Home-Based Care Ally Adam Boehler to Leave CMMI

A key ally for home health providers and a major proponent of value-based care may be leaving his federal post. The Trump administration revealed late Wednesday it has nominated Adam Boehler — director of the Center for Medicare & Medicaid Innovation (CMMI) and a senior adviser to the secretary of the U.S. Department of Health […]

CMS: No ‘Secret List’ of Troubled Home Health Agencies

Earlier this week, a bipartisan pair of U.S. senators released a “secret list” of nursing homes under consideration for placement on the federal government’s roster of properties with serious quality issues. Maintained by the Centers for Medicare & Medicaid Services (CMS), the list features more than 400 nursing homes that are “candidates” for the Special […]

Home Health Industry Reacts to CMS Value-Based Primary Care Initiative

Health care policymakers on Monday unveiled a new voluntary risk-based initiative designed to reward physicians who keep patients at home and away from hospitals. Based upon the work of previous administrations, the new initiative marks a major inflection point for the value-based transformation of the U.S. health care system, according to Department of Health and […]

OIG Special Agents Sound Off on Hospice Fraud, CMS Rules

In one example of hospice fraud, a provider was caught billing for 17 days of general inpatient care for a 70-year-old Medicare beneficiary, though a caregiver had never even visited him. In another case, an owner a hospice was found to be using recruiters to solicit and enroll beneficiaries for hospice care when they were […]

OIG Issues Sweeping Report on Hospice Fraud and Care Quality Concerns

To counter claims of fraud and abuse in the hospice industry, federal regulators have loudly announced their plans to aggressively go after dishonest providers. Those watchdogs include the U.S. Department of Health & Human Services’ Office of Inspector General (OIG), which released a sharp new report on fraud vulnerabilities within the Medicare hospice program on […]

HHS Chief Technology Officer to Join LHC Group

The current chief technology officer for the U.S. Department of Health and Human Services (HHS) will soon leave his post in Washington D.C. to join Lafayette, Louisiana-based LHC Group (Nasdaq: LHCG) and fill a newly created position dedicated to innovation. HHS CTO Bruce Greenstein will become LHC Group’s first chief innovation and technology officer in June, […]

4 Ways Home Health is Readying Itself for a Value-Based Economy

Home health care providers are in the midst of a shifting environment and getting on board for ongoing demonstration programs and upcoming regulatory changes. Even with changes at the Department of Health and Human Services (HHS), home health providers can bet that the momentum to a value-based economy in health care that started from the Affordable […]