Long-term care association LeadingAge — behind only AARP and, perhaps, a handful of other organizations when it comes to tackling aging issues in the United States — may soon become an even bigger player in the home-based care arena. Washington, D.C.-based LeadingAge unveiled plans in February to join forces with the Visiting Nurse Associations of […]
ElevatingHOME
A study on artificial intelligence (AI) suggests the technology holds promise for detecting Medicare fraud within home health and hospice. However, leaders within the industry say a measured approach should be taken, given potential shortcomings and pitfalls related to AI. The research team at Florida Atlantic University programmed computers to predict, classify and flag potentially […]
For in-home care providers, navigating the regulatory waters can often be challenging. Being flexible and monitoring the constant waves of change are key to staying afloat. The Patient-Driven Groupings Model (PDGM) from the Centers for Medicare & Medicaid Services (CMS) and the finalized interpretive guidelines for home health Conditions of Participation (COPs) are two recent regulatory items that are causing industry stakeholders […]
Long-awaited final rules for Programs for All-Inclusive Care for the Elderly (PACE) could be coming this year, thanks to a bill working its way through the House of Representatives. PACE programs utilize mixed funds from Medicare, Medicaid and private sources to offer a full range of services and support to individuals who are at least […]
The latest proposed payment model from the Centers for Medicare & Medicaid Services (CMS) could shake up how the home health industry treats referrals that come from institutional settings versus community-based ones. As a result of changes under the Patient-Driven Groupings Model (PDGM), agencies may start trying to form closer relationships with hospitals or skilled nursing […]
Vowing to flex political muscle its built in the nation’s capital and throughout the country, home health providers and advocates are prepared to fight a new proposal to bring back the controversial pre-claim review. This is not an empty threat, a Home Health Care News (HHCN) review of lobbying data and recent advocacy efforts suggests. Over […]
Stakeholders throughout the home health industry are gearing up for another battle over Pre-Claim Review Demonstration (PCRD), a controversial Centers for Medicare & Medicaid Services (CMS) initiative aimed at reducing fraud and improper billing. PCRD asks providers to send in claims earlier in the care process to ensure they are meeting requirements. In August 2016, CMS rolled out […]
Tracey Moorhead has resigned as president and CEO of the Visiting Nurse Associations of America (VNAA) and ElevatingHome. Danielle Pierotti, RN, PhD, CENP, vice president of quality and research, has stepped into the role of interim CEO. VNAA is an industry association and advocacy group for home-based care with a membership base of not-for-profit […]
While the spotlight across the home health care industry has recently shined on the upcoming payment reform, providers are still grappling with new requirements that went into effect in January—the Conditions of Participation (CoPs). The new CoPs—the standards that agencies must follow to participate in Medicare—were the first update to the requirements in decades. And […]
Home health care isn’t getting the full recognition of its value from payers and regulators, according to advocates and stakeholders. That’s why the home health care industry’s newest association is promoting the value of in-home care as a top priority, while also seeking to establish a firm footing almost year after launching. ElevatingHome, which spun […]