Nearly five months after the unveiling of the proposed payment rule caused a stir among home health stakeholders and advocates, the U.S. Centers for Medicare & Medicaid Services (CMS) released its final payment rule on Monday. Back in June, CMS proposed a 4.2% aggregate decrease for 2023, a cut the industry at large felt would […]
LeadingAge
It’s no secret that the home health proposed payment rule for 2023 is viewed unfavorably by the majority of stakeholders. It has received pushback for a number of reasons – namely a rate cut – but many also believe that if the rule is finalized, it will threaten care for complex home health patients. What’s […]
The public comment window for the home health proposed payment rule closed on Tuesday. Overall, industry stakeholders had submitted 691 comments to the U.S. Centers for Medicare & Medicaid Services (CMS) as of Tuesday morning. From the start, home health stakeholders took issue with CMS’ methodology for determining whether the Patient-Driven Groupings Model (PDGM) led […]
With over 400,000 data points, a new study from LeadingAge could give home-based care providers a new roadmap on how to optimize performance. The year-long study, which collected information from over 1,000 agencies, found that home health providers with registered nurse case manager caseloads under 25 have the highest star ratings for quality of care […]
Home-based care stakeholders agree with the U.S. Surgeon General Dr. Vivek Murthy that burnout among the nation’s health care staff could lead to an even more severe worker shortage. The ongoing staffing crisis in home-based care and other health care sectors was the topic of discussion this week as Vice President Kamala Harris visited the […]
Despite the growing demand for home health services, fraud and abuse guardrails often limit access to the Medicare benefit, a recent Bipartisan Policy Center (BPC) report suggests. The report highlights BPC’s recommendations for the U.S. Centers for Medicare & Medicaid Services (CMS) on how to improve home health services for Medicare fee-for-service beneficiaries. “Given the […]
Home health operators are still several weeks away from getting a glimpse at the proposed payment rule for 2023. Even so, they’re beginning to see signs of concern that they’ll not be getting an inflation-adjusted rate. Because of workforce investments, more expensive supplies and the overall cost increase of goods and services in the U.S., […]
The National Academies of Sciences, Engineering and Medicine (NASEM) on Wednesday released its long-anticipated report on how to improve nursing home care in the U.S. In doing so, NASEM reinforced what so many long-term and post-acute care stakeholders have learned over the past two years: that, for multiple reasons – both within and beyond their […]
The U.S. Centers for Medicare & Medicaid Services (CMS) announced Thursday it will distribute more than $110 million to expand access to home- and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) program. The MFP demonstration began in 2007 and was funded by the Affordable Care Act through 2016. The goal of the […]
Last year, adult day centers across the U.S. were attempting to safely reopen after COVID-19 forced them to shut their doors. Now, up and running again, the sector still faces challenges while trying to solidify a more prominent role in the senior care space. “In general, two-thirds of states had some sort of temporary restrictions […]