The Trump administration’s immigration crackdown has prompted home-based care providers to fear that changes in immigrant worker policies could lead to a loss of essential staff – and providers have begun to see these threats materialize. In early July, the U.S. Department of Homeland Security (DHS) notified Honor CEO Seth Sternberg that work permits for […]
LeadingAge
Medicaid cuts contained in the One Big Beautiful Bill Act (OBBA) are not the only element of the bill that may be of concern to the home-based care community. The bill could lead to a higher percentage of hospice payment sequestration and add increase burdens on providers that offer hospice services. The U.S. Centers for […]
Everyone in the home-based care industry is trying to catch their breath after what appears to be a significant blow to the American health care system, including the release of the CY 2026 home health proposed payment rule by CMS on June 30 and the passage of the “One Big Beautiful Bill” (OBBB) last Friday. […]
Both the U.S. House of Representatives and the Senate have passed the Republican-led “One Big Beautiful Bill” and sent it to the White House for signature. The bill contains Medicaid cuts totalling $1 trillion over the next 10 years. This amounts to 15% of total federal Medicaid spending during that time period, according to the […]
On Monday, a cohort of about 50 health insurance plans — including UnitedHealthcare, SCAN Health Plan, Kaiser Permanente, Humana and more — announced a government-sponsored pledge to reduce prior authorizations. Home-based care industry advocates applauded the move to reduce prior authorizations and shorten turnaround times, but noted that the pledge fell short of adequately addressing […]
The Centers for Medicare & Medicaid Services (CMS) announced that it is ramping up audits of all Medicare Advantage (MA) plans – which could possibly lead to decreased rates for home health providers. CMS’s plan to audit all eligible MA contracts each payment year and expedite audits for payment years 2018 to 2024, announced last […]
Home-based care organizations have come together to express their support for the Older Americans Act (OAA) and to warn Congress that disrupting the OAA could leave older adults without access to in-home care. On May 22, over 50 health care providers and advocacy organizations, including Addus Homecare, the National Alliance for Caregiving and LeadingAge, sent […]
The House of Representatives passed a budget bill on Tuesday that, if passed, would create a challenging rate environment and additional administrative burden, among other dangers, for home-based care providers. The bill includes an estimated $698 billion budget cut to federal Medicaid subsidies over a decade and an estimated $45 billion cut to Medicare spending […]
The House Energy & Commerce Committee released a proposed budget reconciliation bill detailing potential cuts to Medicaid that have prompted home-based care providers and advocacy groups to sound the alarm. The bill, released Sunday, could lead to cuts to the Medicaid budget and limit access to home- and community-based services (HCBS), according to The National […]
National Skills Coalition (NSC) — an advocacy organization focused on workforce policies — recently announced the launch of the Care Workforce Advisory Council. The council was formed to address the main challenges that currently plague the care workforce. The Care Workforce Advisory is made up of 20 direct care industry professionals and experts, including home-based […]

