New HHS Fall Prevention Program Keeps Seniors at Home Longer, for Cheaper

The Department of Health and Human Services (HHS) is banking on a new fall prevention program that aims to help seniors continue living at home longer and delay the move to costlier care settings like nursing homes and long-term care facilities. Developed by HHS, the comprehensive prevention program includes clinical in-home assessments of health, physical […]

Lack of Federal Strategy Threatens Home Health Access

Federal agencies that fund home- and community-based services (HCBS) don’t work together well, undercutting seniors’ ability to age in their own homes, according to a government report released Wednesday. A federal strategy is needed to increase coordination and improve the availability and effectiveness of HCBS programs, the report states. Five federal agencies provide funding for […]

HHS Awards States $665 Million to Design, Improve Health Care Delivery

Twenty-eight states, three territories and the District of Columbia will be the beneficiaries to over $665 million in Affordable Care Act funding to design and test health care payment and service delivery models that strive to both improve health care quality and lower costs, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced Tuesday. […]

Medicare Reimbursements Hinder Patients’ Access to Home Health, Report Says

Most home health agencies (HHAs) and physicians report that access to home health care for Medicare fee-for-service beneficiaries is is good, however, insufficient reimbursement remains an issue in serving this vulnerable patient population, according to a new report. That is the sentiment of 1,075 Medicare-ceritfied HHAs and 510 physicians surveyed in a recent report to […]

Miami Woman Gets 6 Years For $6.5 Million Home Health Fraud Scheme

The owner and operator of a Miami, Fla., home health care company was sentenced to more than six years in prison Monday for her alleged participation in a $6.5 million Medicare fraud scheme, the U.S. Department of Justice (DOJ) announced.  Cruz Sonia Collado, 64, was an owner and operator of the now-defunct home health care […]

Operation Home Alone Nets 14 More Arrests in Third Wave of Fraud Busts

The third wave of a home care-related Medicaid fraud scheme that originated in Illinois has resulted in 14 more indictments, bringing the total number of defendants involved to 43, according to the Federal Bureau of Investigation (FBI). Last week’s indictments constitute the third round of charges stemming from Operation Home Alone, an initiative led by […]

GOP Questions CMS Anti-Fraud Initiative; Will New Command Center Help?

On July 31, the Centers for Medicare & Medicaid Services (CMS) announced the launch of the new Program Integrity Command Center, meant to speed up the process of identifying fraud and stopping criminals from defrauding the Medicare and Medicaid programs. The announcement came shortly after Senators Orrin Hatch (R-Utah) and Tom Coburn (R-Okla.), both part […]

Government Joins Forces with Public to Find, Stamp Out Medicare Fraudsters

The home health care industry has seen an enormous amount of Medicare fraud in the past few years, and it may see some more bad apples exposed—and shut down—in upcoming months thanks to a public-private partnership between government and public organizations that’s sending a strong message to would-be fraudsters: We will find you, and we […]

Government Joins Forces with Public to Find, Stamp Out Medicare Fraudsters

The home health care industry has seen an enormous amount of Medicare fraud in the past few years, and it may see some more bad apples exposed—and shut down—in upcoming months thanks to a public-private partnership between government and public organizations that’s sending a strong message to would-be fraudsters: We will find you, and we […]