12 Home Health Workers Indicted for $87 Million Medicaid Fraud

Two sisters and 10 of their employees have been indicted after a federal grand jury said they spent years using their home health care companies to defraud the Pennsylvania Medicaid program. Home health care companies owned and operated by sisters Arlinda Moriarty and Daynelle Dickens received more than $87 million in Medicaid payments for services that were never […]

California to Pay for Healthy Food Delivery for Ill Residents

To keep their chronically ill residents at home and out of hospitals or nursing homes, states are beginning to look at food-as-medicine models that deliver healthy, nutritious meals under doctors’ orders. But there’s now a state that’s doing a lot more than looking. California has launched a new, three-year, $6 million pilot program spearheaded by […]

Louisiana Medicaid Recipients May Lose Home Care Benefits

Tens of thousands of Medicaid recipients in Louisiana, many of whom rely on home care services, are being warned they may soon lose benefits due to proposed state budget cuts. The Louisiana Department of Health began mailing notices Thursday to nearly 37,000 Medicaid enrollees, informing them that their eligibility may end on July 1 because […]

[Updated] The Trickle-Down Effect of Tax Reform on Home Health

The home health industry is one step closer to witnessing sweeping tax reform, with the bill on its way to President Trump’s desk. As such, the industry could see a windfall—though some cuts to Medicare and Medicaid could be triggered down the line. House and Senate lawmakers voted in favor of the Tax Cuts and […]

Removal of Flu Vaccine Measure to Boost Home Health Star Ratings

Home health agencies participating in the Centers for Medicare and Medicaid Services’ (CMS) Quality of Patient Care (QoPC) Star Rating program could see a slight uptick in their average ratings on Home Health Compare, thanks to CMS’ proposed removal of the influenza immunization measure. Currently, home health agencies must be able to report on five […]

How Agencies Can Win with Targeted Probe & Educate

The Centers for Medicare and Medicaid Services (CMS) has certainly kept the home health industry on its toes, with 2017 being a banner year for regulations and proposals. Between the now on-hold home health groupings model (HHGM), and the new conditions of participation (CoPs) set to take effect on January 13, 2018, home health providers […]

$374 Million Home Health Care Fraud Case Concludes

The FBI has wrapped up the largest ever home health care fraud case, which centered around a $374 million scheme in Texas and involved seven individuals, the agency stated in a post on Monday. The sentencing of Cynthia Stiger, 52, of Dallas, in October to 10 years in prison marked the end of the major fraud case, which spanned eight […]

New Obamacare Repeal and Replace Could Hit Home Health Hard

Efforts to repeal and replace the Affordable Care Act (ACA) are back after several months of no action, and the latest health care reform legislation could have an impact on the home health care industry if it prevails. The bill, which is being called the Graham-Cassidy bill after two of its sponsors, Sens. Lindsey Graham […]

New Draft of Health Care Bill Maintains Medicaid Cuts

Republicans unveiled a new version of their health care bill in the Senate on Thursday. Several major amendments have been made to the Better Care Reconciliation Act (BCRA), but the bill still contains deep cuts to Medicaid funding over the next decade. Medicaid Funding Worries The biggest uproar about the Republican plan has originated from its deep cuts to […]

Feds Conduct Largest Ever Health Care Fraud Crackdown

July marked the largest health care fraud takedown in history, as the Department of Health and Humans Services (HHS) Office of Inspector General (OIG) charged individuals in multiple schemes involving $1.3 billion in false billings to Medicare and Medicaid. More than 400 individuals were charged in 41 federal districts in July for allegedly participating in false billings […]