ACOs Receive $422 Million in Shared Savings Payments

The Accountable Care Organization program is finding firmer footing, third year program results from the Centers for Medicare & Medicaid Services (CMS) suggest. Quality and financial performance results show that in 2014 ACOs grew, had a more positive impact and improved with age. Made up of groups of doctors, hospitals and other health care providers, […]

CMS Moves Forward With Major Hospice Payment Change

A major change in the way hospice providers are reimbursed will indeed go into effect, but not as quickly as originally proposed, the Centers for Medicare & Medicaid Services (CMS) announced in a final rule issued Friday. Currently, Medicare-certified providers receive a per-day reimbursement of about $160 for patients in routine home care (RHC). Under the […]

Home Health Spending to Reach $156 Billion Over Next Decade

National spending on home health care is projected to grow 5.6% in 2015 from last year, and at this pace total expenditures in the sector are poised to reach approximately $156 billion come 2024, according to new data from the Centers for Medicare & Medicaid Services (CMS). In 2015, home health spending could top roughly […]

CMS Extends Home Health Agency Moratorium in Select Cities

The Centers for Medicare & Medicaid Services (CMS) has extended its temporary moratorium that bars new home health agencies in select metro areas from enrolling into the federal program. Effective July 29, the moratorium will continue to prohibit for an additional six months the enrollment of new home health agencies and ambulance service providers within […]

Home Health Business Briefs: Amedisys in New Medicare Model, WillCare Update

As one of the fastest-growing sectors in the United States, home health care is teeming with activity — from acquisitions and partnerships to new leadership appointments and promotions. Here’s the latest news buzzing around the industry: Willcare to Remain Stable After $51 Million Almost Family Acquisition WillCare Inc. does not anticipate that its current management […]

Top States for Highly Rated Home Health Agencies

The public now can evaluate Medicare-certified home health agencies using a five-star system, with the ratings posted online as of Thursday. While the vast majority of HHAs received around three stars, as expected, the ratings also illuminate some aspects of the industry that might be more surprising—including which states are top of the pack and […]

CMS to Pay for Hospital, Home Health Teamwork After Joint Replacements

Home health agencies may soon have yet another reason to enter into financial arrangements with hospitals. Under a Medicare model proposed today, hospitals would have more financial incentives to work with HHAs and other post-acute providers for patients who undergo hip and knee replacements.  Under this five-year bundled payment initiative, all hospitals in 75 geographic […]

Drastic Payment Cuts Would be Rare in New Model, CMS Says

Home health providers received clarifications about a proposed new payment policy, including information about how reimbursements might be cut or boosted, during a call with Medicare officials Wednesday. The home health value based purchasing (HHVBP) model first was put forward in a proposed rule issued this week by the Centers for Medicare & Medicaid Services […]

Home Health Agencies Face $350 Million Medicare Cut, New Payment Model

Home health agencies in nine randomly selected states would have their Medicare payments tied to quality performance under a new value-based purchasing model proposed by the Centers for Medicare & Medicaid Services (CMS). The agency described the new model in the same proposed rule that put forward payment policies for calendar year 2016, which would […]

Home-Based Care Program is a $25 Million Success for Medicare

There’s now more evidence that robust in-home care can improve health outcomes while lowering costs to the U.S. health care system. A demonstration program to increase in-home primary care for patients with chronic conditions netted $25 million in savings for Medicare in its first year, the Centers for Medicare & Medicaid Services announced Thursday. The […]