis — conducted by health economics and policy consulting firm Dobson DaVanzo & Associates — highlighted how government spending on home health care is 21.6% lower than what the U.S. […]

New CMS Data Highlights ‘Massive’ Expansion of Home Care-Related Medicare Advantage Benefits

The U.S. Centers for Medicare & Medicaid Services released a treasure trove of new Medicare Advantage (MA) statistics late Thursday. While the new numbers flag a general rise in MA enrollment and drop in premiums, they also reveal a massive expansion of the supplemental benefit programs that have gotten home care operators so excited over […]

Verma’s Comments Signal Turning Point for In-Home Care

The U.S. Centers for Medicare & Medicaid Services (CMS) on Wednesday released $165 million in supplemental funding for Money Follows the Person (MFP) programs, which encourage transitions from long-term care facilities to home- and community-based settings.  In the grand scheme of government health care spending, $165 million is only a drop in the bucket. In […]

CMS Announces $165M to Support Home Care, Reduce ‘America’s Over-Reliance’ on Nursing Homes

The U.S. Centers for Medicare & Medicaid Services (CMS) took a new step on Wednesday to support care transitions from long-term care facilities into home- and community-based settings. On Wednesday, CMS announced the availability of up to $165 million in supplemental funding to states currently operating Money Follows the Person (MFP) demonstration programs. MFP programs […]

CMS Issues New Guidance to Advance Value-Based Payment Models in Medicaid

The U.S. Centers for Medicare & Medicaid Services (CMS) is once again calling attention to its previously outlined commitment to value-based care strategies. The agency on Tuesday released new guidance to help states shift more toward value-based approaches under their Medicaid programs. The overarching goal of the guidance is to better align health care provider […]